Emergency Responses and Disaster Preparedness

Triage Protocols (START Method)

Triage Protocols (START Method)

The Simple Triage and Rapid Treatment (START) method is used to prioritize victims during mass casualty incidents.

Assessment Categories

  • Green: Walking wounded (minor injuries)
  • Yellow: Delayed (serious but stable)
  • Red: Immediate (life-threatening airway/breathing/perfusion issues)
  • Black: Deceased or expectant (no pulse/respirations after airway repositioning)

Prioritization Rules

  • Check respirations: If >30/min, tag Red; if absent, reposition airway; if still absent, tag Black.
  • Check perfusion: Radial pulse absent or cap refill >2 seconds, tag Red.
  • Check mental status: Unable to follow simple commands, tag Red.

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