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Worksheets

Triage Practice

Total questions: 26

Worksheet time: 17mins

Name
Class
Date
1.

35 y/o female with large laceration on forehead.

Resp. = 25 Cap refill < 2sec

Follows commands and walks to treatment area

a)

Deceased (black)

b)

Minor (green)

c)

Delayed (yellow)

d)

Immediate (red)

2.

67y/o male with sub- sternal chest pain

Resp. = 28 Pulse is present

Follows commands but remains seated

a)

Deceased (black)

b)

Minor (green)

c)

Delayed (yellow)

d)

Immediate (red)

3.

5y/o female with no sign of injury

Resp. = 0 Cap refill > 2sec.

Fails to follow commands

a)

Deceased (black)

b)

Minor (green)

c)

Delayed (yellow)

d)

Immediate (red)

4.

45y/o male with open fracture of the arm

Resp. = 28 Pulse is present

Follows commands but remains seated

a)

Deceased (black)

b)

Minor (green)

c)

Delayed (yellow)

d)

Immediate (red)

5.

25y/o female 8 mo. Pregnant and in active labor.

Resp. = 28 Cap refill < 2sec.

Follows commands

a)

deceased (black)

b)

Minor (green)

c)

delayed (yellow)

d)

Immediate (red)

6.

18y/o male unable to move arms or legs

Resp. = 18 Pulse is present

Conscious

a)

deceased (black)

b)

Minor (green)

c)

Delayed (yellow)

d)

Immergent (red)

7.

15y/o female with small laceration on forehead

Resp. = 25 pulse < 2sec.

Follows commands and walks to treatment area

a)

deceased (black)

b)

minor (green)

c)

delayed (yellow)

d)

Immediate (red)

8.

57y/o male no sign of injury

Resp. = 18 Pulse is present

Fails to follow commands

a)

deceased (black)

b)

minor (green)

c)

delayed (yellow)

d)

Immediate (red)

9.

33y/o female with severe back pain

Resp. = 31 Cap refill > 2sec.

Follows commands

a)

deceased (black)

b)

minor (green)

c)

delayed (yellow)

d)

Immediate (red)

10.

24 y/o female broken left arm.

Resp = 30 Radial Pulse Absent

Conscious

a)

Deceased (black)

b)

Minor (green)

c)

Delayed (yellow)

d)

Immediate (red)

11.

44y/o male broken left forearm

Resp. = 0 Pulse is present

Unconscious

a)

Deceased (black)

b)

Minor (green)

c)

Delayed (yellow)

d)

Immediate (red)

12.

57 y/o male. Chest Pain.

Resp = 20 Cap refill < 2

Conscious

a)

Deceased (black

b)

Minor (green)

c)

Delayed (yellow)

d)

Immediate (red)

13.

29 y/o female. 90 degree burn.

Resp = 0 Radial Pulse present

Unconsious

a)

Deceased (black)

b)

Minor (green)

c)

Delayed (yellow)

d)

Immediate (red)

14.

50 y/o male with head wound.

Conscious

Cap refill < 2 Resp = 30

a)

Deceased (black)

b)

Minor (green)

c)

Delayed (yelloe)

d)

Immediate (red)

15.

27 y/o female with dislocated right shoulder.

Resp = 22 Cap refill = 2

Conscious, able to follow directions

a)

Deceased (black)

b)

Minor (green)

c)

Delayed (yellow)

d)

Immediate (red)

16.

32 y/o female with scalp wound estimated blood loss 500cc

.Resp > 30 Capillary refill < 2 sec

Awake

a)

Deceased (black)

b)

Minor (green)

c)

Delayed (yellow)

d)

Immediate (red)

17.

57 y/o male with Large head wound and brain matter showing.

Resp. = 0 Pulse is absent

Unconscious

a)

Deceased (black)

b)

Minor (green)

c)

Delayed (yellow)

d)

Immediate (red)

18.

14 y/o Bruise on forehead, blood in ears and nose.

Resp. < 30 Radial Pulse present

Unconscious

a)

Deceased (black)

b)

Minor (green)

c)

Delayed (yellow)

d)

Immediate (red)

19.

33 yo male with 3rd degree burns over front of both legs.

Resp = < 29 per minute Cap refill < 2 sec.

Awake

a)

Deceased (black)

b)

Minor (green)

c)

Delayed (yellow)

d)

Immediate (red)

20.

42 yo female with fracture of left arm

Resp = 26 .Radial Pulse present

Awake

a)

Deceased (black)

b)

Minor (green)

c)

Delayed (yellow)

d)

Immediate (red)

21.

19 yo male with impaled stick in right leg

Resp < 30 Cap refill < 2 sec.

Awake

a)

Deceased (black)

b)

Minor (green)

c)

Delayed (yellow)

d)

Immediate (red)

22.

30 yo male with 2nd degree burns to legs

Resp > 30 Radial pulse present

Awake

a)

Deceased (black)

b)

Minor (green)

c)

Delayed (yellow)

d)

Immediate (red)

23.

24 yo female: unable to move, no verbal response

.RESP < 30 Cap refill < 2 sec.

Awake and Starring.

a)

Deceased (black)

b)

Minor (green)

c)

Delayed (yellow)

d)

Immediate (red)

24.

23 yo male with no apparent injuries

RESP < 30 Radial pulse present

Awake, can walk.

a)

Deceased (black)

b)

Minor (green)

c)

Delayed (yellow)

d)

Immediate (red)

25.

28 yo Male saying same words over and over, "What Happened"?

RESP < 30 Cap refill > 2 sec.

Awake

a)

Deceased (black)

b)

Minor (green)

c)

Delayed (yellow)

d)

Immediate (red)

26.

23 yo male with no apparent injuries

RESP < 30 Radial pulse present

Awake, can walk

a)

Deceased (black)

b)

Minor (green)

c)

Delayed (yellow)

d)

Immediate (red)