https://wikimd.com/index.php?action=history&feed=atom&title=STARTSTART - Revision history2026-04-05T21:25:56ZRevision history for this page on the wikiMediaWiki 1.44.2https://wikimd.com/index.php?title=START&diff=5898543&oldid=prevPrab: CSV import2024-06-12T19:53:50Z<p>CSV import</p>
<p><b>New page</b></p><div>{{clear}}== START ==<br />
'''START''' ('''Simple Triage and Rapid Treatment''') is a triage method used by first responders to quickly classify victims during a mass casualty incident (MCI) based on the severity of their injuries. The goal of START is to do the greatest good for the greatest number of people.<br />
== History ==<br />
The START triage system was developed in 1983 by the staff at [[Hoag Hospital]] and the [[Newport Beach Fire Department]] in [[California]]. It was designed to be a simple and efficient method for first responders to use in the field.<br />
== Triage Categories ==<br />
START categorizes patients into four groups based on the severity of their condition:<br />
* '''Immediate (Red)''': These patients have life-threatening injuries that require immediate attention to survive.<br />
* '''Delayed (Yellow)''': These patients have serious injuries that are not immediately life-threatening.<br />
* '''Minor (Green)''': These patients have minor injuries and can wait for medical treatment.<br />
* '''Deceased (Black)''': These patients are either deceased or have injuries that are not survivable given the resources available.<br />
== Triage Process ==<br />
The START triage process involves a quick assessment of each victim using the following criteria:<br />
* '''Respiration''': Check if the patient is breathing. If not, open the airway. If they start breathing, tag them as Immediate. If they do not start breathing, tag them as Deceased.<br />
* '''Perfusion''': Check the patient's circulation by feeling for a radial pulse or checking capillary refill. If the pulse is absent or capillary refill is greater than 2 seconds, tag them as Immediate.<br />
* '''Mental Status''': Check if the patient can follow simple commands. If they cannot, tag them as Immediate. If they can, tag them as Delayed or Minor based on other criteria.<br />
== Advantages and Limitations ==<br />
The START system is advantageous because it is simple, quick, and can be used by responders with minimal training. However, it has limitations, such as the potential for over-triage or under-triage, and it may not be as effective in certain types of incidents, such as those involving chemical, biological, radiological, or nuclear (CBRN) hazards.<br />
== Related Pages ==<br />
* [[Triage]]<br />
* [[Mass casualty incident]]<br />
* [[Emergency medical services]]<br />
* [[Disaster medicine]]<br />
* [[Hoag Hospital]]<br />
* [[Newport Beach Fire Department]]<br />
== See Also ==<br />
* [[JumpSTART]] - A pediatric version of the START triage system.<br />
* [[SALT triage]] - Another triage system used in mass casualty incidents.<br />
[[Category:Emergency services]]<br />
[[Category:Medical triage]]<br />
[[Category:Disaster medicine]]<br />
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