Jump START Field Pediatric Multicasualty Triage System - Lack of objective triage criteria for pediatric patients may allow rescuers' natural emotional responses to injured children to influence their clinical judgement during the triage process. The START rapid triage system, developed by the Newport Beach (CA) Fire and Marine Department and Hoag Hospital, has become one of the most widely recognized formal MCI triage systems. The system is built around the premise that rapid primary triage (less than 30 sec/patient) based on assessment of Respirations, Perfusion, and Mental status (RPM) is effective in maximizing limited resources. The START originators admit that this system is not for use in pediatric patients.
In an effort to compose a rapid triage system for children, Lou E. Romig, MD, FAAP, FACEP from Miami Children’s Hospital has taken the same basic RPM approach and created an algorithm modeled after the START system.