First assessment | Second assessment | Third assessment | Fourth assessment | Fifth assessment | Sixth assessment | Seventh assessment | |
MPTT-24 | Catastrophic haemorrhage? | Walking? | Breathing? | Responds to voice? | Respiratory rate? | Heart rate? | |
NARU Sieve | Catastrophic haemorrhage? | Presence of injuries? | Walking? | Breathing with open airway? | Unconscious? | Respiratory rate? | Heart rate? |
Triage Sort |
Calculate GCS Score 4 points GCS 13–15 3 points GCS 9–12 2 points GCS 6–8 1 point GCS 4–5 0 points GCS 3 |
Calculate RR Score 4 points RR 10–29 3 points RR>30 2 points RR 6–9 1 point RR 1–5 0 point RR 0 |
Calculate SBP Score 4 points SBP>90 3 points SBP 76–89 2 points SBP 50–75 1 point SBP 1–49 0 point SBP 0 |
Overall Score and assign priority (GCS+RR + SBP) P3=12 points P2=11 points P1=≤10 points |
GCS, Glasgow Coma Scale; MPTT-24, Modified Physiological Triage Tool-24, NARU, National Ambulance Resilience Unit; P1, priority 1; P2, priority 2; P3, priority 3; RR, respiratory rate; SBP, systolic blood pressure.