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 Complete the following lists. 1.Identify at least six common causes for multiple-casualty incidents. 2.List the five elements of an incident command system. 3.What are the four standard triage categories? 4.Identify the three criteria used to assess ill or injured people in the START triage plan.    Special TRIAGE exercise: Have one volunteer triage the injured teens while the rest of the class watches. Feel free to allow for verbal triaging, or make the experience more real by providing colored triage tags. If you do not have enough helpers to be injured people for this exercise, write how each person presents on an index card and scatter them randomly around the accident scene. A rope bridge has broken at a summer camp for high school students, sending five teenagers hurtling to a rocky ravine floor twenty feet below. They lay scattered on the ground in differing levels of distress and injury. One counselor runs to get help from the main office while the other scrambles down into the ravine to check on the injured. They are: #1Crying and complaining of pain in both legs, which are obviously deformed. (Delayed) #2Unconscious and bleeding from the mouth, nose, and ears. Not breathing, and opening the airway does not help. (Deceased) #3No apparent injuries other than abrasions to the face, arms, and hands. Gets up and begins walking around in the ravine. (Minor) #4Unconscious and bleeding from several soft-tissue injuries. Not breathing but will begin breathing spontaneously once the airway is opened. (Immediate) #5Screaming in pain with multiple open fractures and bone ends exposed in both arms. Bleeding is not severe but moves in and out of consciousness. (Immediate) Debriefing Points Triage should begin with the injured person closest to the responder. The triage process should evaluate the injured for breathing status, pulse, and mental status. The triaging student should not dwell on any one person until all have been quickly assessed. The triaging student should appropriately assess each injured person and correctly categorize them as Minor, Delayed, Immediate, or Deceased. The triaging student should ask the teen who is walking around to help control bleeding or hold the unresponsive person’s head still. The triaging student should have properly opened the airways of two of the injured people.

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