The MASS triage model has been used by the U.S.

military in order to quickly assign large

numbers of casualties into treatment categories.

MASS triage incorporates the processes of “move, access, sort, and send.” Patients are
grouped into four categories based on the “ID-ME” mnemonic: “immediate, delayed, minimal,
and expectant.

● Initiate MASS triage (Move, Assess, Sort, & Send) divides members into triage
categories based on their ability to move.

2. Move: Announce “Everyone who can hear me and needs medical attention, please move to
(a designated) area now!”

3. Assess: Based on the number of moved injured members, a designated group initiates the
S.T.A.R.T. triage. S.T.A.R.T. triage: (Simple Triage & Rapid Treatment) determines the severity
of injuries.

● Determine priorities. It may be possible to separate the slightly injured persons who are
able to walk and locate them in an area easily accessible to buses or similar forms of
transportation.
● A different designated group initiates the S.T.A.R.T. triage (Simple Triage & Rapid
Treatment) for

● the non-ambulatory “Everyone who can raise an arm or leg” are the next priority. (Doing
the most good for the most victims.)

5. Sort: Transfer the injured to designated treatment areas based on colored tags. Triage
bracelet is
applied to an upper extremity, in a visible location preferably on the right wrist. The triage
bracelet
tag number is also used to track members evacuated to alternative care sites.

6. The mnemonic (ID ME) for sorting members during mass casualty incident triage is using
colors:

I --Immediate (red) - need treatment within 2 hrs. (Urgent) for

● severe head injury,
● multiple fractures,
● complication in their ABC’
● unresponsive but with vital signs,
● bleeding, or capillary refill exceeding 7 seconds.
● Has a reasonable chance of survival.

Treatment: would be to stop external arterial bleeding and airways are adjusted serious injured.
D --Delayed (yellow) – needs treatment within 4 hrs. (Priority)
● for cuts, bruises, laceration, some confusion, minor fractures, and a capillary refill
between 4-7 seconds (sometimes longer in cold environments).

Treatment: may be Field dressing of the wounds, usually applied quickly. Fractures are
stabilized with splints applied, simple first aid.

M --Minimal (green) - needs treatment within 24 hrs. (Routine) for abrasions, contusions, minor
lacerations, etc.

E--Expectant (black) – shows obvious signs of death;

● unresponsive members with no pulse or with catastrophic head injuries and/or chest
injuries.

Treatment: if limited/ small scale-CPR may be started; larger events-head positioned to

open airway and body is rolled onto side, move on.

9.1. Maintain an accurate count of members and where they were transported.

10. Send: to treatment area; treated and released at the scene; or sent to hospitals or
secondary treatment facility; morgue.
 ● Triage is a critical process in emergency medicine that helps medical professionals to
prioritize patients based on the severity of their condition. It involves a rapid assessment
of the patient's condition to determine the level of urgency and the appropriate course of
treatment.
● By triaging patients,dagiti medical professionals ket alisto da lang nga ma identify nu
sino ti pasyente nga ipriority a kailangan na iti immediate nga medical attention. Ket
makatulong detuy tapnu masigurado nga dagijy pasyente nga critical ti kondisyon na ket
isuda iti umuna nga makareceive ti immediate treatment tapnu mai salba ti biyag da ken
ma reduce dgjy mabalin nga komplikasyon da.
● Triage can also help to identify patients who may have severe illnesses or injuries that
require immediate attention, even if they are not exhibiting obvious symptoms. This can
help to prevent the condition from worsening and improve the patient's chances of
recovery.
● Overall, ti triage ket dakkel iti tulong na as part of emergency medicine nga mangtulong
kadagiti medical professionals to provide the right treatment to the right patient at the
right time, which can ultimately save lives and improve patient outcomes.

ENGLISH VER.

Triage is a critical process in emergency medicine that helps medical professionals to prioritize
patients based on the severity of their condition. It involves a rapid assessment of the patient's
condition to determine the level of urgency and the appropriate course of treatment.

By triaging patients, medical professionals can quickly identify and prioritize patients who
require immediate medical attention and those who can wait. This helps to ensure that those
who are in critical condition receive prompt treatment, which can save lives and reduce the risk
of complications.

In addition, triage can also help to identify patients who may have severe illnesses or injuries
that require immediate attention, even if they are not exhibiting obvious symptoms. This can
help to prevent the condition from worsening and improve the patient's chances of recovery.

Overall, triage is an essential part of emergency medicine that helps medical professionals to
provide the right treatment to the right patient at the right time, which can ultimately save lives
and improve patient outcomes.