Lack of tag usage during an MCI is frequently due to the inability to find the tags and the practice of scoop and run where the tags are not necessary. In MCIs, triage tags often do not get used. Red indicates someone who has an immediate, life-threatening injury yellow means a serious injury that can tolerate delay, and green is for the walking wounded. A black triage tag is used for all deceased or expectant patients. Triage systems generally use a color-coded tag method to identify patients based on the severity of the injury and to guide transport. Examples of some of the field triage systems currently in use are as follows: ĬareFlight Triage (ability to obey commands, the presence of respirations, and being able to palpate a radial pulse) will need to be implementedįield triage systems may be combined with geographic triage efforts - grouping patients of the same triage level to one location. ĮMS mass casualty response begins with field triage. The risk of building collapse and inhalation injuries after a fire must also be considered. In a mass shooting incident, if the perpetrator is not neutralized, EMS providers and first responders must not approach the scene unless they received training in tactical medicine and are wearing appropriate protective gear. Bomb disposal experts may be required to verify that the scene is safe prior to EMS and first responders providing care. If the response is to a terrorist bomb attack, the possibility of a secondary detonation of an explosive device or additional suicide bomber should be considered. Responders to a chemical, biological, radiological, or nuclear (CBRN) attack need to have the necessary personal protective equipment (PPE). EMS receives training in S-C-ABC, emphasizing safety first, then catastrophic hemorrhage treatment, and management of ABCs (airway, breathing, and circulation). The safety of the EMS and other responders to the scene of a mass casualty incident (MCI) is paramount.
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