When a mass casualty incident [link to MCI Management Software page] occurs, the responsibility to perform a triage assessment typically rests on the shoulders of the emergency responders. The mass casualty triage assessment process can be extremely challenging for multiple reasons. There could be dozens, or even hundreds, of people who need medical attention — many of the injuries are also likely to be of a complex nature. The high degree of chaos and confusion that is normally present at MCI scenes can further complicate the triage process.
Because of the high volume of injuries or illnesses during an MCI, it is imperative that triage is administered as quickly as possible. A basic triage process for patient assessment is S.T.A.R.T., which stands for “simple triage and rapid treatment.” S.T.A.R.T. assessments encompass four areas:
- The patient’s ability to walk and follow basic commands
- Respirations
- Level of circulatory system profusion
- Mental status and alertness
During MCI triage, the victims are generally classified in one of three categories based on their apparent need for medical treatment: immediate, delayed or minor. How long should a triage assessment take? Because of the need to attend to as many individuals as possible in a short amount of time, the entire S.T.A.R.T. assessment should be completed in no more than 30 seconds.
