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</html>";s:4:"text";s:29347:"(The Lancet, 2019) Resources:  (Triage PlGF test, Elecsys immunoassay sFlt-1/PlGF ratio, DELFIA Xpress PlGF 1-2-3 test, and BRAHMS sFlt-1 Kryptor/BRAHMS PlGF plus Kryptor PE ratio). The method was developed in 1983 by the staff members of Hoag Hospital and Newport Beach Fire Department located in California, and is currently widely used in the United States. There is no global consensus on the use of prehospital triage system in mass casualty incidents. This is similar to the START triage system as it asks individuals who can walk to a specific area of treatment marked off for minor injuries. Start Triage Kit. SALT Mass Casualty Triage Algorithm (Sort, Assess, Lifesaving Interventions, Treatment/Transport) Triage Summary Initlal Actions/Global Sort 1.#Don#PPE#before#you#leave#the#ambulance MINIMAL (Minor inj/Ambulatory) 2.#Don#TRIAGE#vest Ambulatory By clicking Accept, you consent to the use of ALL the cookies. This includes four stages of moving, evaluating, classifying and transferring. These emeritus maintainers dedicated a part of their career to etcd and reviewed code, triaged bugs, and pushed the project forward over a substantial period of time. After having their triage BP measured, patients were seated in a quiet room, a correctly sized cuff was placed directly over the brachial artery of their non-dominant arm, and then were left unattended for 3-5 minutes. A U.S. government funded project to examine existing triage systems has resulted in the development of the SALT Triage system. SALT Triage. The physiology of adults and children differ; therefore different primary triage systems should be used 2. You also note that he's not breathing. Another algorithm of triage is called the SALT triage or sort, assess, life-saving interventions, and treatment/transport. This is similar to the START triage system as it asks individuals who can walk to a specific area of treatment marked off for minor injuries. 1) Define triage and mass casualty 2) Review the dynamics of START triage 3) Review use of the SMART tagging system 5) Demonstrate competency in the START triage method in a variety of scenarios 6) Demonstrate competency in the SMART triage tag and JumpStart. All Risk SALT Triage Tags, Non-Wristband. JumpSTART was developed in 1995 to be used along with the START triage system and mirrors the structure. The MT-501 integrates the S.A.L.T. It is simple to use and easy to remember. Triage times were recorded by the observers for 42 of the 52 patients, with a mean of 15 seconds per patient (range 5-57 seconds). See PR management for guidelines on how pull requests are managed. Use START for young adults and older 4. Chocolatey integrates w/SCCM, Puppet, Chef, etc. Alternative to START Triage protocol for general MCI victim triage. Another outcome measure was the accuracy of the application of START triage by EMS personnel in the field exercise. Results: The strongest correlation to the reference standard was SALT with an r = 0.860 (p < 0.001) and  = 0.632 (p < 0.001). START and SALT triage systems agreed 100 percent on both black and green classifications. JumpSTART was developed in 1995 to be used along with the START triage system and mirrors the structure. EMS1. For example, the steps in SALT Mass Casualty Triage Algorithm (Sort, Assess, Lifesaving Interventions, Treatment/Transport) were adapted for use during a mass casualty radiation emergency. Livesaving interventions are administered before assigning a severity category. county, state and federal levels & trained in many types of triage systems (SALT, MASS, START, SMART, ESI, etc.) The purpose of this study was to evaluate the most commonly used pre-existing prehospital triage systems for the possibility of creating one universal translational triage tool. Duckworth, R. (2017). Apache Maven is a software project management and comprehension tool. Mass casualty triage guidelines revised. design and use of .  Salt Lake City. START TRIAGESimple Triage and Rapid Treatment. Optimize initial triage of children in the MCI setting 2. Then, one day, after breakfast, you are the first on scene of a 25 car pileup. Another outcome measure was the accuracy of the application of START triage by EMS personnel in the field exercise. top of page Walk (Assess 3. rd) Wave/Purposeful Movement (Assess 2. nd) Still/Obvious Life Threat (Assess 1. st) Step 2  Assess: Individual Assessment At present START remains the most commonly used mass casualty triage algorithm in the US. Benson M, Koenig KL, Schultz CH. Disaster triage: START, then SAVE-a new method of dynamic triage for victims of a catastrophic earthquake. Prehospital Disaster Med. 1996; Apr-Jun; 11 (2): 117-24 [PubMed Citation] Garner A, Lee A, Harrison K, Schultz CH. AiLECS Lab co-director and AFP Leading Senior Constable Dr Janis Dalins said the ultimate goal for developing AI techniques to detect and triage child sexual abuse material was to more rapidly identify victims and material not previously seen by law enforcement. Alternative to START Triage protocol for general MCI victim triage. Systematic reviews of the evidence support the following: the overall accuracy of the SALT triage system was 77.62% with substantial heterogeneity. One hour of triage training with the SALT Mass Casualty Triage Algorithm was enough to significantly improve triage accuracy in both groups of firemen with sustained skills 6 months later. SALT Mass Casualty Triage Algorithm. With funding constraints for better training and high-op tempo for teams, it can be overwhelming to develop effective training strategies. D. Triage is performed as patients are loaded into ambulances for transport to determine whether they need basic life support or ALS transport. There are four types of workplace violence: Type I criminal intent (e.g., vandalism or stealing items from motor vehicle in the employee parking lot), Type II customer-related (e.g., patients and visitors assaulting the  JumpSTART Triage Systems. We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. Triage Performance of  START triage is a scene management system. The SALT triage algorithm is commonly used to stratify patients based on injury severity. Workplace violence against emergency nurses and other health care workers is a global problem. STEP 1: SORT SALT begins with a global sorting  Its very effective for mass casualty incidents. Step 1 - Sort: Global Sorting. IV. With the SALT algorithm, patients are sorted and given a priority level for individual assessment. .Once triage is complete . Called the MUCC. SALT/MCI General Principles. Develop intuitive judgment and to come soon! SALT Mass Casualty Triage Algorithm (Sort, Assess, Lifesaving Interventions, Treatment/Transport). Pediatric Mass Casualty Incident (MCI) Triage Tool  SALT Triage MCI Tool Sort, assess, life -saving care, treatment/transport  open airway, etc. All Risk SALT Triage Tag, Non-Wristband Compatible with EMT3 System for More Efficient Pati.. Add to Cart. Agencies can easily incorporate SALT into their current Mass Casualty Incident (MCI) triage protocol through simple modification. The unique characteristics of blast MCIs require specific considerations for security, resource allocation, and evacuation priorities. A second algorithm for triage has more recently been developed, the Sort, Assess, Lifesaving Interventions, Treatment/Transport algorithm, commonly known as SALT (Fig. Triage Ribbons 1st, then Tags at CCP or Transport Area. Comparison of the SALT and Smart triage systems using a virtual reality simulator with paramedic students. JumpSTART is an objective pediatric patient MCI triage tool developed specifically for the triage of children in the multi-casualty/disaster setting. However, JumpSTART was designed specifically for triaging children in disaster settings. The authors concluded that virtual reality seems to be a viable research tool for examining mass casualty triage, and participants triaged simulated patients faster and with greater accuracy with SMART triage vs. SALT triage. Like many aspects of emergency prehospital management, you don't get much advance warning. Background. 1. SALT mass casualty triage. Chocolatey is software management automation for Windows that wraps installers, executables, zips, and scripts into compiled packages. A self-service collection of disaster medical, healthcare, and public health preparedness materials, searchable by keywords and functional areas. This system, whose algorithm is very similar to the SALT triage method, has four tags: red, yellow, green and black (Figure 3). paper Triage. Livesaving interventions are administered before assigning a severity category. Allowed therapeutic measures in  JumpSTART is an objective pediatric patient MCI triage tool developed specifically for the triage of children in the multi-casualty/disaster setting. Pediatric patients are best triaged with the JumpSTART Triage protocol. Categorize the Triage status of patients utilizing the START . SALT is an acronym for Sort, Assess, Lifesaving interventions, and Treatment/Transport. How to Use SALT to Triage MCI Patients. Sort, Assess, Lifesaving Interventions, Treat/Transport . Another algorithm of triage is called the SALT triage or sort, assess, life-saving interventions, and treatment/transport. Being a firm believer that people remember us for the experience we give them, I look at learning from the perspective of an employee and try to envision the best learning landscape for each employee at GL. Pediatric patients are best triaged with the JumpSTART Triage protocol. SALT Mass Casualty Triage Algorithm (Sort, Assess, Lifesaving Interventions, Treatment/Transport) Triage Summary Initlal Actions/Global Sort 1.#Don#PPE#before#you#leave#the#ambulance MINIMAL (Minor inj/Ambulatory) 2.#Don#TRIAGE#vest Ambulatory The enhanced transportation receipt, when used with the receipt  The guideline, entitled SALT (sort, assess, life-saving interventions, treatment and/or transport) triage, was developed based on the best available science and consensus opinion. This system has been adopted by pre-hospital providers in the Greater Dayton area as a standardized triage system to be used in the event of a mass casualty  The SALT triage system was developed as a new disaster and MCI triage system due to a lack of evidence regarding the effectiveness and accuracy of other major triage system s, This resource is a graphic of the SALT algorithm. SALT triage is a MUCC-compliant triage system that uses a two-step process of global sorting, followed by lifesaving interventions (LSI) and individual victim assessment. It instructs providers to quickly group patients by their ability to follow commands and then to individual assess patients applying life saving interventions rapidly and then assigning each person a treatment or transport priority. Read the article The SALT and START Triage System for Classifying Patient Acuity Level: A Systematic Review on R Discovery, your go-to avenue for effective literature search. START triage is a scene management system. Conclusion. C. Triage is one of the first actions because it affects the deployment of other processes. A triage nurse or registration clerk records a patient's chief  the syndrome or type of outbreak studied; the NLP method; the detection algorithm; and the reference standard used in the experiment. SALT Triage is the product of a CDC Sponsored working group to propose a standardized triage method. The guideline, entitled SALT (sort, assess, life-saving interventions, treatment and/or transport) triage, was developed based on the best available science and consensus opinion. California king size. three reasons a patient triage and tracking system is required for successful operations. The guideline, entitled SALT (sort, assess, life-saving interventions, treatment and/or transport) triage, was developed based on the best available science and consensus opinion. Abbreviation: LSI, life-saving intervention; SALT, Sort, Assess, Life-saving interventions, Treat/Transport. It was developed as a national all-hazards mass casualty initial triage standard for all patients. . Some applications require special handling in the Adaptive Security Algorithm firewall application inspection function. The MUCC consist of 24 benchmarks and 4 different categories. By using our site, you agree to our collection of information through the use of cookies. Primary triage is just the first look at an MCI victim, similar to the primary/ initial survey/assessment The Model Uniform Core Criteria for Mass Casualty Incident Triage, or MUCC, is a standard set of guidelines that all mass casualty triage systems should follow.The MUCC is intended to ensure consistency among responders when triaging patients at a mass casualty incident. Our review was based on 6 extensive studies. The JumpSTART pediatric triage MCI triage tool (usually shortened to JumpSTART) is a variation of the simple triage and rapid treatment (START) triage system. Once triage is complete . One MCI/disaster triage tool is the Simple Triage and Rapid Treatment (START) technique. Optimize initial triage of children in the MCI setting 2. E. Give a Triage Report to Command Triage to CommandWe have 13 patients, 4 Immediate, 5 Delayed, 3 Minor and 1 Dead. E. Give tracking slips to Command Give a Triage Report to Command Triage to CommandWe have 13 patients, 4 Immediate, 5 Delayed, 3 Minor and 1 Dead. Livesaving interventions are administered before assigning a severity category. A TRIAGE EXERCISE A Foggy Day  Turnpike   Job Description Avant.org.au. How to Use SALT to Triage MCI Patients. Triage Considerations  There are three types of triage: This model has been endorsed by the American College of Emergency Physicians, American Trauma Society, and American College of Surgeons Committee on Trauma [5] . You may go your whole career and never have an MCI. Thrown the reward price? This algorithm, which also uses a triage level and color coding system, is currently endorsed by the American College of Emergency Physicians. May 08, 2021. The MT-501i integrates the S.A.L.T. The SALT (Sort, Assess, Life-Saving Intervention, Treatment/Transport) triage system was developed by the Centers for Disease Control and Prevention (CDC) to reduce triage time and to better utilize resources. Optimized for use as a secondary assessment and patient tracking tool, the All Risk Triage Tag provides treatment personnel the ability to document patient condition and care while awaiting transport. Treatment and/ or transport (Health and Human Services, n.d., Duckworth, 2017) 20 . No- Dead Yes - Ask assessment questions Treatment/Transport. Walking wounded/minor (green) Delayed (yellow) Immediate (red) Deceased/expectant (black) Sort, Assess, Lifesaving intervention, Treatment/Transport (SALT) Simple Triage and Rapid Treatment (START) START and SALT triage systems agreed 100 percent on both black and green classifications. There was, however, significant overtriage. This article has an excellent literature review and comparison of many triage systems used around the world, including SALT and START. SALT Triage is the product of a CDC Sponsored working group to propose a standardized triage method. 2A and B) . Simple triage and rapid treatment (START) is a triage method used by first responders to quickly classify victims during a mass casualty incident (MCI) based on the severity of their injury. General physics  physics of elementary particles and fields  nuclear physics  atomic, molecular and optical physics  classical areas of phenomenology  physics of gases, plasmas and electrical discharges  condensed matter  cross-disciplinary physics and related areas of science and technology. The SALT Mass Casualty Triage Approach - SALT stands for Sort, Assess, Lifesaving interventions, and Treatment or Transport. Lead Service Center Technician United States, Kansas, Olathe. The MT-501i SALT Method Emergency Triage Training Tag. SALT = Sort Assess Life Saving Interventions Transport/Treatment . The method was developed in 1983 by the staff members of Hoag Hospital and Newport Beach Fire Department located in California, and is currently widely used in the United States. Both systems are used to sort patients into categories at mass casualty incidents (MCIs). Source publication. algorithm which is Sort, Assess, Life-saving interventions, and Treatment/Transport in a simple and quick use format. 2/21/18 2} Importance of using evidence-based triage systems during mass casualty incident response} What educators need to know about the model uniform core criteria} Lessons learned during the implementation of the new MUCC EMS instructional guidelines Today Todays Speakers} E. Brooke Lerner, PhD, Professor, Department of Emergency Medicine} Medical College of Wisconsin Results: The strongest correlation to the reference standard was SALT with an r = 0.860 (p < 0.001) and  = 0.632 (p < 0.001). Massive dick perfectly fit teen pussy. - An alternative to START which changes the assessment of respirations and includes some more advanced lifesaving interventions initially. SALT is an acronym for Sort, Assess, Lifesaving interventions, and Treatment/Transport. Compatible with EMT3 System for More Efficient Patient Tracking. The sort, assess, life-saving interventions, and triage/treatment approach is similar to the START system; however, it is more comprehensive and adds simple life-saving techniques during the triage phase. All Risk SALT Triage Tag with Wristband. The Adaptive Security Algorithm ensures the secure use of applications and services. Ask the practice team to bring these examples to . This guidance was updated and published with each version of the resources manual during 19861999 ( 25 ). Categories: Triage. systems (START and SALT) used today in the U.S., discuss the problems and challenges of studying triage, analyze the literature surrounding the training of triage, and discuss the ethical implications associated with performing triage. Begin transports of red patients as soon as feasible, BUT dont neglect processes (triage, allocation of patients to hospitals, command, etc.) triage system to patients in an intentional mass violence incident? Triage is performed when patients reach the staging area so that the correct hospital destination can be selected. SALT stands for "Sort - Assess - Life Saving Interventions - Treatment and/or Transport". SALT triage is designed to be a national triage guideline. 2 SALT Algorithm. Notable features of METTAG triage tags are: Fire resistant Water proof Chemical resistant Tear proof (except on intended perforations) UV light and heat resistant Simple and effective tag for fast triaging in the field Unique barcodes  (Sort, Assess, Lifesaving Interventions, Treatment/Transport)  Adapted for a Very Large Radiation Emergency. JumpSTART objectives: 1. List . Developed SALT Triage Guideline using best of all triage systems and MUCC. See issue triage guidelines for details on how issues are managed. There were no significant differences in overtriage rates. START and SALT triage systems agreed 100 percent on both black and green classifications. Long-Term Safety and Efficacy of Bempedoic Acid in Patients With Atherosclerotic Cardiovascular Disease and/or Heterozygous Familial Hypercholesterolemia (from the CLEAR Harmony Open-Label Extension Study) SALT Triage is the product of a CDC Sponsored working group to propose a standardized triage method. Alternative to START Triage protocol for general MCI victim triage. Pediatric patients are best triaged with the JumpSTART Triage protocol. Meanwhile, Sort, Assess, Life-Saving Interventions, Treatment, and/or Transport (SALT) triage is being advocated over the globally popular Simple Triage and Rapid Treatment (START) algorithm for multiple reasons: (1) it's an all-hazard approach; (2) it has four medical interventions; and (3) it has an additional triage color for victims with non-survivable injuries.Hypothesis/ProblemAs  data related to SALT protocol was extracted for comparison. Step 1. My motto in life has always been to leave things better than how you found them. SALT is an acronym for Sort, Assess, Lifesaving interventions, and Treatment/Transport. 45 This is based on a rapid assessment of respiration, perfusion, and mental status (RPM). Its very effective for mass casualty incidents. Further research is needed to establish the optimal protocol for mass-casualty triage, but, because of the comprehensive examination of the evidence leading to the recent recommendations of the CDC advisory committee, the SALT triage system seems a promising direction for the future of disaster triage. Currently, the SALT triage system is the only one that meets the Model Uniform Core Criteria; Classifications. Secondary Triage Generally used when there is an extended duration event After initial color coding triage Healthcare professionals who respond to the scene or PH/Hospital response teams may be utilized to further determine who gets transported from scene first SALT Triage is an algorithm that stands for Sort, Assess, Lifesaving Interventions, Treatment / Transport. Although this system is based on the START triage system, it does classify the injured people before individual examination . Article on The SALT and START Triage System for Classifying Patient Acuity Level: A Systematic Review, published in Nurse Media Journal of Nursing 11 on 2021-12-15 by Hendri Purwadi+3. Fig. SALT Triage is the product of a CDC Sponsored working group to propose a standardized triage method. A male, 43, isn't moving during your global sorting. Like many aspects of emergency prehospital management, you don't get much advance warning. Chocolatey is trusted by businesses to manage software deployments. algorithm which is Sort, Assess, Life-saving interventions, and Treatment/Transport in a simple and quick use format. Triage times were recorded by the observers for 42 of the 52 patients, with a mean of 15 seconds per patient (range 5-57 seconds). SALT had a significantly lower undertriage rate (9 percent [95%CI 2-15]) than both START (20 percent [95%CI 11-28]) and field triage (37 percent [95%CI 24-52]). Based on the concept of a project object model (POM), Maven can manage a project's build, reporting and documentation from a central piece of information These applications embed IP addressing information in the user data packet or open secondary channels on dynamically assigned ports. Adapted from: Lerner EB, Cone DC, Weinstein ES, Schwartz RB, Coule PL, Cronin M, Wedmore IS, Bulger EM, Mulligan DA, Swienton RE, Sasser SM, Shah UA, Weireter LJ Jr, Sanddal TL, Lairet J, Markenson D, Romig L,  and . SALT TRIAGE . Another outcome measure was the accuracy of the application of START triage by EMS personnel in the field exercise. Call for Papers on Workplace Violence. The SALT Mass Casualty Triage Approach - SALT stands for Sort, Assess, Lifesaving interventions, and Treatment or Transport. Explain . A mass shooting, an explosion at a refinery or a tornado occurs in your region, and responders must decide who to treat and in what priority order. Move as quickly as possible. STARTSALT: Conclusion  Because of the comprehensive examination of the evidence leading to the recent recommendations of the CDC advisory committee, the SALT triage system seems a promising direction for the future of disaster triage. Developed core criteria for triage system to be successful. SORT: sort the walking, waving, and still. The triage system was first implemented in hospitals in 1964 when Weinerman et al. populations). . SALT TRIAGE . Compared features of each triage system. Incident Command System Emergency Dept. Although triage algorithms alone are simple SALT was designed to allow agencies to easily incorporate it into their current MCI triage protocol through simple modification. published a systematic interpretation of civilian emergency departments using triage. county, state and federal levels & trained in many types of triage systems (SALT, MASS, START, SMART, ESI, etc.) 1,4-6; New methods of triage using new algorithms have been proposed, but not tested in the field 5,6; At present START remains the most commonly used mass casualty triage algorithm in the US. Your name here! - An alternative to START which changes the assessment of respirations and includes some more advanced lifesaving interventions initially. . and follow algorithm . Results The strongest correlation to the reference standard was SALT with an r = 0.860 (p < 0.001) and  = 0.632 (p < 0.001). CONCLUSIONS: The SALT mass casualty triage system can be applied quickly in the field and appears to be safe, as measured by a low undertriage rate. Over-triage can be as harmful as under-triage There has been limited rigorous scientific review of various forms of mass casualty incident triage used around the world. Background: Two common triage systems have been widely used in mass casualty incidents (MCIs) and disaster situations, namely START (simple triage algorithm and rapid treatment) and SALT (sort, assess, lifesaving, intervention, and Sort (Still 1st, wave 2nd, walk 3rd) Assess (basically sort with START) Lifesaving intervention-Control hemorrhage-Open airway-Chest decompression Breathing? The overall percentage of over-triage was noted at 11.22% and under-triage was at 9.74%. The author discusses the implementation of SALT (Sort, Assess, Lifesaving interventions, Treatment and/or Transport) during a mass casualty incident, and the importance of utilizing the triage system to keep patients moving away from the hazard and toward a casualty collection point for further triage. Simple triage and rapid treatment (START) is a triage method used by first responders to quickly classify victims during a mass casualty incident (MCI) based on the severity of their injury. You may go your whole career and never have an MCI. Today, triage is still deeply integrated into healthcare. the . The speed for the different algorithms varied tremendously (Table 4). Introduction. Tags. A simulated Mass Casualty Incident (MCI) training can cost hundreds of thousands of dollars for a mid-sized event. SALT Mass-Casualty Triage Algorithm. Pick the triage category for each patient. EMS1.  Software Defect/ Triage Manager, Self-Driving United States, California, Palo Alto. Step 1: Sort: Global Sorting Step 2 - Assess: Individual Assessment Lifesav.ng Interventions: Contro major hemorrhage Open airway (if ch"ld consider 2 rescue breaths) Chest  Since 1986, the American College of Surgeons Committee on Trauma (ACS-COT) has published a resource manual that provided guidance for the field triage process through a field triage decision scheme ( 1 ). Camera Algorithm Manager, Self-Driving United States, California, Palo Alto. There was, however, significant overtriage. SALT mass casualty triage algorithm. Unless in a xed patient collection point, triage in this phase of care should be limited to the following categories: a.Uninjured or minimally injured and capable of ambulation/self-extraction b.Deceased / expectant c. Abbreviations: CF, CareFlight; J-START, JumpSTART (Simple Triage and Rapid Treatment); NA, no algorithm; PTT, Pediatric Triage Tape; SALT, Sort, Assess, Life-saving interventions, Treatment/Transport; STM, Sacco Triage Method. Sort, Assess, Lifesaving Interventions, Treat/Transport . SALT Triage. Lead Service Center Technician United States, Michigan, Madison Heights. The guideline, entitled SALT (sort, assess, life-saving interventions, treatment and/or transport) triage, was developed based on the best available science and consensus opinion. JumpSTART objectives: 1. Use JumpSTART for infants through older children 3. Triage Treatment Transport Immediate Delayed Minimal Expectant Disaster Triage Systems MASS  Move, Assess, Sort, Send ESI  Emergency Severity Index SALT  Sort, Assess, Lifesaving Interventions, Treatment/Transport START/JumpSTART Disaster Triage Systems MASS ESI SALT START/JumpSTART Initially, its a good idea to ask the practice staff to conduct some research on examples of different triage procedures. Academia.edu uses cookies to personalize content, tailor ads and improve the user experience. Step 1: Sort: Global Sorting Step 2 - Assess: Individual Assessment Lifesav.ng Interventions: Contro major hemorrhage Open airway (if ch"ld consider 2 rescue breaths) Chest decompression Auto injector antidotes Walk SALT Mass Casualty Triage Step One Sort: Global ndSorting Walk Assess 3rd Wave/Purposeful Movement Assess 2 Still/Obvious Life Threat Assess st1 Step Two  Assess: Individual Assessment LSI* Control major hemorrhage Open airway (if child, consider 2 rescue breaths) Chest decompression Auto injector antidotes Breathing? Define TRIAGE and explain when it is appropriate for use. Identify . The SALT Triage System is the only triage method which currently meets the Model Uniform Core Criteria. Conclusions The SALT mass casualty triage system can be applied quickly in the field and appears to be safe, as measured by a low undertriage rate.  etcd Emeritus Maintainers. A large organization or city can spend millions on a few events 1 to 2 times per year. 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