Case Based Learning (Asynchronous Learning Task)

This is an individual activity. Each student in the group will be assigned to a particular disaster
victim in the case scenario.

The following are guidelines in writing your written report.

 Identify all the cues that can be

used to assess the client.

 What is the primary problem

requiring treatment for each
client?

 Make a triage diagram for each

client, the START and
JUMPSTART Triage system
algorithms will serve as your
guides.

 Classify each patient according to the appropriate triage system and

rationalize or explain why you designated that category.

Your output will be submitted in PDF format through the Assignment tab.
START Adult Triage
 JumpSTART Pediatric Multiple Casualty Incident Triage

Use JumpSTART if the Patient appears to be a child.

Use an adult system, such as START, if the patient appears to be a young adUlt.

Triage Categories

Black Triage Tag Color e Yellow Triage Tag Color

Victim Unlikely to survive given severity
of injuries, level of available care, or both
e Palliative care and pain reliefshould
be provided
e Victim’stransport can bedelayed
e Includes serious and potentially
life-threatening injuries, but status not
expected to deteriorate significantly
over several hours

Red Triage Tag Color °"

Green Triage Tag Color

• Victim can be helped by immediate e Victim with relatively minor injuries

intervention and transport
• Requires medical attention within
minutes for survival (UP to 60)
• Includes compromises to patient's
Airway, Breathing, Circulation
• StatUs unlikely to deteriorate over days e
May be able to assist in own care:
"Walking Wounded"
 MASS CASUALTY INCIDENT CASE SCENARIO
A group of first grade students from a private school in Angeles City with their
teacher/chaperones are enroute via school busses for a field trip to Bulacan. As the caravan of
busses, filled to capacity, slow for their exit off the highway, a speeding trailer truck behind the
last bus crashes into it, forcing that bus forward into the bus ahead. The back of the rear bus is
crushed into the mid-section; the forward bus is overturned. The highway patrol who witnessed
the collision calls in that the truck driver is unresponsive. Some children have been ejected from
a bus, some are trapped and a few are walking along the road appearing dazed.
The nearest hospital is a small rural hospital. You are in charge of the ED on this day.
Using the appropriate triage algorithm, categorize each of the victims and provide justification
for selecting that category.

Victim List with Triage Category Designation

RESPIRATORY MENTAL TRIAGE TRIAGE

VICTIM RATE PERFUSION STATUS OTHER USED CATEGORY
1) 7 y/o M RR 28 Distal pulse Follows Facial
present commands lacerations
and - minimal
ambulatory bleeding
2) 45 y/o F RR 27 Capillary Moaning Driver of
refill 4 rear bus
seconds found under
front of bus

3) 7 y/o M RR 0 No pulse Unresponsive Legs

trapped
under seat
from bus
4) 35 y/o M RR 20 Radial pulse Obeys Sitting on
present, commands shoulder of
Capillary road, unable
refill 2 to walk due
seconds to sprain on
his right
ankle and
complaints
of dizziness
5) 7 y/o M Talking Distal pulse Asking for Walks
present help toward you,
clothing is
torn, no
bleeding
evident
6) 7 y/o F RR 48 Distal pulse Blank stare Lying in
present wreckage,
right leg
deformity
7) 25 y/o F RR 20 Capillary Obeys Walking at
refill 2 commands scene
seconds
8) 7 y/o M RR 0 Faint distal Unresponsive Found in
pulse rubble
outside
rear bus;
apneic
after 5
rescue
breaths
9) 7 y/o M RR 40 Pulseless Withdraws Arm
from painful deformity,
stimuli sucking
chest
wound
10) 35 y/o M RR 0 Pulseless Unresponsive Truck
driver
trapped
under
collapsed
dash in the
truck
11) 7 y/o F RR 24 Distal pulse Crying Limping
present near
busses
12) 7 y/o M RR 22 Distal pulse Obeys Complains
present commands cannot
move or
feel legs
13) 6 y/o M RR 28 Distal pulse Not following Sitting on
present commands shoulder of
road, blood
in ears.