Mil Triage Curriculum 004

Waving: Evaluate a responsive patient with moderate injuries (leg fracture) who requires DELAYED category assignment (YELLOW tag)

You are the only medical provider on scene with your aid bag and 4 units of blood. Your team (2 medics and 1 physician) will return in 10-15 minutes. The nearest surgical facility is 1 hour away. You estimate 5-10 casualties need assessment.

Patient Communication

Patient: Hey, I am here to take care of you.
Response: Thank you. I can't walk.
Location: Head
Patient: Can you tell me your name?
Response: Matthew Marcus.
Location: Head
Patient: What happened?
Response: There was an explosion. I got thrown and landed on my leg.
Location: Head
Patient: Are you hurting anywhere?
Response: My leg hurts really bad. I think it's broken. My hand hurts too.
Location: Head
Patient: Does your throat hurt or feel tight?
Response: No. My throat feels fine.
Location: Head
Patient: Are you having a hard time breathing?
Response: No. I can breathe normally.
Location: Head
Patient: Does your chest hurt?
Response: No, just my arm and shoulder.
Location: Head
Patient: Did you pass out (lose consciousness)?
Response: No. I didn't pass out.
Location: Head
Patient: Do you have any numbness or weakness?
Response: No. Just pain in my leg.
Location: Head
Patient: Does your head hurt?
Response: No. My head feels normal.
Location: Head
Patient: Does your neck hurt?
Response: No, I don't think so
Location: Head
Patient: Does your back hurt?
Response: No, I don't think so
Location: Head
Patient: Does your abdomen hurt?
Response: No, I don't think so
Location: Head
Patient: Do you have any allergies?
Response: No, I don't have any allergies
Location: Head
Patient: Do you take any medications?
Response: No, I don't take any medications
Location: Head
Patient: Do you have any medical problems?
Response: No, I don't have any medical problems.
Location: Head
Patient: Have you ever had any surgeries?
Response: No, I've never had any surgeries.
Location: Head
Patient: When did you last eat or drink something?
Response: I drank some water about an hour ago.
Location: Head
Patient: Do you smoke, drink, or use recreational drugs?
Response: No. I don't use any of those.
Location: Head
Patient: I'm going to take care of you.
Response: Thank you, it hurts so bad
Location: Head

Scoring Details

Change triage type to delayed
Exam: Ask patient
Airway: Jaw thrust maneuver
Listen for breathing
Head-tilt-chin lift
Patient disposition: Medical Evacuation

Scenario Details

Scenario Package
SALT Triage Mil Curriculum
Learner type
  • militaryMedic
Patient severity at start
Serious
Patient severity overall
Serious
Duration to complete
5-10 minutes
Scenario difficulty
Standard
Environment
POI
Equipment
  • Bandage
  • Combat Application Tourniquet (1)
  • Combat Application Tourniquet (2)
  • Trauma Shears
  • Blanket
  • FoilBlanket
  • Nasopharyngeal airway
  • Chest Seal Package
  • Packing Gauze
  • Gloves
  • Eye Guard
  • Non-Adherent Dressing
  • Decompression needle
  • Radio
  • Marker
  • Triage Tag (Minimal)
Available medications
Injury type
  • Open fracture of the right thigh with visible bone
  • Right lower hand burn
Scoring summary
  • Triage
  • A-Assess Airway
  • Disposition