Ambulance

BCEMS Web

The Employee Website

START

(Simple Triage and Rapid Treatment)

The Principle... 

The START flowchart is a quick way to learn the system. As you move through the patient assessment, sequentially evaluate the current status for RESPIRATIONS, PERFUSION, and MENTAL STATUS (RPM). You either assign the victim a classification or you move to the next level of the flowchart.

The chart above can be simplified to this...

START Triage
Assess, Treat, (use bystanders)
When you have a color
STOP - TAG - MOVE ON
M
I
N
O
R
Move Walking Wounded
D
E
C
E
A
S
E
D
NO RESPIRATIONS after head tilt
I
M
M
E
D
I
A
T
E
Breathing but UNCONSCIOUS
Respirations - over 30
Perfusion Capillary refill > 2
or NO RADIAL PULSE
Control bleeding
Mental Status Unable to follow simple commands
D
E
L
A
Y
E
D
Otherwise
REMEMBER:
Respirations - 30
Perfusion - 2
Mental Status - Can Do