Triage

The purpose of primary triage at a major incident is not to provide medical care but rather to identify patients in need of life-saving intervention by other healthcare providers.

Primary Triage = Triage Sieve

Initial Triage - Triage Sieve can be performed by secondary responses (ambulance crew etc)

Initial responders must maintain CSCA - Command, Safety, Communications and Assessment overview.

Triage Sieve

must be applied to all patients at the incident

Uninjured people are directed to a Survivor Reception Centre - they will be logged as present at the incident by police / local services

once triage - try to label the patient with an appropriate label
keep a tally and report regularly
re-triage after any intervention (as required)
use Zero Responders to assist (e.g. keeping pressure on a wound, watching people in the receovery position etc)

<<<< this protocol is not suitable for (large numbers of) paediatric patients without modification.

This is due to over triage of paediatric cases due to their normal physiological values

Triage Sort

The Triage Sort is standardised and evidence based. It refines the identification of those requiring interventions and occurs following further assessment of the physiological status of the patient. Scores are applied based on Respiratory Rate, Systolic BP, and GCS.

We would not usually be involved in this process, and it would not happend in the early part of a major incident

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