Case Study
Exercise 2: Triage 1
Case
A 10 passenger bus crashes on a busy road
hitting a family of 5 in another vehicle head
on. The following are some of the victims
from the scene that you are now the triage
officer for. Triage these patients RED,
GREEN, YELLOW and BLACK according to
START criteria.
Remember you have less then 60 seconds to
assess each victim.
Exercise 2: Triage 2
VICTIM 1
17 yo female with
large bleeding
laceration to leg
Respirations: 20
Pulse: 65
Mental Status:
Screaming
Exercise 2: Triage 3
Victim 2
51yo driver of the
family vehicle,
entrapped in wreckage
with obvious head
injury and brain matter
protruding
Respirations: NONE
Pulse: NOT PALPABLE
Mental status:
UNRESPONSIVE
Exercise 2: Triage 4
Victim 3
65 yo male with
complaint of painful
breathing and
bloody bruised left
chest
Respiration: 35
Pulse: 120
Mental Status:
Intact
Exercise 2: Triage 5
Victim 4
6 yo unconscious
male in back seat of
car
Respirations: Absent
Pulse: Weak and
thready
Mental Status:
Diminished
Exercise 2: Triage 6
Victim 5
26 yo female with
mild bruising of
abdomen, walking
at the scene
Respirations: 24
Pulse: 120
Mental Status:
Intact
Exercise 2: Triage 7
Victim 6
3 yo male crying no
apparent injuries
Respirations: 35
Pulse: 110
Mental Status:
Intact
Exercise 2: Triage 8
Victim 7
45 yo female
complaining for left
hand pain with obvious
deformity of wrist with
bone exposed
Respiration: 30
Pulse: Absent in wrist
Mental Status: Intact
Exercise 2: Triage 9
Victim 8
19 yo female
unresponsive with
bleeding from ears
Respirations: None
Pulse: No peripheral
pulse
Mental Status:
Unresponsive
Exercise 2: Triage 10
Victim 9
30 yo male
complaining of neck
pain walking at the
scene
Respirations: 25
Pulse: 95
Mental Status:
Intact
Exercise 2: Triage 11
Victim 10
60 yo male with
complaining for
chest pain
Respirations: 40
Pulse: 110
Mental Status:
Intact
Exercise 2: Triage 12
VICTIM 1
17 yo female with large bleeding laceration
to leg
Respirations: 20
Pulse: 65
Mental Status: Screaming
YELLOW
APPLY PRESSURE DRESSING AND MOVE ON TO
NEXT PERSON
Exercise 2: Triage 13
Victim 2
51yo driver of the family vehicle,
entrapped in wreckage with obvious
head injury and brain matter protruding
Respirations: NONE
Pulse: NOT PALPABLE
Mental status: UNRESPONSIVE
BLACK
Move to next victim
Exercise 2: Triage 14
Victim 3
65 yo male with complaint of painful
breathing and bloody bruised left chest
Respiration: 35
Pulse: 120
Mental Status: Intact
RED
Quick exam reveals decreased breath sounds on
left, needle decompression relieves the
pneumothorax and respiration and pulse improve
Exercise 2: Triage 15
Victim 4
6 yo unconscious male in back seat of car
Respirations: Absent
Pulse: Weak and thready
Mental Status: Diminished
RED
As soon as a jaw thrust maneuver is performed
respiration is restored and patient mental status
improves
Exercise 2: Triage 16
Victim 5
26 yo female with mild bruising of
abdomen, walking at the scene
Respirations: 24
Pulse: 120
Mental Status: Intact
YELLOW
Mild bruising of the abdomen with elevated
pulse could signify a serious injury
Exercise 2: Triage 17
Victim 6
3 yo male crying no apparent injuries
Respirations: 35
Pulse: 110
Mental Status: Intact
GREEN
Respiratory rate for children in JUMPSTART is
above 45 and below 15
Pulse is present and intact as is the mental status
of the child
Exercise 2: Triage 18
Victim 7
45 yo female complaining for left hand pain
with obvious deformity of wrist with bone
exposed
Respiration: 30
Pulse: Absent in wrist
Mental Status: Intact
YELLOW
Even though this is a limb threatening injury., it is
not life threatening. If the patient is placed in a
splint, they can wait to be fully evaluated
Exercise 2: Triage 19
Victim 8
19 yo female unresponsive with
bleeding from ears
Respirations: None
Pulse: No peripheral pulse
Mental Status: Unresponsive
BLACK
Exercise 2: Triage 20
Victim 9
30 yo male complaining of neck pain
walking at the scene
Respirations: 25
Pulse: 95
Mental Status: Intact
YELLOW
He is walking and neurologically intact
Exercise 2: Triage 21
Victim 10
60 yo male with complaining for chest pain
Respirations: 40
Pulse: 190
Mental Status: Intact
RED
His respirations are above 35, he has a rapid pulse
and is complaining of chest pain, so there is a high
degree of suspicion for injury
Exercise 2: Triage 22
Questions
In START triage an adult with
respirations at a rate of 36 per
minute is tagged as:
1. Red
2. Yellow
3. Green
4. Black
Exercise 2: Triage 23
Questions
In START triage, an adult with a
fractured tibia, respirations of 20,
and a palpable radial pulses and no
mental impairment is tagged
1. Red
2. Yellow
3. Green
4. Black Exercise 2: Triage 24
Questions
The Goal when triaging a patient is
to spend less than _____ per patient
1. 10 seconds
2. 60 seconds
3. 120 seconds
4. 5 minutes
Exercise 2: Triage 25
Conclusion
Learn triage classifications
Apply the classifications in a timely
manner
Remember that children are different
from adults
Exercise 2: Triage 26
