Triage trauma chart
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Here's your START Triage visual chart. Here's a quick reference summary of the logic:
| 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 |
The 3 assessment checkpoints (after ruling out walking wounded):
- 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
If you need this in a different format (PDF, editable PPTX, or with SALT/JumpSTART added), just let me know.
Provide this...according to latest info
Reading File
Searching the Web
ATLS trauma triage primary survey 2024 2025 latest guidelines
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trauma triage primary survey xABCDE secondary survey ATLS 11
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Here's your updated Introduction to Trauma chart, incorporating the latest ATLS 11th Edition (2025) changes. Here's what's been updated from your notes:
Key Update - ATLS 11th Ed. (September 2025)
ABCDE is now xABCDE
The biggest change: the letter "x" was added to the front of the mnemonic to emphasize control of exsanguinating external hemorrhage as the very first priority - before even the airway - in patients with life-threatening external bleeding.
| 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
Your AMPLE history mnemonic is still fully valid and unchanged.
Flail chest is being removed from red or nor?
Searching the Web
flail chest triage category ATLS 2025 immediate red
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No - flail chest is NOT being removed from the Red (Immediate) category. It remains Immediate/Red in current guidelines.
Here's the full picture:
Flail Chest in Triage - Current Status (2025)
Triage category: Still RED (Immediate)
Flail chest is listed as an anatomic criterion triggering Level 1 trauma activation across current institutional guidelines (2025-2026). The reasoning is unchanged:
- 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)
The updates are about treatment, not triage category:
| 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 |
So the short answer: Flail chest stays Red. The changes in ATLS 11th Ed. (2025) affected the primary survey mnemonic (xABCDE), not the triage categorization of specific injuries.
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