Triage sieve

Fig. 2.11 The triage sieve. Reprinted with permission from Greaves i, Porter K, Hodgetts T et al. (2006). Emergency care - a textbook for paramedics, 2"" edn. London, WB Saunders.

The normal physiological values used in the adult triage sieve can be used in children but will result in significant over-triage. Substitute values are necessary. Sieves are available for children based either on length (top of head to feet) or weight. 

Fig. 2.12 Triage sieve 1 child 50-80 cm or 3-10 kg. Reprinted with permission from Hodgetts T, Porter C (2002). Major incident management system, 2 edn.

A modified CBRN triage system is shown in Figure 5.6. The Joint Royal Colleges Ambulance Liaison Committee (JRCALC) guidelines also provide a standard triage sieve and sort system applicable for use in CBRN incidents. 

Ahnogy et al describe analysis of their trauma registry to identify independent predictors of BLI penetrating injury to the head and injury to four or more body areas were both predictive. Both of these are easily assessed for in seconds in the primary survey and so provide a rapid sieve for the triaging clinician. 

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