There has been a train derailment resulting in multiple injuries. These are your 10 patients on
the ground, in order. Read the descriptions and decide the primary triage level; remember you
have two unskilled helpers following you. You have one minute to triage each patient.
Patient
1. Male in his 30s, complains of pain in his left
leg (obviously fractured), Respirations 24, pulse
strong, CRT 1 second, no excessive bleeding.
2. Female in her 50s, bleeding from nose, ears,
and mouth. Trying to sit up but can’t,
respirations 20, pulse present, CRT 1 second, not
responding to your commands.
3. Teenage girl bleeding heavily from her right
thigh, respirations 32, pulse thready, CRT 2.5
seconds, follows commands
Triage Colour (Green; Yellow; Red; Black)
yellow
4. Another teenage girl, small laceration on
forehead, says she can’t move her legs.
Respirations 20, pulse strong, CRT 1 second.
yellow
5. Male in his 20s, head wound, respirations
absent. Airway repositioned, still no breathing.
black
6. Male in his 40s, burns on face, chest, and
arms. Respirations 22, pulse 100, CRT 1.5
seconds, follows commands.
yellow
7. Teenage boy, multiple cuts and abrasions but
not hemorrhaging, says he can’t breathe,
respirations 34, radial pulse present, CRT 2.5
seconds.
red
8. Female in her 20s, burns on neck and face,
respirations 22, pulse present, CRT 1 second, asks
to get up and can walk, although with a limp.
green
9. Elderly woman, bleeding profusely from an
amputated right arm (level of forearm),
respirations 36, pulse on left wrist absent, CRT 3
seconds, unresponsive.
red
10. Male child, multiple penetrating injuries,
respirations absent. Airway repositioned, starts
breathing; Radial pulse absent, CRT 2 seconds,
unresponsive.
red
red
red
There has been a train derailment resulting in multiple injuries. These are your 10 patients on
the ground, in order. Read the descriptions and decide the primary triage level; remember you
have two unskilled helpers following you. You have one minute to triage each patient.
Move Walking Wounded
No Resp after head tilt
Breathing but Unconscious
Resp > 30
Perfusion
Cap refill > 2 sec
or No Radial Pulse
Control bleeding
M
I
N
O
R
D
E
C
E
A
S
E
D
I
M
M
E
D
I
A
T
E
Mental Status – Can’t follow simple
commands
Otherwise
D
E
L
A
Y
E
D
Remember
R – 30
P–2
M – Can do