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Mechanical Ventilation in Nontraditional Settings 593

Walk Assess 3rd

Step 1-Sort: Wave/Purposeful Movement
Global Sorting Assess 2nd

Still/Obvious Life Threat
Step 2- Assess: Assess 1st
Individual Assessment

Lifesaving
Interventions:
• Control major hemorrhage
• Open airway (if child No Dead
consider 2 rescue breaths) Breathing?
• Chest decompression
Yes
• Obeys commands or
makes purposeful
All
movements? Yes
• Has peripheral pulse? Minor Yes Minimal
Reassess: • Not in respiratory injuries only?
considering distress?
patient conditions, • Major hemorrhage
resources, is controlled? No
scene safety
Any No Delayed

Likely to survive Yes
given current Immediate
resources?

No

Expectant
Step 3-Treatment
and/or Transport
Figure 18-3 SALT (Sort, Assess, Life-savings interventions, Treatment/Transport) algorithm for
mass casualty triage. Expectant has the highest priority of care than Immediate, Delayed, and Minimal.
Source: Radiation Emergency Medical Management, U.S. Department of Health and Human Services. Accessed June
29, 2012. http://www.remm.nlm.gov/salttriage.htm

hypoperfusion, SOFA may be an appropriate assessment tool for initial and ongo-
ing critical care assessments. It may also serve as a predictive and prognostic model
for critical care clinical outcomes (Jones et al., 2009).
A high SOFA score The parameters used in the SOFA scoring system are related to oxygenation, blood
(e.g., ≥11) calls for palliation
care only as it correlates with a clotting, liver function, blood pressure, neurologic function, and kidney function. A
mortality rate of 95%. A SOFA high score (e.g., ≥11) calls for palliation care only as it correlates with a mortality
score from 10 to 8 calls for the
highest priority of critical care. rate of 95%. A SOFA score from 10 to 8 calls for the highest priority of critical care.
Intermediate critical care is provided to those with scores of #7 (Ferreira et al., 2001).

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