Jumpstart is an objective pediatric patient mci triage tool developed specifically for the triage of children in the multicasualtydisaster setting. The jumpstart pediatric mci triage system is designed for triaging infants and young children. Pediatric emergency medicine at miami childrens hospital in miami, fl in 1995 and modified in 2002. Triage treatment transport immediate delayed minimal expectant disaster triage start jumpstart types of triage primary on scene prior to movement or at hospital self transports secondary incident dependent, probably prior to or during transport or upon arrival to hospital. By using start triage, patients are sorted based on objective criteria on how they present. Start stands for simple triage and rapid treatment. The triage tag the triage designation is based on a color system.
Triage wallet cards by disaster management systems. This provides an easy, rapid method to apply your triage tags by simply looping and running the tag through the loop. Lou romig in principles of mci triage and the start and jumpstart mci triage tools. Triage tags contain these colors so treatment and transport crews can see at a glance which patients have been triaged to which level. Determining the appropriate system to use in the preadolescent and young teen population can be sometimes challenging, so the current recommendation is. Children that cannot walk breathing has a pulse red tag. Optimize initial triage of children in the mci setting 2. The quiz uses the start simple triage and rapid transport method principles, but can be related to common principles used everywhere. If no breathing after airway opening, check for peripheral pulse. Familiarity with the start and jumpstart triage paradigms are essential to quick and. Mass casualty, start triage and the smart tag system. All patients who are able to do this are immediately tagged green minor. Describe implementation of the region x multiple patient plan.
Jumpstart is probably the most commonly used pediatric mass casualty triage algorithm in the us. The jumpstart pediatric triage mci triage tool usually shortened to jumpstart is a. First be triaged using the appropriate colored ribbon, a triage tag will then be applied later. Disaster triage startjumpstart finger lakes regional training center agenda attendance ground rules presentation scenarios additional resources evaluationcertificate objectives. As noted in chapter c scenarios, radiation triage and responses to various kinds of incidents are presented in detail, with specific algorithms.
This step replaces the initial use of triage tags and will save considerable time in the initial triage of victims during a multicasualty incident. Triage tags have sections for patient information, vital signs and treatment, and peeloff bar codes for monitoring patients throughout their treatmenttransport. Triage tags can be used in lieu of a patient care report ems form command will determine when startwill occur. This rations patient treatment efficiently when resources. Start simple triage and rapid treatment developed jointly by newport beach ca fire and marine dept. Mass casualty triage tools such as start and jumpstart should take 23 minutes to complete on each victim. Outline the components of the triage process following start and jumpstart triage. List three reasons a pa startjumpstart triage algorithm for pediatric patients ages birth 14 years able to walk. Triage tags aide bags blankets 5 patients cue cards for the patients attached in appendix b motivation. The maryland institute for emergency medical services system miemss provides a triage training program with information specific to initial triage response in maryland. These test questions were adapted from the question bank of dr. Enabling objec startjumpstart triage algorithm for pediatric patients ages birth 14 years able to walk. Primary triage is just the first look at an mci victim, similar to the primary initial surveyassessment. Secondary triage evaluate infants first in secondary triage using entire algorithm able to walk.
You place a triage tag on each victim and tear off the colors until the color at the bottom matches the victims classification. Triage is a procedure used by emergency personnel to ration limited medical resources to massive injured people, in which triage tags, are used to 1. Aug 29, 2011 start triage is a system designed for emergency medical response in disasters where there are multiple victims. Any local ems system changes to this document must follow the nc oems protocol change policy and be approved by oems.
Jumpstart the purpose of this program is to provide an educational module related to pediatric disaster triage concepts and the jumpstart algorithm. What pediatric disaster strategy is used in your city or state. If no pulse, tag patient deceased nonsalvageable and move on. Jul 27, 2012 during a mass casualty incident you have to have be able to sort patients in order to treat them. Jumpstart pediatric triage algorithm radiation emergency. Immediately apply the triage tag to the victims wrist or ankle as you first. The general placement location for the tags should be on one of the patients arms. Virginia mass casualty incident management module i. Use jumpstart for infants through older children 3. Define a mass casualty incident and the unique challenges of an mci understand the differences between daytoday triage and triage during an mci. Identify walking wounded call out and direct to land mark. Pediatric triage, a system to jumpstart your triage of young patients at mcis.
The jumpstart pediatric triage mci triage tool usually shortened to jumpstart is a variation of the simple triage and rapid treatment start triage system. All are initially triaged in the green category, so designated by a triage tag or a green ribbon tied around a wrist. Both systems are used to sort patients into categories at mass casualty incidents mcis. We saw the need to bring emergency response training to the 21st century. Virginia mass casualty incident management module i responder level. The severity of injury and therefore treatment andor transport priority in start triage is sorted by color code. A system to jumpstart your triage of young patients at mcis. Patients able to follow instructions and walk to a. The jumpstart pediatric mci field triage tool was developed by lou romig, m. If apnea persists, tag patient deceasednonsalvageable and move on. Pediatrics use for 08 years weigh less than 100 lbs. Children present both the physiologic problems identified above and an emotional challenge to the responders.
It is used extensively in the united states and canada and is intended to parallel the start system. June 5, 2009 page 1 of 12 the purpose of this protocol is to provide a uniform initial response to a mass casualty incident mci. Combined startjumpstart triage algorithm using the js algorithm, evaluate. Jumpstart, a pediatric version of start, was developed at the miami, florida childrens hospital in 1995 by dr. Of course, triage is a dynamic process and these patients should be re assessed at the treatment area for any deterioration in their condition. The jumpstart pediatric triage mci triage tool is a variation of the s. Define triage and explain when it is appropriate for use. Respiratory rate perfusion mental status yes yes yes no no minor adult deceased delayed pedi secondary triage position upper airway breathing using the js algorithm, evaluate first all children who did not walk under their own power. Michigan system protocols mass casualty incidents date. Triage, monitoring and treatment of people exposed to ionising radiation following a malevolent act pdf 11 mb tmt handbook partners, march 2009 comment.
The tags utilize the color coding system identified above. Disaster triage startjumpstart finger lakes regional resource center kathee tyo, ms, rn coordinatoreducator. Triage system for emergency medical response and disaster incidents involving multiple victims. However, jumpstart was designed specifically for triaging children in disaster settings. Start simple triage and rapid treatment and jumpstart for pediatric patients are utilized in maryland and throughout the united states for initial triage of mass casualty patients. Region x multiple patient plan start triage jumpstart triage. Describe the function and process of using color coded smart triage tags 9. Adult patients are best triaged with the start triage or salt triage protocols.
Discuss unique pediatric needsissues in a disaster situation 3. First responders must use a lemsa approved triage tag to label triaged patients by the. When a triage tag has been utilized, remember to document the tag number in the history portion of your run report. Understand the differences between day today triage and triage during an mci increase the uhs staff awareness of disaster triage create comfort with. Lou romig to triage children in a mass casualty setting. Triage tags should be used on all calls involving 3 or more patients. Triage is an ondemand application that authentically simulates a disaster, the purpose of which is to train first responders to correctly act in a real situation. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Jumpstart was developed in 1995 to be used along with the start triage system and mirrors the structure. Product price list disaster management triage tags and. Pediatric doesnt obey commands obeys commands adult a, v, or p appropriatepediatric adult p inappropriate posturing or u no palpable pulse pediatric cr 2 sec. We aim to bring the highest quality of education possible so we can train up and coming. Triage guidelines including radiation triage guidelines. Ems triage university of maryland school of medicine.
Give tracking slips to command give a triage report to command triage to commandwe have patients, 4 immediate, 5 delayed, 3 minor and 1 dead. Categorize the triage status of patients utilizing the start. Prehospital care providers will operate in accordance with medical control authority standard operating procedures. Jumpstart triage system is the most commonly used pediatric mass casualty incident mci triage system in the united states. During a mass casualty incident you have to have be able to sort patients in order to treat them. Comparison of paediatric major incident primary triage tools. Give a triage report to command triage to commandwe have patients, 4 immediate, 5 delayed, 3 minor and 1 dead. Triage ribbon is dispensed from a fanny bag dispenser that will be carried on all first out emergency response vehicles in edc. Start triage is a system designed for emergency medical response in disasters where there are multiple victims. Another algorithmic triage strategy s l i d e 3 goals consider the need for resource allocation in disasters outline the prehospital, primary disaster. Discuss incorporating pediatrics into your disaster planning 2.
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