20 Shifts Protocol Quiz - Triage System

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Questions and Answers

What is the purpose of mental preparation for first responders en route to an incident?

To determine the severity of the injury

To consider the amount of time it can take for additional resources to arrive (correct)

To communicate with other first responders

To administer urgent treatment

What information should be included in the first initial report?

The number of patients sorted into different categories

The severity of the patients' injuries

The type of additional resources needed (correct)

All of the above

What is the S.T.A.R.T. triage system based on?

Three observations: respiratory rate, pulse rate, and blood pressure

Three observations: blood pressure, perfusion, and mental status

Three observations: respiratory rate, perfusion, and mental status (correct)

Three observations: respiratory rate, pulse oximetry, and mental status

What is the immediate treatment priority for patients in the S.T.A.R.T. system?

Patients with respiratory rates greater than 30 per minute Signup and view all the answers

How should first responders prioritize treatment efforts in the event of limited resources or a greater number of injured patients than rescue personnel?

Focus treatment and stabilization efforts on the “immediate” patient and assign supportive personnel to care for the “delayed” patients Signup and view all the answers

What is the maximum time allowed for the initial triage?

30 seconds Signup and view all the answers

What should be done with other patients if circumstances permit and the primary “immediate” patient has been selected for care?

They should be moved to a central location where the paramedic can monitor care efforts Signup and view all the answers

What is the S.T.A.R.T. system based on?

Respirations, perfusion, and mental status Signup and view all the answers

Which patients are categorized as 'immediate' in the S.T.A.R.T. system?

Patients with respiratory rates greater than 30 per minute Signup and view all the answers

What is the maximum time that should be taken for the initial triage?

30 seconds or less Signup and view all the answers

What are the four categories and color classifications for patients in the S.T.A.R.T. system?

Immediate (red), delayed (yellow), minor (green), and dead (black) Signup and view all the answers

What should be the focus of treatment and stabilization efforts in the event of limited resources or a greater number of injured patients than rescue personnel?

Immediate patients Signup and view all the answers

What is the purpose of re-triaging patients during the course of the incident?

Further evaluation, treatment, stabilization, and transportation Signup and view all the answers

What should be included in the first initial report during a triage situation?

Location of the incident, type of incident, any hazards, the approximate number of victims, and the type of additional resources needed Signup and view all the answers

Study Notes

The S.T.A.R.T. Triage System: A Guide for First Responders

En route, mental preparation is crucial for first responders to consider the amount of time it can take for additional resources to arrive and form differentials, possible treatment plans, and worst-case scenarios.
The initial assessment or “size-up” will give an impression of the situation, including the potential number of patients, mechanism, and severity of their injury, and clues to additional resources that may be required.
During the first initial report, clear and concise communication is crucial, including the location of the incident, type of incident, any hazards, the approximate number of victims, and the type of additional resources needed.
Patients are sorted into four categories and color classifications: immediate (red), delayed (yellow), minor (green), and dead (black).
The S.T.A.R.T. system is a triage method based on three observations: respirations, perfusion, and mental status.
Patients with respiratory rates greater than 30 per minute are categorized as “immediate” and need urgent treatment and transport.
Patients whose radial pulse is absent, weak, or irregular are also categorized as “immediate.”
Patients who can follow simple commands are tagged as “delayed,” while unresponsive or noncompliant patients are categorized as “immediate.”
The initial triage should take 30 seconds or less, and the remaining patients will be re-triaged for further evaluation, treatment, stabilization, and transportation.
In the event of limited resources or a greater number of injured patients than rescue personnel, focus treatment and stabilization efforts on the “immediate” patient and assign supportive personnel to care for the “delayed” patients.
If circumstances permit, other patients can be moved to a central location by which the paramedic can monitor care efforts, so long as it doesn’t interfere with the care of the primary “immediate” patient selected.
As more rescuers arrive on scene, the remaining patients will be re-triaged multiple times during the course of the incident.

The S.T.A.R.T. Triage System: A Guide for First Responders

En route, mental preparation is crucial for first responders to consider the amount of time it can take for additional resources to arrive and form differentials, possible treatment plans, and worst-case scenarios.
The initial assessment or “size-up” will give an impression of the situation, including the potential number of patients, mechanism, and severity of their injury, and clues to additional resources that may be required.
During the first initial report, clear and concise communication is crucial, including the location of the incident, type of incident, any hazards, the approximate number of victims, and the type of additional resources needed.
Patients are sorted into four categories and color classifications: immediate (red), delayed (yellow), minor (green), and dead (black).
The S.T.A.R.T. system is a triage method based on three observations: respirations, perfusion, and mental status.
Patients with respiratory rates greater than 30 per minute are categorized as “immediate” and need urgent treatment and transport.
Patients whose radial pulse is absent, weak, or irregular are also categorized as “immediate.”
Patients who can follow simple commands are tagged as “delayed,” while unresponsive or noncompliant patients are categorized as “immediate.”
The initial triage should take 30 seconds or less, and the remaining patients will be re-triaged for further evaluation, treatment, stabilization, and transportation.
In the event of limited resources or a greater number of injured patients than rescue personnel, focus treatment and stabilization efforts on the “immediate” patient and assign supportive personnel to care for the “delayed” patients.
If circumstances permit, other patients can be moved to a central location by which the paramedic can monitor care efforts, so long as it doesn’t interfere with the care of the primary “immediate” patient selected.
As more rescuers arrive on scene, the remaining patients will be re-triaged multiple times during the course of the incident.

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Description

Test your knowledge of the S.T.A.R.T. Triage System, a method used by first responders to prioritize and sort patients during mass casualty incidents. This quiz will cover the key principles and categories of the S.T.A.R.T. system, as well as the initial assessment and communication required for effective triage. Whether you're a first responder or simply interested in emergency response procedures, this quiz will challenge your understanding of this important system.