Page 90 - ATP-P 11th Ed

Triage Class 3 (Ultra-MASCAL)

SECTION 1 Absolutely overwhelming number of casualties
a. Ultra-MASCAL (i.e. >100, possibly thousands of casualties)
b. Threat is ongoing
c. Resources are severely limited
d. Medical personnel unable to arrive in <1 Hour
e. Evacuation not possible in <1 Hour

Table 24 Triage Class 3 Actions and Goals
<1 Hour After Injury 1–4 Hours After Injury >4 Hours After Injury
Goals Goals Goals
• Respond to threat • Eliminate threat • Evacuate
• Self-aide, buddy care • Get medical personnel on • Distribute patients
• Separate ambulatory/ scene
non-ambulatory • Begin evacuation
Actions Actions Actions
• Stop external bleed • Stop external bleed • Formal triage
• Clear airway • Reserve intubation/ • Use prolonged care to
• Reverse intubation/ transfusion optimize outcomes
transfusion • Begin to establish CCPs • Wound/fracture management
• Get a count • Utilize minimals/return to • Utilize minimals/return to
Duty duty

MASCAL/Austere Team Resuscitation Record
Open the attachment on the side menu or open the below link to print or fill out electronically.
https://jts.amedd.army.mil/assets/docs/forms/MASCAL_Austere_Trauma_20_Jan_2020.pdf
Instructions: https://jts.amedd.army.mil/assets/docs/forms/MASCAL_Form_Instructions.pdf

80 SECTION 1 TACTICAL TRAUMA PROTOCOLS (TTPs) ATP-P Handbook 11th Edition 81