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JumpSTART: Triaging Children in Multicasualty Incidents

JumpSTART: Triaging Children in Multicasualty Incidents. Lou E. Romig MD, FAAP, FACEP Miami Children’s Hospital Miami-Dade Fire Rescue FL-5 DMAT. Why MCI triage?. A rapid assessment of medical needs of victims with the goal of prioritizing care based on those needs

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JumpSTART: Triaging Children in Multicasualty Incidents

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  1. JumpSTART:Triaging Children in Multicasualty Incidents Lou E. Romig MD, FAAP, FACEP Miami Children’s Hospital Miami-Dade Fire Rescue FL-5 DMAT

  2. Why MCI triage? • A rapid assessment of medical needs of victims with the goal of prioritizing care based on those needs • Based on the assumption that human resources, equipment and supplies are initially limited and strained • Current MCI triage tools address only primary triage • Secondary and tertiary triage are more complex and demand more sophisticated resources

  3. Why MCI triage? • A system tool to help draw organization out of chaos • Helps to get resources to the patients who will benefit from them the most • Improves efficiency and effectiveness of medical prioritization and helps smooth patient flow through the medical system • Objective triage tools insulate responders from the emotional burden of making life or death decisions

  4. Why a pediatric tool?

  5. Daily Emergencies Do the best for each individual. Disaster Settings Do the greatest good for the greatest number. Maximize survival.

  6. Why a pediatric tool? • Children have key physiologic differences that are not recognized by adult-based triage tools. • Tools based on adult physiology, such as START, can result in both under- and over-triage of some children. • Objective pediatric triage guidelines can benefit all MCI victims, the triaging responders, and the overall flow of victims from the disaster scene.

  7. Why JumpSTART?

  8. Why JumpSTART? • The first pediatric-specific objective MCI triage tool in the US (and the world?) • Suitable for use with special needs children and potentially for WMD primary triage • Rapidly approaching gold standard status in the US and Canada • Adopted with START as the triage tools of choice for the Florida disaster plan • Taught internationally in at least eight countries • Information distributed at no charge via website at www.jumpstarttriage.com

  9. Who could use JumpSTART? • EMS volunteers and professionals • Other first responders, including CERT personnel • ED staff • School nurses and other school staff • Staff members of any organization where children gather in large groups

  10. What does it take to use JumpSTART? • 2-4 hours of didactic and exercise time, using materials available at no charge from the JumpSTART website • Periodic refresher training • Colored tagging materials (contractors’ tape or triage tags) • Pocket reference card • Barrier device for ventilation of children with a pulse but no breathing • Personal protective equipment

  11. Conclusion • The ability to triage victims of all ages is an important aspect of disaster preparedness • JumpSTART: • is an appropriate tool for primary pediatric MCI triage in a number of settings • parallels START, the most widely used adult triage tool (the KISS principle!) • is already acknowledged in the Florida disaster plan • is easy and inexpensive to implement

  12. Questions?

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