Page 91 - 2022 Ranger Medic Handbook

Chemical Casualty Triage Table
AGENT URGENT PRIORITY ROUTINE EXPECTANT
NERVE Symptoms in two or Recovering Walking and Loss of vital signs
more organ systems, from moderate/ talking after vapor
i.e., respiratory, GI, severe exposure, exposure, consider
skeletal (seizure asymptomatic liquid miosis or residual
activity) (NOT exposure effects on RTD
including miosis or SECTION 2
rhinorrhea) OR serious
CNS involvement,
unconscious, seizing,
or apneic
VESICANT Acute airway problems Liquid burn greater Liquid burn LESS Severe pulmonary
(coughing, hoarseness, than 1% of BSA than 1% BSA (no edema or clinical
secretions), agent in or critical areas,* critical areas*) signs of respiratory
wounds eye involvement, compromise within
pulmonary 4 hours after
symptoms with exposure
an onset greater
than 4 hours after
exposure
PULMONARY Acute airway problems Onset of symptoms 8 hours since Laryngeal
(coughing, hoarseness, greater than 4 hours exposure with no obstructions or
secretions, wheezing) after exposure signs bronchospasms
and/or severe
pulmonary edema
within 4 hours of
exposure
CYANIDE Serious Recovering from Walking and Coexposure with
cardiopulmonary mild exposure or talking after vapor other toxicants
symptoms (bradypnea post-treatment exposure (pulmonary edema,
or hypotensive), serious miosis, vesicant
CNS involvement, exposure area
unconscious, seizing, of 1% or more),
or apneic signs of anoxic
encephalopathy
NOTE: Triage category will increase for trauma + poisoning.
*critical areas = face, eyes, hands, groin

2022 RANGER MEDIC HANDBOOK 77