Deck 23: Triage Systems

Question 1

Triage is the French word for ____.

A) evaluating
B) treatment
C) sorting
D) transporting

Answer 1

sorting

Question 2

Which of the following had the lowest mortality rate?

A) World War I
B) World War II
C) Korea
D) Vietnam

Answer 2

Vietnam

Question 3

JumpSTART begins with a segregation of those who can and cannot walk.

Answer 3

True

Question 4

STM is based on research examining the initial assessment and outcomes of approximately 76,000 patients in a statewide trauma registry.

Question 5

The SALT triage system borrowed many concepts from the other algorithms.

Question 6

On arrival at the emergency department, patients are retriaged to identify changes in their status.

Question 7

____ is commonly defined as underestimating the severity of a patient's injuries, but may also be defined as underestimating the expanse of the entire event.

A) Overloading
B) Undertriage
C) Overtriage
D) Patient dumping

Question 8

Originally, ____ was promoted as a way to reduce the chaos at the scene of a disaster and thus increase prehospital scene effectiveness, but over time it became the de facto triage protocol across the United States.

A) JumpSTART
B) SALT
C) STM
D) START

Question 9

Triage in the setting of a mass-casualty incident (MCI) is a means of sorting patients by ____.

A) severity and demographics
B) severity and condition
C) severity and location
D) condition and demographics

Question 10

In the World War I triage system, the injuries of patients in Category ____ were minor and within the capabilities of local treatments.

A) One
B) Two
C) Three
D) Four

Question 11

Which of the following had the highest mortality rate?

A) World War I
B) World War II
C) Korea
D) Vietnam

Question 12

The term "walking wounded" is sometimes used to describe patients in the START Minor category.

Question 13

Overtriage often occurs when the first-arriving rescuers instruct the patients who can move to relocate to a safer location.

Question 14

Who was the first to develop the concept of "worst first"?

A) Baron Dominique Jean Larrey
B) U.S. Department of Defense
C) John Wilson
D) U.S. Department of Navy

Question 15

In the World War I triage system, patients in Category ____ were unlikely to respond to treatment locally or to survive evacuation.

A) One
B) Two
C) Three
D) Four

Question 16

The "R' in the RPM Assessment Schema stands for recovery.

Question 17

The START development group originally defined the operational aspects of their triage protocol as a process that should take 60 seconds or more per patient.

Question 18

In the World War I triage system, patients in Category ____ were the highest priority patients and received first aid before being moved to the next level of care.

A) One
B) Two
C) Three
D) Four

Question 19

The concept of triage dates back to the late eighteenth century.

Question 20

Triage is often accomplished in teams of four.

Question 21

Who is most likely to be overtriaged?

A) Elderly
B) Children
C) Adults
D) Females

Question 22

In the START triage system, patients in the Immediate category are given a ____ tag color.

A) yellow
B) red
C) blue
D) black

Question 23

In the START triage system, patients who have potentially life- or limb-threatening injuries or who have a tourniquet applied to a limb are assigned to the ____ category.

A) Delayed
B) Immediate
C) Expectant
D) Minor

Question 24

In the START triage system, patients in the Dead category are given a ____ tag color.

A) red
B) yellow
C) blue
D) black

Question 25

The "A" in the AVPU Classification Scheme stands for ____.

A) alert
B) altered
C) amputation
D) ambulatory

Question 26

The "U" in the AVPU Classification Scheme stands for ____.

A) Universal
B) Unilateral
C) Unresponsive
D) Understanding

Question 27

With the JumpSTART triage tool, if the patient's respiratory rate is less than 15 or greater than 45, the patient is triaged as a(n) ____ category patient.

A) Delayed
B) Immediate
C) Deceased
D) Minor

Question 28

The "V" in the AVPU Classification Scheme stands for ____.

A) ventilation
B) vacant
C) verbal
D) vacillation

Question 29

In the START triage system, patients with minor injuries, normal mental status, and who are able to communicate and potentially ambulate are assigned to the ____ category.

A) Immediate
B) Minor
C) Delayed
D) Expectant

Question 30

The ____ triage system was developed by a task force commissioned by the U.S. Centers for Disease Control in an effort to develop a standardized triage algorithm to be used across the country.

A) START
B) SALT
C) STM
D) JumpSTART

Question 31

The ____ system was designed to maximize the number of expected survivors of a traumatic event through use of an objective, measurable, interoperable, and reproducible method.

A) STM
B) START
C) SAVE
D) SALT

Question 32

In the START triage system, patients in the Delayed category have injuries that require evaluation and treatment within ____ minutes.

A) 10 to 20
B) 30 to 60
C) 60 to 90
D) 90 to 120

Question 33

The "P" in the AVPU Classification Scheme stands for ____.

A) probable
B) past
C) present
D) painful

Question 34

In the START triage system, patients in the Minor category are given a ____ tag color.

A) yellow
B) green
C) blue
D) black

Question 35

In the START triage system, patients in the Expectant category are given a ____ tag color.

A) blue
B) black
C) yellow
D) red

Question 36

In 1995, Dr. Lou Romig developed the ____ triage tool to incorporate pediatric physiologic parameters into triage decisions.

A) SAVE
B) SALT
C) AVPU
D) JumpSTART

Question 37

In the START triage system, patients who have critical, life-threatening injuries are assigned to the ____ category.

A) Expectant
B) Minor
C) Immediate
D) Delayed

Question 38

In the START triage system, patients who are not dead at the time of triage, but have mortal injuries that will probably cause them to die within a short period of time, are assigned to the ____ category.

A) Delayed
B) Dead
C) Immediate
D) Expectant

Question 39

The ____ triage algorithm is based on the rapid assessment of the patient's respirations, pulse or perfusion, and mental status simplified from the original Department of Navy Research.

A) STM
B) START
C) JumpSTART
D) SALT

Question 40

In the START triage system, patients in the Delayed category are given a ____ tag color.

A) green
B) red
C) yellow
D) blue

Question 41

According to the Canadian Triage and Acuity Scale, Level ____ patients are considered to be non-urgent.

A) I
B) II
C) IV
D) V

Question 42

STM determines a score based on the patient's respiratory rate, ____, and best motor response.

A) verbal response
B) alertness
C) pulse rate
D) pupil dilation

Question 43

Some incidents are open, meaning the incident is spread out over a large geographic area, creating many smaller MCIs. In an attempt to address this and other issues, the ____ system was developed.

A) STM
B) START
C) SAVE
D) SALT

Question 44

According to the Canadian Triage and Acuity Scale, Level ____ patients are in need of resuscitation.

A) I
B) III
C) IV
D) V

Question 45

The ____ algorithm sorts patients into five levels that not only look at the need for immediate, life-saving interventions, but also for resource utilization.

A) Emergency Severity Index
B) Canadian Triage and Acuity
C) Secondary Assessment of Victim Endpoint
D) Sacco Triage and Resource