START/JumpSTART and Principles of MCI Triage
Question Bank
Circle the correct answer(s). Unless specified, each question has only one correct answer.
From “Principles of MCI Triage”
1.
Which of the following choices best represents the overall philosophy of daily EMS and Emergency
Department triage?
a.
b.
c.
d.
2.
Which of the following choices best represents the overall philosophy of primary multicasualty (disaster)
triage?
a.
b.
c.
d.
3.
True
False
Which of the following factors is the most important in defining an incident as a “disaster”?
a.
b.
c.
d.
7.
Primary survey/general assessment
DCAP-BTLS
Secondary survey/focused assessment
Revised Trauma Score
True or False: Triage personnel also treat patients while performing primary triage.
a.
b.
6.
True
False
Secondary disaster triage is most similar to:
a.
b.
c.
d.
5.
Treat the paying patients first
Do the best for each individual patient
Make the less sick patients wait the longest
Do the best for the greatest number of patients
As much information as possible must be obtained by physical exam in the primary triage phase during
disasters.
a.
b.
4.
Treat the paying patients first
Do the best for each individual patient
Make the less sick patients wait the longest
Do the best for the greatest number of patients
The location
The cause
The number of patients
Inadequate resources to meet immediate needs
True or False: There is no widely-accepted standardized secondary MCI triage tool in use in the United States.
a.
b.
True
False
8.
Which of the following statements about MCI triage is correct?
a.
b.
c.
d.
9.
There are currently no objective triage tools that have been proven effective through research.
Special groups of patients, such as children or the elderly, should be triaged first.
Each patient in an MCI should be triaged only once.
Once a patient has been assigned a triage priority (color), that priority should never be changed.
Which of the following is not an advantage of using objective tools for MCI triage?
a.
b.
c.
d.
They can help to bring order and organization to a chaotic scene.
They save money.
They can help to assure that resources are used in the most effective manner.
They may take some of the emotional burden away from those doing triage.
10. True or False: The most commonly used primary triage tools assess physiology rather than the actual nature of
a patient’s injuries.
a.
b.
True
False
From “The START and JumpSTART MCI Triage Tools”
1.
The START acronym stands for:
a.
b.
c.
d.
2.
Which of the following statements are true about the JumpSTART triage tool?
(Choose all that are true. There may be multiple correct answers.)
a.
b.
c.
d.
3.
System To Assign Real Triage
Start Triaging And Turn Right
Simple Triage And Rapid Transport
Stand There And Recon Trauma
It is used for disaster triage of children
The “jumpstart” part refers to rapid defibrillation
The “jumpstart” part refers to a 5-breath ventilatory trial
It is used for adults and children.
Which child would be triaged as Red (Critical/Emergent) using JumpSTART?
a.
b.
c.
d.
Respiratory rate of 10
Respiratory rate of 20
Respiratory rate of 30
Respiratory rate of 40
4.
Which child would not be triaged as Red (Critical/Emergent) using JumpSTART?
a.
b.
c.
d.
5.
Select all the choices below that represent advantages of using an objective pediatric MCI primary triage
system:
(Choose all that are true. There may be multiple correct answers.)
a.
b.
c.
d.
6.
Initially apneic, starts to breathe on upper airway opening
RR 8, cap refill 4 sec
Can’t walk, RR 22, cap refill 2 sec, obeys commands
RR 14, cap refill 2 sec, fails to obey simple commands
Which one of the following statements about START and JumpSTART is true?
a.
b.
c.
d.
9.
True
False
Which of the following adult MCI patients would not be tagged Red using the START tool?
a.
b.
c.
d.
8.
Children will be triaged by physiologic criteria appropriate for their physical and developmental
ages
Limited resources may be more appropriately expended for patients of all ages
Triage personnel may be somewhat protected from the emotional responsibility of determining
which children are salvageable and which ones are not
MCI triage will be easy.
True or False: According to JumpSTART, children who can’t walk because of age or developmental or
physical disability should always be triaged in the Yellow category.
a.
b.
7.
Apneic and pulseless
Apneic child who starts to breathe after jaw thrust
Respiratory rate of 50
Breathing but no palpable pulse
There is a set age limit at which you should use START instead of JumpSTART.
These tools should only be used by ALS-level providers.
These tools are meant be used in non-disaster settings.
These tools can be used simultaneously in an MCI involving patients of all ages.
True or False: START does not include a lower limit for respiratory rate.
a.
b.
True
False
10. Which of the following patients would not be triaged as Green by START or JumpSTART?
a.
b.
c.
d.
Child walking around on scene
Adult walking around on scene
Wheelchair-bound adult with normal RR, cap refill and mental status
Wheelchair-bound child with normal RR, pulses, mental status and no external signs of significant
injury.
Answer Key
Principles of MCI Triage
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
B
D
B
C
B
D
A
A
B
A
The START and JumpSTART MCI Triage Tools
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
C
A,C
A
A
A,B,C
B
C
D
A
C