Combined START/JumpSTART Triage Algorithm
Able to
walk?
YES
Secondary Triage*
MINOR
*Using the JS algorithm,
evlauate first all children
who did not walk under
their own power.
NO
Breathing?
NO
PEDI
ADULT
+ PULSE
YES
BREATHING
Position Upper Airway
5 Rescue Breaths
IMMEDIATE
APNEIC
NO PULSE
APNEIC
DECEASED
BREATHING
IMMEDIATE
Respiratory
Rate
> 30 ADULT
< 15 OR >45 PEDI
IMMEDIATE
< 30 ADULT
1545 PEDI
Perfusion
CR > 2 sec (ADULT )
No palpable pulse (PEDI)
YES
Mental
Status
IMMEDIATE
P (Inappropriate), Posturing or U
(PEDIATRIC)
Doesnt obey commands
(ADULT)
Obeys Commands (ADULT )
A, V OR P (Appropriate) (PEDIATRIC)
IMMEDIATE
DELAYED
Lou Romig MD, 2002