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JumpSTART, a pediatric version of START, was developed at the Miami, Florida Children's Hospital in 1995 by Dr. Lou Romig. JumpSTART is probably the most commonly used pediatric mass casualty triage algorithm in the US. Romig LE.
We would propose replacing fractile response rates with ‘benchmarking ’ ED performance metrics in line with the CAEP position paper published in 2013.11 The overall goal for triage to physician initial assessment is a median of 1 hours and 90th percentile of 3 hours.
If a victim appears to be a child, use JumpSTART. If a victim appears to be a young adult, use START. triage and treatment. Begin assessment. come to them. All children carried to the GREEN area by other ambulatory victims must be the first assessed by medical personnel in that area.
Appropriate responses to painful stimuli are purposeful movements, such as localizing or withdrawing from pain. See a visual diagram of the JumpSTART Triage algorithm. Romig L. E. (2002). Pediatric triage. A system to JumpSTART your triage of young patients at MCIs. JEMS: Journal of Emergency Medical Services, 27 (7), 52–63.
What is Triage? The National Emergency Nurses’ Affiliation’s (2002) definition of triage is: ‘a sorting process utilizing critical thinking and a standardized set of guidelines in which an experienced RN assesses patients quickly upon their arrival in an ED to: Assess and determine severity of presenting problems
JumpSTART© Pediatric Mass Casualty Incident (MCI) Triage Tool is an objective triage system that addresses the needs of children and can be a resource tool when planning a triage process for pediatric patients.
The Canadian Triage and Acuity Scale 4(CTAS) is a five level scale ranging from resuscitation (Level I) to non-urgent (Level V), with associated expected times to initial assessment.
