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DISASTER MANAGEMENT

TRIAGE ASSESMENT
Person’s Name :
Initial TRIAGE Time :
 WALKING WOUNDED
GREEN

Findings RED YELLOW


Respiratory Rate > 30 / <10 < 30
CRT (Capillary Refill Time) >2 <2
Pulse – Radial :  NO  YES

Mental Follow Simple Commands  NO  YES

 Cardiac Arrest
 Respiratory Arrest
BLACK
 Massive Head Injury

Injuries

Treatment

Patroller name :

Second TRIAGE Time :


 WALKING WOUNDED
GREEN

Findings RED YELLOW


Respiratory Rate > 30 / <10 > 30
CRT (Capillary Refill Time) >2 <2
Pulse – Radial :  NO  YES
GCS : E: V: M: <8 >8
 Cardiac Arrest
 Respiratory Arrest
BLACK
 Massive Head Injury

Prior Medical History / Chief Complaint

Treatment

Treatment by :

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