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==== United Kingdom ==== In April 2023, the [[National Health Service|NHS]] and [[Ambulance services in England|ambulance services]] adopted two new triage tools to be used in [[major incident]]s, replacing the NASMeD Triage Sieve.<ref name="Vassallo_2022">{{cite journal | vauthors = Vassallo J, Moran CG, Cowburn P, Smith J | title = New NHS Prehospital Major Incident Triage Tool: from MIMMS to MITT | journal = Emergency Medicine Journal | volume = 39 | issue = 11 | pages = 800β802 | date = November 2022 | pmid = 36244685 | doi = 10.1136/emermed-2022-212569 | pmc = 9613863 }}</ref><ref name=":0">{{Cite web |title=NHS England Β» Major incident triage tools |url=https://www.england.nhs.uk/long-read/major-incident-triage-tools/ |access-date=2023-05-12 |website=www.england.nhs.uk}}</ref> These new tools resulted from a multi-stakeholder review led by the NHS but its implementation became more urgent after the Manchester Arena Inquiry made it a monitored recommendation for the NHS and National Ambulance Resilience Unit to adopt.<ref name="Vassallo_2022" /><ref>{{Cite web |date=November 2022 |title=Report of the Public Inquiry into the Attack on Manchester Arena on 22nd May 2017 - Volume 2-II |url=https://files.manchesterarenainquiry.org.uk/live/uploads/2022/11/03141957/MAI-Volume-2-Part-ii.pdf |access-date=21 February 2023 |website=Manchester Arena Inquiry |vauthors=Saunders J |archive-date=21 February 2023 |archive-url=https://web.archive.org/web/20230221090424/https://files.manchesterarenainquiry.org.uk/live/uploads/2022/11/03141957/MAI-Volume-2-Part-ii.pdf |url-status=dead }}</ref> ===== Ten Second Triage Tool ===== The Ten Second Triage Tool (TST) was introduced as a way for all emergency services, including the police and fire service, to assess and prioritise mass casualties to provide lifesaving intervention.<ref name=":0" /> The tool allows for rapid assessment by removing the need to measure physiological vital signs focusing on what the emergency responder can see.<ref name=":0" /><ref>{{Cite web |title=NHS England Β» Ten Second Triage tool |url=https://www.england.nhs.uk/long-read/ten-second-triage-tool/ |access-date=2023-06-08 |website=www.england.nhs.uk}}</ref> * '''{{legend inline|red|P1}}''' β Patients who have catastrophic bleeding, a penetrating injury or those who are unconscious * '''{{legend inline|Gold|P2}}''' β Patients who are unable to walk but are conscious * '''{{legend inline|Green|P3}}''' β Patients who are able to walk * '''{{legend inline|grey|Not Breathing}}''' β Patients who are not breathing (this replaces the deceased category) ===== NHS Major Incident Triage Tool ===== The Major Incident Triage Tool (MITT) serves as the more advanced triage tool for emergency medial responders to triage casualties.<ref name=":0" /> The tool, derived from the Modified Physiological Triage Tool, can be used on both adults and children, and also includes the assessment of physiological vital signs.<ref name=":0" /><ref>{{Cite web |title=NHS England Β» NHS Major Incident Triage Tool (MITT) |url=https://www.england.nhs.uk/long-read/nhs-major-incident-triage-tool-mitt/ |access-date=2023-06-08 |website=www.england.nhs.uk}}</ref> * '''{{legend inline|red|P1}}''' β Life-threatening injury * '''{{legend inline|Gold|P2}}''' β Unconscious but breathing * '''{{legend inline|Green|P3}}''' β Non-life-threatening injury * '''{{legend inline|black|Dead}}''' β No signs of life or non-survivable injury
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