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Triage Class 2 (MASCAL)
Unable to manage the number of critical patients
a. Numerous casualties or MASCAL (i.e. <100 Casualties) SECTION 1
b. Threat has been controlled or partially controlled
c. Resources are very limited
d. Medical personnel can arrive (may be delayed >1 hour)
e. Evacuation is possible (may be delayed >1 hour)
Table 23 Triage Class 2 Actions and Goals
<1 Hour After Injury 1–4 Hours After Injury >4 Hours After Injury
Goals Goals Goals
• Eliminate threat • Evacuate urgent and priority • Evacuate remainder of
• Get medical personnel on patients patients
scene • DCR/DCS as soon as
• Begin evacuation of urgent possible
but survivable patients
Actions Actions Actions
• Stop external bleed • Formal triage • Re-triage
• Clear airway • MARCH PAWS if able • Complete MARCH PAWS
• Reserve intubation/ • Transfuse • Use prolonged care to
transfusion • Establish CCP optimize outcomes
• CCP if able, otherwise get • Utilize minimals/returns to • Wound/fracture management
a count duty
78 SECTION 1 TACTICAL TRAUMA PROTOCOLS (TTPs) ATP-P Handbook 11th Edition 79
