2014 Nyc Remac - Triage/start (Appendix L)

Front 1

START allows MCI patients to be triaged in _____ seconds or less.

Back 1

60

Front 2

START is based on these three observations.

Back 2

(1) Respirations
(2) Circulation
(3) Mental Status

Front 3

An MCI is an incident that has produced or may produce a minimum of _____ patients.

Back 3

5

Front 4

Aim of Triage

Back 4

Greatest good for the greatest number

Front 5

The STARTS plan calls for rescuers to correct immediate threats to life, such as...

Back 5

(1) blocked airways
(2) severe arterial bleeding

Front 6

START uses the ______ triage card.

Back 6

METTAGE

Front 7

START classifies patients into ______ distinct areas for treatment.

Back 7

4

Front 8

Name the four tag colors and categories of START.

Back 8

BLACK - deceased
RED - immediate
YELLOW - delayed
GREEN - minor

Front 9

Name the color:
No respirations.

Back 9

BLACK

Front 10

Name the color:
No respirations after airway is repositioned.

Back 10

BLACK

Front 11

Name the color:
Spontaneous respirations only
after airway is repositioned.

Back 11

RED

Front 12

Name the color:
Breathing spontaneously.
Respiratory rate greater than 30.

Back 12

RED

Front 13

Name the color:
Breathing spontaneously.
Capillary refill more than two seconds.

Back 13

RED

Front 14

Name the color:
Breathing spontaneously, but
cannot follow simple commands.

Back 14

RED

Front 15

Name the color:
Walking wounded.

Back 15

GREEN

Front 16

Which patients are separated from the general group and sent to a designated safe area at the beginning of the triage operation?

Back 16

the walking wounded
GREEN

Front 17

Walking wounded can be used to assist in ______ and ______ in ______ patients who need it.

Back 17

severe bleeding control

airway mantenance

Immediate (RED)

Front 18

If a patient is not breathing, check for ______ and remove ______ if they are loose.

Back 18

foreign objects

dentures

Front 19

In assessing breathing, reposition the head using ______ if this does not delay assessment.

Back 19

cervical spine precautions

Front 20

The next step upon finding a patient with respirations less than 30 per minute is...

Back 20

assess perfusion (circulation)

Front 21

The best indicator of adequate perfusion is an assessment of ______.

Back 21

capillary nail-bed refill

Front 22

To assess capillary refill, press the ______ or ______ and release.

Back 22

nailbeds

lips

Front 23

If capillary refill is greater than two seconds, the next step is to...

Back 23

tag the patient RED.

Front 24

If capillary refill is less than two seconds, the next step is to...

Back 24

assess the patient's mental status.

Front 25

If capillary refill cannot be assessed, you should ______.

Back 25

palpate the radial pulse

Front 26

In most cases, if the radial pulse cannot be felt, the systolic blood pressure will be below ______ mm Hg.

Back 26

80

Front 27

Contol significant bleeding by ______ and ______.

Back 27

direct pressure

elevate the lower extremities

Front 28

Utilize ______ to assist with hemorrhage control on themselves or on other patients.

Back 28

"walking wounded"

Front 29

An evaluation of mental status is performed on patient whose ______ and ______ are adequate.

Back 29

respirations

perfusion

Front 30

To test a patient's mental status, the rescuer should...

Back 30

ask the patient to follow a simple command.

Front 31

Two examples of questions used to assess a patient's mental status and ability to follow commands.

Back 31

(1) Open and close your eyes.
(2) Squeeze my hands.

Front 32

If a patient does not comply when asked, for example, to open and close his eyes, he should be tagged ______.

Back 32

RED

Front 33

If a non-walking patient whose breathing and pefusion are adequate is able to comply when asked, for example, to open and close his eyes, the patient should be tagged ______.

Back 33

YELLOW

Front 34

Only after all patients are ______ can a patient be ______.

Back 34

triaged

treated

Front 35

Triage and tagging should take no more than ______ seconds per patient.

Back 35

60

Front 36

Triage tags are completed during ______ or in the ______ if there is time.

Back 36

transport

staging area

Front 37

Record the ______ and ______ of triage on the triage tags.

Back 37

time
date

Front 38

On the triage tags, record the ______, ______, and ______ of the patient if he/she is coherent, but this information may be delayed.

Back 38

name
address
city/state

Front 39

On the triage tags, record important patient information such as ______ and ______.

Back 39

medical treatment

history

Front 40

On the triage tags, record your ______ or ______ on the bottom line and on the yellow corners.

Back 40

shield number

EMT number

Front 41

On the reverse side of the triage tags, record ______ on the diagram.

Back 41

injuries

Front 42

On the triage tags, record ______ and the time taken in indicated areas.

Back 42

vital signs

Front 43

On the triage tags, paramedics will record any ______ and ______.

Back 43

IVs

drugs given

Front 44

Tear off all colored areas ______ the determined priority and retain.

Back 44

below

Front 45

Attach tag securely to ______ or ______ so that it is visible.

Back 45

clothing

body

Front 46

The left and right corners of the triage tag contain the ______ and the ______ symbols.

Back 46

ambulance

cross

Front 47

On both corners of the triage tag (ambulance and cross), make sure the ______ appears.

Back 47

EMT number

Front 48

The corner with the cross is removed in the ______ prior to removal of the patient and handed to the ______.

Back 48

treatment area

Supervisor of the Treatment Area

Front 49

The corner with the ambulance is removed prior to transfer of the patient to a ______ and retained by the ______ until the end of the MCI, then it is given to the person in charge of the ______.

Back 49

medical facility

crew

Triage Team

Front 50

Ventillations - NO
next step

Back 50

position airway

Front 51

Position Airway
Ventillations - NO
next step

Back 51

BLACK
(non-salvageable)

Front 52

Position Airway
Ventillations - YES
next step

Back 52

maintain airway
RED
(immediate)

Front 53

Ventillations - YES
next step

Back 53

assess rate

Front 54

Ventillations >30
next step

Back 54

RED
(immediate)

Front 55

Ventilations <30
next step

Back 55

assess perfusion

Front 56

Radial Pulse Present
next step

Back 56

assess mental status

Front 57

Cap Refill greater than 2
next step

Back 57

control bleeding
RED
(immediate)

Front 58

Cap Refill less than 2
next step

Back 58

assess mental status

Front 59

Fails to follow simple commands
next step

Back 59

RED
immediate

Front 60

Can follow simple commands
next step

Back 60

YELLOW
delayed