Salt triage

Author: m | 2025-04-23

SALT Triage felt confident using it. They also felt that SALT Triage was similar or easier to use than their current triage protocol. Using SALT Triage during a simulated mass casualty

100 Salt triage PowerPoint (PPT) Presentations, Salt triage

For Mass Casulaty Triage. Salt Traige which we will review is compliant with the MUCC criteria. Your agency should use a MUCC compliant triage system which will be interoperable with SALT IMAGE -- New Orleans, LA, September 2, 2005: Members of the Louisiana National Guard and the Dallas, TX, Disaster Medical Assistance Team ferry litter-borne evacuees from a truck for transport to a triage area inside the New Orleans Airport. Thousands of rescued residents stranded by Hurricane Katrina are being evacuated to cities around the nation. New Orleans is being evacuated due to flooding caused by hurricane Katrina. Win Henderson/FEMA. 10 SALT Triage SALT Triage designed based on the best scientific evidence S ort A ssess L ifesaving interventions T reatment/transport The SALT triage methodology is a national consensus-based mass casualty triage model that was developed by using the best scientific evidence available. It is simple to use and easy to remember. SALT instructs providers to globally: Sort casualties into priority tiers by their ability to follow simple commands, then to individually Assess casualties within each tier, while applying Lifesaving interventions and assigning priority for Treatment and/or transport SALT is fully compliant with the Model Uniform Core Criteria for Mass Casualty Triage that recently were identified to ensure interoperability and standardization when responding to mass casualty events. 11 given current resourcesSALT Mass Casualty Triage Walk Assess 3rd Step 1 – Sort: Global Sorting Wave/Purposeful Movement Assess 2nd Still/Obvious Life Threat Assess 1st Step 2 – Assess: Individual Assessment LSI* Control major hemorrhage Open airway (if child, consider 2 rescue breaths) Chest decompression Autoinjector antidotes Obeys commands or makes purposeful movement? Has peripheral pulse? Not in respiratory distress? Major hemorrhage in control? Breathing Minor injuries only? Yes All Yes Yes Minimal This is an overview of the SALT Mass Casualty Triage methodologies. For now the key is to recognize that there are two steps. Step 1 is global sorting Step 2 is individual assessment No No No Dead Delayed Likely to survive given current resources Yes Immediate No *LSI: Lifesaving Interventions Expectant 12 SALT Triage Step 1: Global SortingWalk Assess 3rd Wave/purposeful movement Assess 2nd Step 1 – Sort: global sorting Still/obvious life threat Assess 1st Remember, step 1 is global sorting; a response to verbal commands will facilitate sorting victims into groups that will rapidly identify the most at-risk casualties quickly. The goal of global sorting is to prioritize casualties

Simplified diagram of SALT triage

No treatment can be separated from the others, so that scarce medical resources can first be directed to those with the greatest needs. 7 General Principles of Mass Casualty TriageSystematic method Organization of casualties Occurs at the scene Mass casualty triage decision making encompasses: Presence of a life-, limb-, or vision-threatening condition Available lifesaving interventions Availability of transportation assets Mass casualty triage is a systematic method for organizing casualties at the scene of a mass casualty event. Mass casualty triage decision making encompasses three important considerations when determining an ordered prioritization: The presence of a life-threatening, limb-threatening, or vision-threatening condition The immediately available lifesaving and similarly emergent medical and surgical interventions that can be delivered The availability of transportation assets, including their capabilities and capacities, and their timely access to arrival at health care facilities 8 Mass Casualty Triage SystemsCareFlight CESIRA Homebush JumpSTART Military triage Pediatric Triage Tape (PTT) SALT Triage Simple Triage and Rapid Treatment (START) Triage SIEVE This slide lists in alphabetical order several of the most commonly used triage systems. The strengths and weaknesses of each are beyond the scope of this discussion, but highlights can be reviewed within the BDLS 3.0 Course Manual. NDLS teaches the SALT triage system, which we will review today. IMAGE -- New Orleans, LA, September 3, 2005: A member of Texas Disaster Medical Assistance Team 4, assigned to evacuee escort duty at the helicopter landing site, helps a rescued woman to a place on one of the many baggage wagons used to transport them from landing site to triage area inside the New Orleans Airport. Hurricane Katrina left hundreds of thousands of city residents homeless. New Orleans continues to be evacuated as the city works to remove the flood waters brought by hurricane Katrina. Win Henderson/FEMA. Win Henderson/FEMA 9 Mass Casualty Triage SystemsThe US is moving toward national standardization in mass casualty triage Federal Interagency Committee on EMS is implementing the Model Uniform Core Criteria (MUCC) as the national standard for Mass Casualty Triage SALT triage meets the MUCC criteria All agencies should use a MUCC compliant triage system which will be interoperable with SALT Win Henderson/FEMA In the United States, there has been a lack of national standardization in mass casualty triage. The Federal interagency Committee on EMS has recommend more standardization across agencies to improve interoperability. They are currently implementing the Model Uniform Core Criteria as the national standard

‎SALT Triage on the App Store

Decisions Secondary triage further prioritizes casualties within their triage groups based on clinical assessment of urgency of need. There is insufficient scientific evidence to support this process, will have to be clinician judgment based. Tertiary triage, is the process of providing limited resources within the treatment setting (e.g., more patients need ventilators then are available or surgical suites) Tertiary triage 27 Casualty Transport and EvacuationCasualties must be prioritized for treatment as well as transport to definitive care. Avoid overwhelming the closest hospitals: Transport priority patients to local hospitals Transport stable patients to more distant hospitals or treatment facilities stood-up for the incident Treat minor injuries and release from scene Casualties must be prioritized for treatment as well as transport to definitive care. A top priority is to avoid overwhelming the closest hospitals The disposition options for injured and ill people include: Transportation of priority patients to local hospitals Transportation of stable patients to more distance hospitals or other treatment facilities stood-up for the event Treatment of minor injuries and release from the scene Transport officials should have a good working knowledge of local and regional hospital and transport capabilities to distribute casualties throughout the area Ideally, balanced casualty distribution will be achieved via a centrally controlled EMS system working with incident command in collaboration with a regional Emergency Operations Center 28 Casualty Reporting, Identification, and TrackingEfforts to identify and track casualties should begin at the scene Tracking officer must ensure everyone accounted for Systems can range from electronic system, to triage tag, to simply recording information on a piece of tape Allow for more information to be added to system as it becomes available Efforts to identify and track casualties should begin at the scene even if these are just simple coding methods for patient tracking. A tracking officer must ensure no one is transported without being accounted for. Systems can range from a formal electronic system, to writing information on a triage tag, to simply recording information on a piece of tape attached to a casualty’s arm. Robust systems will be flexible, allowing for more information to be added to the system as it becomes available and showing the relations between patients such as parents and children. 29 Mass Fatality ManagementGenerally performed by specialized teams (DMORT) Identifying and examining remains Moving deceased to the morgue(s) Maintaining custody of bodies until released Determining and reporting cause of death Returning personal. SALT Triage felt confident using it. They also felt that SALT Triage was similar or easier to use than their current triage protocol. Using SALT Triage during a simulated mass casualty incident to use the same triage method . However, the SALT workgroup concluded that no MCI triage system had sufficient scientific evidence to justify national adoption . The SALT workgroup proceeded with the development of a new triage system, the Sort-Assess-Lifesaving Interven - tions-Treatment/Triage (SALT) triage system (Appendix A) . SALT

Triage SALT en espa ol! triage - YouTube

Will apply this logic using the SALT algorithm of LSI response assessment and available resources to assign a triage category now during the individual assessment phase. The Expectant category may be new to students it is important to emphasize that using it keeps those unlikely to survive from using resources as an immediate and allows rescuers to provide comfort care or resuscitation when resources allow. Reminder that this could be considered the transport order but that assets will need to be used to their maximum benefit. For example, busing minimal patients, putting patients with different triage levels in a single ambulance (immediate on cot, delayed in jump seat, minimal in passenger seat) 24 Casualty Care DocumentationTriage Tags and Casualty Care Documentation Communicate findings Triage tag Category assignment Category change Patient tracking Once a casualty has been assessed, it is important for a rescuer to clearly and concisely communicate his or her findings to other rescue personnel. This is typically done by attaching a triage tag to the casualty that identifies the category to which he or she has been assigned. This will help avoid duplication of effort, since subsequent personnel who have contact with that casualty will immediately know the category to which he or she had previously been assigned. Tags should account for the dynamic nature of triage and should allow for a casualty’s triage category to be changed if his or her condition changes. It is important that triage tags provide a system for tracking patients, but they are not expected to provide the same level of recordkeeping that is generated during single-patient interactions. IMAGE -- 25 MASS CASUALTY TRIAGE Triage is both dynamic and continuousImmediate Delayed Expectant Triage is both dynamic and continuous. Dynamic: For example, a casualty triaged as immediate at one time might improve considerably or perhaps deteriorate further at a later time As another example, a victim of a gunshot to a long bone is normally triaged to a trauma center; however, if demand (number of casualties) is high and/or supply (trauma center capacity) is low, that same patient may need to be managed at a local hospital, freeing the trauma center for more complex cases (eg, head, chest, abdomen) Minimal 26 MASS CASUALTY TRIAGE Triage is both dynamic and continuousPrimary triage Secondary triage Tertiary triage Primary triage Secondary triage Triage is both dynamic and continuous. Continuous: Primary triage guides initial treatment and transport

SALT: Learn The SALT Triage Method - RECOIL OFFGRID

Child is not breathing, consider giving two rescue breaths. This assessment with lifesaving interventions should be done rapidly in order to progress to the next casualty. 15 Step 2: Individual Assessment given current resources?SALT Triage Step 2: Individual Assessment L S I * Control major hemorrhage Open airway (if child, consider 2 rescue breaths) Chest decompression Autoinjector antidotes Breathing? Obeys commands or makes purposeful movement? Has peripheral pulse? Not in respiratory distress? Major hemorrhage in control? All Yes Minor injuries only? Yes Yes Minimal No No No Dead Delayed Likely to survive given current resources? Yes Immediate After lifesaving interventions Individual casualty assessment moves rapidly in sequence through basic vital signs (breathing, hemorrhage, and pulse), to confirmation of response to verbal command. Nonpediatric casualties who are not breathing are dead. Pediatric casualties who do not breathe after two rescue breaths are dead. We will focus our attention now on the living (breathing) after LSI have been completed. We simply need to address these questions to determine the best option of triage category rapidly. No Expectant *LSI = lifesaving interventions 16 Response to interventionsIndividual Assessment Triage Category Assignment Response to interventions Responds to commands? Peripheral pulse? Respiratory distress? Bleeding stopped? Casualties who manifest circulatory collapse are assessed for likelihood of survival, given existing resources. Casualties with present breathing and circulation, yet with injuries, are assessed for the degree of injury severity. 17 Individual Assessment Triage Category AssignmentCasualties overwhelm available resources Goal of disaster triage: Do the greatest good for the greatest number of potential survivors I D M E IMMEDIATE DELAYED MINIMAL EXPECTANT DEAD By definition, a disaster overwhelms existing resources in an area. A mass casualty incident is having more casualties than available resources can take care of without additional support. This requires responders to triage patients to decide who needs the most immediate care and the allocation of available limited resources. The goal of triage is to do the greatest good for the greatest number of people. We do that by appropriately utilizing our limited resources and staff. The “ID-ME” acronym refers to the phrase “ID (identify) Me” and is used to both remind the triage personnel of the action (to identify the most serious casualties first) and to reinforce memory of the proper order assignment of all the categories for triage of live casualties. It is always best to refer to the triage categories by name (immediate, delayed,

The SALT triage guideline. LSI = lifesaving intervention; SALT

For individual assessment. This is accomplished through simple voice commands. Evidence indicates that motor response carries reproducible prognostic validity. This identifies those casualties who are most likely to need immediate lifesaving interventions such as hemorrhage control. Step 1 is global sorting; by using a response to verbal commands, this will facilitate sorting victims into groups that will rapidly identify the most at-risk casualties quickly. The first action command of “If you can walk, get up and go to _____ “ also gets casualties out of harm’s way and can be lifesaving itself. The second action “if you can hear my voice wave your hand and I will come to you” Note that language barriers, disabilities, hearing loss, and many other things could or can be confounders in the global sorting process with voice commands. Global sorting is accomplished through two actions Please notice that it DOES NOT require any medical skill to perform; therefore, any and every person who is likely by duty or professional role to be in a disaster response role should know this simple sorting method; this information conveyed early to the 911 operator or arriving rescue personnel would be highly valuable. Rapidly identify most at-risk by sorting into groups! Limitations: Many… hearing, language, fear, injured family… 13 Step 2: Individual Assessment given current resources?SALT Triage Step 2: Individual Assessment L S I * Control major hemorrhage Open airway (if child, consider 2 rescue breaths) Chest decompression Autoinjector antidotes Breathing? Obeys commands or makes purposeful movement? Has peripheral pulse? Not in respiratory distress? Major hemorrhage in control? All Yes Minor injuries only? Yes Yes Minimal No No No Dead Delayed Likely to survive given current resources? Yes Immediate Step two assesses individual casualties within prioritized groups and assigns each casualty a triage category. The first priority remains those casualties who do not move or have clear evidence of life-threatening, salvageable injuries. Focus is first on what can you do to save a life (lifesaving intervention completion if indicated) followed by then determining appropriate triage category assignment. No Expectant *LSI = lifesaving interventions 14 Individual Assessment Lifesaving interventionsWhat can I do? Lifesaving interventions Control major hemorrhage Open airway Decompress chest Autoinjector antidotes Assess for the need to intervene with simple lifesaving maneuvers. Lifesaving interventions include controlling major hemorrhage, opening the airway, decompressing the chest for tension pneumothorax, and autoinjecting antidotes in the setting of chemical contamination. If a

SALT: Learn The SALT Triage Method - Bushcraft Tips

The SALT Triage app is designed to assist an emergency provider in performing triage and keeping count of victims from a Mass Casualty Incident (MCI). The app allows the creation of a disaster event, provides information on critical actions and initial steps to perform triage and life saving interventions. The app will keep track of the number of victims on scene and the number that have been transported in each triage category. What’s New Apr 10, 2020Version 1.2.1 Ratings and Reviews Works on Apple Watch, not on phone The app keeps crashing and won’t stay open on my iPhone XS, but works on my Apple Watch. Won’t open Been trying to download an open for 3 months Gimmick Functionality is underwhelming to say the least. A pencil and paper is more helpful App Privacy The developer, Augusta University, has not provided details about its privacy practices and handling of data to Apple. For more information, see the developer’s privacy policy. No Details Provided The developer will be required to provide privacy details when they submit their next app update. Information Seller Augusta University Size 361.7 MB Category Medical Compatibility iPhone Requires iOS 11.0 or later. iPod touch Requires iOS 11.0 or later. Mac Requires macOS 11.0 or later and a Mac with Apple M1 chip or later. Apple Watch Requires watchOS 4.0 or later. Apple Vision Requires visionOS 1.0 or later. Age Rating 12+ Infrequent/Mild Medical/Treatment Information Copyright © 2020 Augusta University. All rights reserved. Price Free App Support Privacy. SALT Triage felt confident using it. They also felt that SALT Triage was similar or easier to use than their current triage protocol. Using SALT Triage during a simulated mass casualty

SALT Triage, Triage Ribbon Kits, and RMCC SCRTAC SCWHERC

Presentation on theme: "Mass Casualty and Fatality Management"— Presentation transcript: 1 2 Mass Casualty and Fatality ManagementSession 3 – Lesson Five Mass Casualty and Fatality Management 3 Learning Objectives Describe rationale, elements, and actions for performing mass casualty triage Discuss an all-hazards, scalable casualty management approach under potentially hazardous, stressful, and resource- constrained circumstances Describe the concepts and principles of mass fatality management for health professionals in a disaster or public health emergency Discuss the importance of professionalism and ethics in mass casualty care Describe rationale, elements, and actions for performing mass casualty triage, utilizing standardized triage categories and SALT methodologies and reinforcing the need for information reporting and sharing. Discuss an all-hazards, scalable casualty management approach, including lifesaving interventions, clinical decision making, and casualty transport under potentially hazardous, stressful, and resource-constrained circumstances. Describe the concepts and principles of mass fatality management for health professionals in a disaster or public health emergency. Discuss the importance of professionalism and ethics in mass casualty care. 4 When disaster strikes… Save the most lives possible.When disaster strikes, emergency medical needs at the scene may quickly overwhelm local resources. To save the most lives possible, quick decisions must be made for the efficient use of immediately available resources. When disaster strikes… Save the most lives possible. 5 Day-to-day emergencies Large-scale disastersBackground The greatest good for each individual patient Day-to-day emergencies The greatest good for the greatest number of potential survivors Large-scale disasters In day-to-day emergencies affecting limited numbers of patients, the objective is to do the greatest good for each individual patient. In large-scale disasters or public health emergencies involving multiple casualties, the objective is to do the greatest good for the greatest number of possible survivors. 6 General Principles of Mass Casualty TriageTreat first The most seriously injured who have a reasonable possibility of survival Treat last Those who have the least severe illnesses or injuries or are very unlikely to survive Separate Those who require minimal or no treatment and get them to safety The goal of mass casualty triage is to create a formal, reproducible process for sorting casualties, so that: (1) those who are treated first will be those among the most seriously ill or injured who have a reasonable possibility of survival and (2) those who are treated last have the least severe illnesses or injuries or are very unlikely to survive, while (3) those who require minimal or

SALT Mass Casualty Triage - NWHRN

Security teams focused on ensuring a more secure and resilient environment for our clients.GMIJim Radzicki | PresidentWe have a lean team, so automation is really critical to us. The amount of time that it takes to triage an event and understand what’s really happening can eat into our ability to respond quickly. The more information that we have up front from Intezer when we get eyes on screen, the faster a human can make a decision about what to do. If we were to hire the amount of staff needed to respond at this scale, the cost could have been significantly higher too.YANGEO GROUPMichael Calderin | CISOIntezer Autonomous SOC multiplies analyst capacityIntezer has always had the best malware analysis, and now the same capability can be used for autonomous SOC. Experience was great from proof of concept, through negotiations, and integration.I’ve looked at a lot of security solutions over the years and the results from Intezer’s AI-driven alert triage are actually amazing. Intezer integrates with all the modern security platforms, so teams have every alert fully investigated while enabling a fast time to respond. This technology is transformative for the efficiency and effectiveness of security operations.MGM RESORTS INTERNATIONALBranden Newman | CTOIntezer’s Security Suite Streamlines Triage and Threat HuntingIntezer’s product suite performs a variety of security capabilities, making triage, threat hunting, and malware analysis a more streamlined process. The Intezer team is always available to help with their support teams and always have a listening ear for their customers’ needs and. SALT Triage felt confident using it. They also felt that SALT Triage was similar or easier to use than their current triage protocol. Using SALT Triage during a simulated mass casualty

Dek Mahasiswa: Triage SALT - Blogger

For public health, the stakes couldn’t be higher—people’s lives are at risk. RAPID TAG EVAC and 02 TRACK APP are two Salamander solutions proven to improve patient and evacuee tagging and tracking. Off-scene managers need situational awareness to mobilize resources and prepare for large groups of patients and evacuees. Salamander fills the void and bridges the gap betw een on-scene and off-scene data sharing and planning. RAPID TAG EVACQuickly create evacuee IDs to easily track patient and evacuee location, destination, special needs, and family connections, while increasing interoperability between emergency response agencies.Scan drivers licenses or existing triage tags to create valid IDs in amatter of secondsTRACK evacuees/patients for chain-of-custodyInform shelters, evacuation centers, and medical facilities ofincoming evacuees/patientsSend information to Salamander tracking solutions to create acommon-operating picture and increase situational awarenessInformation stored in SalamanderLiveTM for accurate reporting 02 TRACK APPIncrease situational awareness and enhance coordination and preparation by tracking patients and evacuees in the field. Scan patient and triage tags for real-time accountability and insight.ICS tracking of patients and evacueesScan existing triage tags or Salamander patient tagsView and edit high-level patient/evacuee informationView patient activity historyView common operating picture with other TRACK solutionsAutomatically updates SalamanderLive for accurate reporting