Step 1 Sort Global Sorting Walk Assess 3 rd WavePurposeful Movement Assess 2 nd StillObvious Life Threat Assess 1 st Step 2 Assess Individual Assessment Step 3 Treatment andor Transport ID: 765329
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Step 1 - Sort: Global Sorting Walk (Assess 3rd) Wave/Purposeful Movement (Assess 2nd) Still/Obvious Life Threat (Assess 1st) Step 2 – Assess: Individual Assessment Step 3 – Treatment and/or Transport Lifesaving Interventions:Control major hemorrhageOpen airway (if child consider 2 rescue breaths)Chest decompression Breathing Likely to survive given current resources? Minor injuries only? Obeys commands or makes purposeful movements?Has peripheral pulse?Not in respiratory distress?Major hemorrhage is controlled? Yes Any no No All Yes No Yes No Yes SALT Triage Expectant Expectant Minimal Immediate Delayed
Secondary Triage Able to walk? Respiratory Rate? Spontaneous Breathing?No YesNo YesSTART Triage Expectant Minimal Immediate Delayed Perfusion?Mental Status? Position Airway Immediate Immediate Immediate >30 <30 Radial Pulse absent Or capillary refill >2 sec Radial pulse present or capillary refill <2 sec Doesn’t obey commands Obey s commands APNEA Spontaneous breathing
Secondary Triage (evaluate infants first in secondary triage using entire algorithm) Able to walk? Respiratory Rate Breathing?No YesNo YesJumpSTART Triage Expectant Minimal Immediate DelayedPalpable Pulse? AVPU Position Airway Immediate <15 or >45 15-45 No Yes “P” (Inappropriate), Posturing or “U” “A”, “V”, or “P” (Appropriate) APNEC some Palpable pulse? 5 rescue breaths yes breathing no breathing Expectant APNEC Immediate Immediate Immediate