What do you think – stop all severe bleeding before any additional patient triage?
I think we will soon see a paradigm shift in active shooter response and patient triage systems- Stop all bleeding first BEFORE you start triage.
START, SORT, SALT, etc are all going to be a thing of the past soon. #EMS #ActiveShooter #StopTheBleed #triage https://t.co/vqbBJh0CkE
— Brandon Morshedi, MD, DPT (@bbmorshedi) November 10, 2018
A mass hemorrhage runner(s) is a pre-triage action to rapidly move through victims to identify only the victims with life-threatening bleeding. Mike Clumpner, who has extensively researched active shooter incidents, described the role and importance of a mass hemorrhage runner in a World Trauma Symposium presentation on Oct. 31, 2018.
“Before you even start triage, send initial EMS crews through patients as a ‘mass hemorrhage runner’ to find the patients who might be bleeding out. [Triage doesn’t begin] until the runner confirms there is no one bleeding to death,” he advised.
Read more at EMS1.com: Rapid Response: Active shooter response command decisions are made by first arriving ambulance crews, fire companies and police officers
