(CDC) sponsored Terrorism Injuries: Information Dissemination
and Exchange (TIIDE) project to develop a national guideline for
mass casualty triage. The result was a 2008 proposed guideline,
entitled SALT (sort, assess, life-saving interventions, treatment and/
or transport) triage.
SALT was developed based on the best available science and
consensus opinion. It incorporates aspects from all of the existing
triage systems to create a single overarching guide for unifying the
mass casualty triage process across the U.S. Attention was focused
on international communities that experience frequent MCIs and
have well-developed EMS response practices.
Implementation of SALT hasn’t been rapid. Lerner, Coule and
Schwartz described the journey since the 2008 paper was published. Part of the CDC TIIDE work included a list of essential
elements for a mass casualty triage system.
The result of this effort is the 2011 Model Uniform Core
Criteria (MUCC) that is the proposed national standard for all
mass casualty triage systems. NAEMSP obtained support and
buy-in from most of the medical and EMS organizations. In
the presentation, the absence of MUCC support from fire
department organizations was noted. The issues in replacing
thousands of Simple Triage and Rapid Treatment triage tags was
In January, the National Disaster Life Support Foundation
offered free training on SALT triage. This online training program
consists of a 22-minute video, links to articles on SALT mass casualty triage and a downloadable presentation for teaching SALT.
The program offers a five-question quiz that will result in a
certificate after successful completion.
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QUICK TAKE NEW NATIONAL REGISTRY DIRECTOR TAKES REINS The National Registry of Emergency Medical Technicians (NREMT) Board of Directors announced the selection of Severo (Tré) Rodriguez, III, MS, AEMCA, NREMT-P, as the new executive director. A reception welcoming Rodriguez was held at the NAEMSP conference in January. Rodriguez will replace William E. Brown, Jr., as executive director. The selection was made after a 14-month national search process, led by immediate past chairman, Peter Glaeser. The search committee included NREMT board members, staff and legal counsel. On behalf of the board, Chairman Tommy Loyacono said in a statement, “The board of directors is excited about Tré’s appointment as our next execu- tive director. He has worked in EMS for his entire life as a clinical provider, edu- cator and administrator. He has a unique combination of knowledge and life xperiences that we believe make him an ideal person to work with our national partners and lead the National Registry to the next level.” Rodriguez is a Texas native and was certified as a paramedic in the state in 1993 and nationally in 1994. He has extensive experience in EMS education in Texas, Florida and Ontario, Canada. He’s currently completing his doctoral studies in learning management.
More NREMT updates: NREMT.org