Triage trauma chart
START triage trauma chart flowchart poster for mass casualty incidents. Clean, professional medical reference chart with the following decision tree logic: Title: "START Triage - Simple Triage and Rapid Treatment" Four color-coded categories shown as colored tags/labels: - BLACK (Expectant/Deceased): No breathing after airway repositioning - RED (Immediate): Life-threatening, survivable - respirations >30/min OR no radial pulse/capillary refill >2 sec OR unconscious/cannot follow commands - YELLOW (Delayed): Serious but stable - breathing present, radial pulse present, follows commands, respirations <30/min - GREEN (Minor/Walking Wounded): Walking, minor injuries Decision flowchart steps: 1. START: "Can patient walk?" → YES → GREEN (Minor) 2. NO → "Open airway - Is patient breathing?" 3. NO breathing → BLACK (Expectant/Deceased) 4. YES breathing → "Respirations > 30/min?" → YES → RED (Immediate) 5. NO → "Radial pulse present?" → NO → RED (Immediate) 6. YES → "Follows simple commands?" → NO → RED (Immediate) 7. YES → YELLOW (Delayed) Color coding: Green = green, Yellow = yellow, Red = red, Black = black/dark gray Include a small legend at bottom with the 4 category colors and names. Clean white background, bold clear fonts, medical/clinical style, suitable for emergency department wall poster.
| Tag | Category | Criteria |
|---|---|---|
| 🟢 Green | Minor | Walking wounded - can walk |
| 🟡 Yellow | Delayed | Breathing, pulse present, follows commands, RR <30 |
| 🔴 Red | Immediate | RR >30, no radial pulse, or cannot follow commands |
| ⬛ Black | Expectant | Not breathing after airway opening |
- Respirations - >30/min → RED
- Perfusion - No radial pulse or cap refill >2 sec → RED
- Mental status - Cannot follow simple commands → RED
- All three pass → YELLOW
Provide this...according to latest info
ATLS trauma triage primary survey 2024 2025 latest guidelines
https://doh.wa.gov/sites/default/files/2025-12/530322-Trauma…
Professional medical reference chart titled "Introduction to Trauma" - clean, clinical poster design on white background. Structured into 3 main sections: --- SECTION 1: TRIAGE TABLE --- Title: "TRIAGE" in bold red A clean 3-column table with columns: TRIAGE CATEGORY | DEFINITION | EXAMPLES Row 1 (red label): IMMEDIATE (Red) | Immediately life-threatening injuries | Severe facial trauma, Tension pneumothorax, Profuse external bleeding, Haemothorax, Flail chest, Major intra-abdominal bleed, Extradural haematoma Row 2 (yellow label): DELAYED / URGENT (Yellow) | Injuries requiring treatment within 6 hours | Compound fractures, Degloving injuries, Ruptured abdominal viscus, Pelvic fractures, Spinal injuries Row 3 (green label): MINIMAL / NON-URGENT (Green) | Walking wounded | Simple fractures, sprains, minor lacerations Row 4 (black label): DEAD / EXPECTANT (Black) | Unsalvageable | Severe brain damage, Very extensive burns, Major disruption/loss of chest or abdominal wall structures --- SECTION 2: PRIMARY SURVEY --- Title: "PRIMARY SURVEY" in bold blue Large highlighted box: "Identify what is KILLING the patient" Mnemonic list with each letter color-coded: x → Control Exsanguinating hemorrhage FIRST (NEW - ATLS 11th Ed. 2025, highlighted in orange/amber as update) A → Airway with C-spine stabilisation (1st priority → Airway) B → Breathing with ventilation C → Circulation + haemorrhage control D → Disability (GCS/AVPU, pupils) E → Exposure with Environmental control (prevent hypothermia) F → Foley / FAST adjuncts Small label box: "ADJUNCTS: CXR, PXR, eFAST, ECG" Small update badge: "ATLS 11th Ed. 2025: ABCDE → xABCDE" --- SECTION 3: SECONDARY SURVEY --- Title: "SECONDARY SURVEY" in bold green Box: "Treat what is KILLING the patient" Sub-items: • Full head-to-toe examination • Reassess all vital signs • Complete history: AMPLE (Allergies, Medications, Past history, Last meal, Events leading to trauma) • Identify other possible injuries → CT • Resuscitation continues • Plan definitive care Bottom banner: "Based on ATLS 11th Edition (ACS 2025)" in small professional font Style: Clean medical poster, bold color-coded labels, professional clinical reference card appearance, clear readable fonts, organized grid layout
Key Update - ATLS 11th Ed. (September 2025)
| Step | Old (ATLS 10) | New (ATLS 11, 2025) |
|---|---|---|
| 1st | A - Airway | x - Stop exsanguinating bleed |
| 2nd | B - Breathing | A - Airway + C-spine |
| 3rd | C - Circulation | B - Breathing |
| 4th | D - Disability | C - Circulation |
| 5th | E - Exposure | D - Disability |
| 6th | - | E - Exposure + temp control |
Other Updates vs. Your Notes
- "C-spine stabilisation" is now framed as "spinal motion restriction" (limiting movement, not rigid collars as default)
- F (FAST/Foley) is sometimes added as adjunct in newer curricula
- Secondary survey now emphasizes a tertiary exam to catch missed injuries
- Adjuncts remain: CXR, PXR (pelvis X-ray), eFAST - still current
Flail chest is being removed from red or nor?
flail chest triage category ATLS 2025 immediate red
Flail Chest in Triage - Current Status (2025)
- Causes paradoxical chest wall motion
- Leads to respiratory failure, decreased vital capacity
- High short- and long-term mortality
- Requires immediate intervention (intubation + mechanical ventilation in severe cases)
What HAS changed around flail chest (2025)
| Area | Update |
|---|---|
| Surgical stabilization | Now strongly recommended within 48-72 hours of injury (WSES-AAST 2025 guidelines) - previously more conservative |
| Surgical vs. conservative | Surgery now preferred over prolonged mechanical ventilation - reduces ICU stay, tracheostomy rates, and long-term respiratory dysfunction |
| Contraindication | Hemodynamic instability remains an absolute contraindication to surgical fixation |