Major Incident Planning and Support (MIP+S) Level 2

80 videos, 4 hours and 32 minutes

Course Content


Video 27 of 80
5 min 45 sec
Want to watch this video? Sign up for the course or enter your email below to watch one free video.

Unlock This Video Now for FREE

This video is normally available to paying customers.
You may unlock this video for FREE. Enter your email address for instant access AND to receive ongoing updates and special discounts related to this topic.

Triage Methods and Algorithms in Emergency Situations

Overview of Triage Systems

There are two primary forms of triage used in emergency situations:

  • Triage Sieve: A primary triage system
  • Triage SALT: A secondary triage system

Implementing Primary Triage

At the scene of an incident, initial triage is typically conducted using the Triage Sieve method until casualties can be moved to a casualty-clearing point or station.

Standardized Algorithm

There exists a standardized algorithm for primary triage, which may need to be adapted based on specific circumstances:

  • Casualty Assessment Criteria:
    • Are casualties able to walk? If yes, they are priority three.
    • Is there catastrophic haemorrhage (pumping or splurting blood)? If so, apply a tourniquet; casualty becomes priority one (P1).
    • Is the casualty breathing?
    • If not breathing and in a major incident scenario, they are considered deceased.
    • If breathing but unconscious, move to recovery position; becomes P1.
    • Assess respiratory rate (below 10 or above 30 is abnormal, P1).
    • Assess pulse rate (over 120 is abnormal, P1).

Utilizing the Triage Algorithm

The triage algorithm is a national standard for all ambulance services in the UK, ensuring a systematic approach:

  • Follow the algorithm step-by-step to determine casualty priority.
  • Each casualty should ideally be assessed within 90 seconds during primary triage, including essential interventions like tourniquet application.

Challenges in Triage

Challenges may arise when casualties are entrapped or inaccessible:

  • If unable to access casualties, alternative methods such as thermal imaging from fire services may be used to confirm casualties.
  • Adapt triage methods as necessary despite national standards to suit the specific scenario.

Managing Moving Casualties

Efficiently manage casualties who can walk to clear the scene:

  • Direct walking casualties away promptly to focus on higher-priority patients.
  • Corral and treat mobile casualties to streamline operations.