TRIAGE EXERCISE

Categorize the following indicators to identify TRIAGE TAG. The FIRST LEVEL TRIAGE is
the on-site assessment of responder to the ground or incident area.
Serial TRIAGE
FIRST LEVEL TRIAGE
Number TAG
1 45-year-old. Wheezing; is in obvious respiratory distress. Red
2 28-year-old. No obvious injuries; hysterical. Green
3 10-year-old. Sucking chest wound. Cold, clammy, blue. Grey
80-year-old man. Extensive laceration to abdomen. Pulse weak, Black
4
slow; not responding.
18-year-old man. Iron sticking out of chest. Anxious; respiration Red
5
is rapid and labored
6 24-year-old woman. Compound fracture of the right forearm. Yellow
7 50-year-old woman with burns to face. Respiration labored Red
8 30-year-old man with burns to both legs. Yellow
5-year-old with burns to 70% of body. Pulse weak; eyes staring Black
9
blankly.
25-year-old. Traumatic amputation of right leg. Extensive Yellow
10
laceration of abdomen Bleeding ++ Good volume pulse. Blue lips.
30-year-old man. Traumatic amputation right leg. Bleeding+++ Yellow
11
Good volume pulse.
3-year-old child compound fracture of skull; brain protruding; Red
12
both pupils fixed and dilated.
17-year-old. Iron impaled in throat. Gurgling respiration, Yellow
13
cyanosed.
8-year-old. Laceration to neck; bleeding profusely. Breathing Red
14
rapidly; mucus membranes pink; left thigh swollen.
22-year-old. Multiple puncture wounds to chest. Pulse normal. Green
15
No apparent distress.
16 35-year-old. Screaming. Laceration to left leg. Minimal bleeding. Yellow
45-year-old. Not responding to commands. Breathing is slow and Red
17
deep. No obvious injuries.
22-year-old. Traumatic amputation to both legs; No bleeding; Green
18
pulse good volume.
80-year-old man with laceration to left leg. No bleeding; strong Green
19
pulse.
20 12-year-old. Deformed forearm. Yellow
21 24-year-old screaming non-stop. Laceration to right hand. Yellow
24-year-old man. Behaving aggressively. Threatening first Red
22
responders. Bruising to left arm.
23 30-year-old with extensive burns to body. Weak pulse. Red
24 16-year-old. Compound fracture right leg with exposed bone. Yellow
25 36-year-old. No Breathing. Weak pulse. Black
 TRIAGE EXERCISE
Categorize the following VITAL SIGNS to identify TRIAGE TAG. The SECOND LEVEL TRIAGE
is the area assessment of responder of the Triage area (Red Area, Yellow Area, Green Area,
and Black Area).
Serial TRIAGE
SECOND LEVEL TRIAGE
Number TAG
1 Pulse 120/min; RR 35/min; wheezing++ bilaterally. Yellow
Area
2 Now quiet, PR 100/min; BP 120/70mmHg; RR 18/min. Minor Green
laceration to forehead. GCS 15/15 Area
3 Pulse 160/min; BP 60/?mmHg; RR 44/min; shallow breathing; Red Area
decreased air entry on side of injury.
4 Pulse rate 40/min; BP not recordable; mucus membrane pale +++ Black
Unresponsive to pressure or pain. Area
5 PR 110/min; BP 150/100mmHg; RR 40; decreased air entry on Yellow
affected side. Area
6 PR 100/min; BP 120/60mmHg; No active bleeding. Green
Area
7 PR 50/min; BP 80/??mmHg; RR 50/min with stridor. Soot in nose Red Area
and throat.
8 PR 80/min; BP 120/70mmHg; RR 14/min. Third degree burns to Yellow
both legs. Area
9 No Pulse. No respiration. Black
Area
10 Pulse 50/min; BP 50/?mmHg; RR 50. No air entry on left side of Red Area
chest.
11 PR 120/min; BP 90/50mmHg; Pale+++ Yellow
Area
12 Pulse 40/min; BP 80/30mmHg; Cheyne’s Stokes respiration. Red Area
13 Pulse 140/min; BP 100/55mmHg; RR 30/min. Blue lips Red Area
14 Pulse 40/min; BP 100/50mmHg; MM pale++ Bleeding +++ Red Area
15 Pulse 100/min; BP 120/80mm; RR 24; MM pink and moist. Green
Area
16 Pulse 100/min; BP 130/75mmHg; RR 16/min. Laceration clean. Green
Area
17 PR 100/min; BP 140/80mmHg; RR 12/min; Skin cool and Red Area
clammy. RBS 0.6mmolL (10mg/dl).
18 Pulse 125/min; BP 150/70mmHg; RR 14/min; minimal bleeding Yellow
from wound. Area
19 Pulse 80/min; BP 120/60mmHg; RR 26/min; MM pink; left thigh Yellow
swollen. Area
 20 PR 120/min; obvious deformity. Yellow
Area
21 Pulse 120/min; BP 120/60mmHg; RR 30/min. Pupils dilated. Green
Area
22 Pulse 80/min; BP 120/68min; RR 18/min; No deformity of left Green
arm, no longer behaving aggressive. Area
23 Pulse 130/min; BP 160/100min; RR 25 80% 2nd degree burns. Yellow
Area
24 Pulse 130/min; BP 100/50mmHg; RR 25; Fracture site bleeding, Green
bandage applied. Area
25 Weak Pulse; No Breathing Black
Area
TRIAGE EXERCISE
Categorize the following VITAL SIGNS to identify TRIAGE TAG. The THIRD LEVEL TRIAGE
is the area assessment of responder of the Triage area before transport to Hospital for
further care and management. Identify among the casualties who will be transported 1 st,
2nd, 3rd and so on, to be indicated at Order of Evacuation.
Serial TRIAGE Order of
THIRD LEVEL OF TRIAGE
Number TAG Evacuation
1 Severely distressed; intubated. Pulse 100/min; O2 sat Red 1st
– 70%
2 Vitals stable. Sutured and dressed. Comfortable. Green 3rd
3 P 85/min; BP 100/50mmHg; RR 20min; MM pink, Green 3rd
moist
4 No vital signs. Black 4th
5 Chest tube in place, 2 litres blood drained; P Red 1st
120/min; RR 25/min; BP 120/50mmHg
6 Forearm splinted; no distress Green 3nd
7 Cricothyrotomy performed; RR 26/min; P100/min; Red 1st
BP 100/80mmHg.
8 Pulse 130/minute; BP 100/50mmHg; No other signs Green 3rd
of injury.
9 No vital signs. Black 4th
10 Pulse 50/min; BP 40/?mmHg; Pale; chest tube in Red 1st
place; responds to commands. No improved air entry
on the left side of chest.
11 IVF going. No change in condition. Green 3rd
12 No vital signs. Black 4th
13 No vital signs. Black 4th
14 No pulse detected. Black 4th
15 P110/min; BP 100/50mmHg; RR 24/min; IV x 2 Yellow 2nd
going; Abdomen distended and rigid.
16 Normal Vital signs. Green 3rd
17 P 85/min; BP130/75mmHg; RBS now 7.2mmolL Yellow 2nd
(130mg/dl); Responding to commands
18 P120/min; BP 60/?mmHg; Bleeding +++; IV x 2 going Red 1st
with no response
19 P 100/min; BP 90/50mmHg; Responds to treatment. Green 3rd
20 Normal Vital Signs. Wrist /forearm splinted. Green 3rd
21 P120/min; BP 140/90/min; Develops seizures; Red 1st
pupils still dilated.
22 P 85/min; BP 120/80mmHg; RR 16/min; Sitting Green 3rd
calmly
23 P 130/min; BP 70/50mmHg;R 25/min. Green 3rd
24 P 90/min; BP 100/60mmHg; Fracture dressed and Green 3rd
splinted, bleeding is still evident.
25 No pulse detected. Black 4th