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You are triaging patients from a multi-casualty incident. The following patients are seen:
Patient A: Approximately 2 years old, ambulatory, crying, large 8cm parietal hematoma, obvious right humeral deformity
Patient B: Approximately 5 years old, unresponsive, apneic after airway positioning and 5 rescue breaths, weak palpable pulse
Patient C: Approximately 3 years old, responsive to painful stimuli, breathing at 40 breaths per minute, very weak palpable pulse
Patient D: Approximately 7 years old, unresponsive, breathing at 30 breaths per minute, weak palpable pulse
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December 16, 2017 at 1:06 am
Patient D
Using the Jump Start algorithm http://www.jumpstarttriage.com/The_JumpSTART_algorithm.php patients can be divided into minor (green), delayed response (yellow), immediate response (red), and deceased (black). Priority should be given to those in the immediate group; using the limited resources in a multi-casualty incident on patients in the deceased group will not maximize the number of survivors. In a NON multi-casualty scenario, full resuscitation efforts would be attempted in those in the deceased group, but priorities change in multi-casualty incidents with limited resources. Patient A is minor, B is deceased, C is delayed, and D is immediate. You can practice your triage skills at http://disastertriagegame.org/index.html (register to play)