TRIAGE CARD TRIAGE CARD TRIAGE CARD

Persons Persons Persons

Name: Name: Name:
Initial TRIAGE Time: Initial TRIAGE Time: Initial TRIAGE Time:
Walking Wounded Walking Wounded Walking Wounded
Green Green Green
Findings RED YELLOW Findings RED YELLOW Findings RED YELLOW
Respiratory Rate: >30 <30 Respiratory Rate: >30 <30 Respiratory Rate: >30 <30

Pulse Radial: No Yes Pulse Radial: No Yes Pulse Radial: No Yes

Follows simple Follows simple Follows simple
Mental commands: No Yes Mental commands: No Yes Mental commands: No Yes
Cardiac Arrest Cardiac Arrest Cardiac Arrest
Respiratory Arrest BLACK Respiratory Arrest BLACK Respiratory Arrest BLACK
Massive Head Injury Massive Head Injury Massive Head Injury

Injuries Injuries Injuries

Treatment Treatment Treatment

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Name Name Name
Second TRIAGE Time: Walking Wounded Second TRIAGE Time: Walking Wounded Second TRIAGE Time: Walking Wounded
Green Green Green
Findings RED YELLOW Findings RED YELLOW Findings RED YELLOW
>30 <30 >30 <30 >30 <30
Respiratory Rate Respiratory Rate Respiratory Rate
Pulse Radial No Yes Pulse Radial No Yes Pulse Radial No Yes
Follows simple Follows simple Follows simple
Mental commands: No Yes Mental commands: No Yes Mental commands: No Yes
Cardiac Arrest Cardiac Arrest Cardiac Arrest
Respiratory Arrest BLACK Respiratory Arrest BLACK Respiratory Arrest BLACK
Massive Head Injury Massive Head Injury Massive Head Injury
Prior Medical Prior Medical Prior Medical
History/ History/ History/
Chief Chief Chief
Complaint Complaint Complaint

Treatment Treatment Treatment

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Name Name Name