FIREWIRE Magazine Winter 2016 | Page 40

ORGANIZATION WHEN IT’S NEEDED MOST TRAUMA TRIAGE TAGS By: Jeremy Pendergraft Editor’s note: Along with the recent delivery of ballistic protective gear, County Fire also deployed brand new MCI packs containing trauma treatment materials and colored triage ribbons to make the initial categorization of patients quicker, easier and standardized according to updated practices. However, because detailed tracking and documentation of patients throughout the incident is crucial, the use of the familiar triage tag is as important as ever. This article reviews the basics of using that tag. In the public eye, mass casualty response can be the shining moment in our agency’s commitment to providing premier all-risk protection to the communities we serve. These lowfrequency, high-urgency situations are the gold standard in evaluating an emergency service provider’s ability to provide calm and organization in the midst of apparent chaos. San Bernardino County is certainly no stranger to these incidents. The Lucerne Valley off-road crowd collision, the Highway 38 bus crash, and the recent IRC terrorist shooting tragedy all should be a call to attention. We need to master the organizational structure needed to expertly triage a large number of injured, treat them accordingly, and have them expeditiously transported to a facility to meet their medical needs. One of the most basic elements vital to the incident triage success is the Disaster Management Services All Risk Triage Tag. The EMT3 Optimized All Risk® Triage Tag is specifically engineered to enable the emergency responder to implement the START (Simple Triage and Rapid Transport) system to organize the incident resource needs. In addition, the tag is completely waterproof and has been tested in all decontamination solutions. The tag is divided into several sections, which can be intimidating until utilized and manipulated during training. Here we give an overview of these sections in general order of how the tag may be used on scene. Contaminated Evidence Strip Remove this strip if the patient is not contaminated. Or, the strip can also be removed once the patient has been decontaminated and placed with the person’s clothing as a reminder that the clothing is contaminated. Personal Property Receipt When applicable, tear off this portion and place it with the patient’s belongings for later use. If the patient is contaminated and must be decontaminated before triage, this portion will help track their clothing. The belongings should be doublebagged, with this identification placed in an accessible area on the bag for property claim purposes. 40 FIREWIRE • Winter 2016