START Triage Simulation (20 Casualties)
This document presents a simulated pre-hospital on-scene triage scenario using the START
(Simple Triage and Rapid Treatment) technique. Each of the 20 casualties is assessed based
on respiration, perfusion, and mental status, then assigned a color tag indicating the triage
category.
# Casualty Respiration Perfusion Mental Color Tag
Description Status
1 30M, Fast Weak radial Unresponsiv Red
unconscious, pulse e
RR 35
2 25F, walking Normal Normal Alert Green
with arm
laceration
3 40F, None No pulse Unresponsiv Black
unconscious, e
RR 0 → no
breathing
after
repositionin
g
4 12M, crying, Normal Normal Alert Yellow
broken leg
5 60M, slow Slow Weak pulse Responds to Red
RR 8, bluish pain
lips
6 22F, Normal Normal Alert Green
walking,
abrasions
7 35M, RR 22, Normal Delayed (>2 Incoherent Red
delayed cap sec)
refill,
moaning
8 50F, RR 26, Normal Present Confused Red
pulse
present,
disoriented
9 5F, alert, Normal Normal Alert Green
crying, cut
on forehead
10 70M, Fast Weak pulse Unresponsiv Red
breathing e
after airway
opened (RR
30)
11 28F, Normal Normal Alert Green
walking,
minor burns
on arm
12 45M, chest Fast Weak pulse Confused Red
wound, RR
34
13 32M, no None None Unresponsiv Black
pulse, not e
breathing
even after
airway
repositioned
14 8F, RR 20, Normal Normal Alert Yellow
cap refill < 2
sec, answers
questions
15 55F, Normal Normal Alert Green
walking,
holding
shoulder
16 40M, RR 24, Normal Present Doesn't Red
bleeding follow
from head, commands
does not
obey
commands
17 20F, ankle Normal Normal Alert Yellow
fracture, RR
18
18 38M, Fast Delayed Groaning Red
multiple
fractures, RR
28, cap refill
> 2 sec
19 27F, Normal Normal Alert Green
walking,
minor cuts
20 65M, Normal No radial Unresponsiv Red
unresponsiv pulse e
e, RR 12,
radial pulse
absent
Triage Summary:
Red (Immediate): 9
Yellow (Delayed): 3
Green (Minor): 6
Black (Deceased): 2