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I read with interest the article of Delaney and Drummond1 in the April issue, and found it both useful and informative. However, I must disagree that in mass casualty situations “Most experts agree that START (simple triage and rapid treatment) … is the best strategy”.
This recommendation should only be made if the system is the easiest to use for the people undertaking the triage process, or is the most accurate at triaging patients.
Three triage systems are currently in common use in the developed world: START, Careflight, and the Triage Sieve and Sort.
START was devised in the mid 1990s in the United States, and has since been modified. It bases triage around walking, breathing, …