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{NEW SECTION FOR APR 2023} United Kingdom
In the UK, a new triage system for major incidents came into force called the Major Incident Triage Tool, a result of a multi-stakeholder review led by the NHS. This introduction of this new triage tool was hastened as a result of the Manchester Arena Inquiry where all ambulance services should introduce the system as a matter of urgency.

Unlike previous systems used in the UK, the MITT does not score patients but rather follows a process and categorises patients based on symptoms (or a lack of).


 *  – patients who are not breathing, even after efforts have been made to open the airway
 *  – Patients who have catastrophic bleeding, fail to respond to voice prompts, aged < 2 years old, have a breathing rate below 12 or above 23, or the patient has a heart rate above 100.
 *  – patients who are unable to walk but are otherwise showing now abnormal or concerning vital signs.
 *  – patients who are able to walk and are showing no abnormal or concerning vital signs

Ten Second Tool
In 2022, the Ten Second Triage Tool was also introduced for all emergency services, including the police and fire service, to allow for a rapid assessment of all causalities. This triage tool is helpful in crisis situations by removing the need to assess physiological vitals and allows for any emergency responder to give an initial triage.


 *  – Patients who have catastrophic bleeding, have a penetrating injury or those who are unconscious
 *  – patients who are unable to walk but are conscious
 *  – patients who are able to walk and are showing no abnormal or concerning vital signs

Other Triage Tools

 * Mental Health Triage
 * Emergency Department Triage
 * 111 Triage

{NEW EDIT FOR ASAP} United Kingdom
In the UK, the commonly used triage system is the Smart Incident Command System, taught on the MIMMS (Major Incident Medical Management (and) Support) training program. The UK Armed Forces use this system on operations. This grades casualties from Priority 1 (needs immediate treatment) to Priority 3 (can wait for delayed treatment). There is an additional Priority 4 (expectant, likely to die even with treatment) but the use of this category requires senior medical authority.

In the UK and Europe, the triage process used is sometimes similar to that of the United States (see below), but the categories are different:


 *  – patients who have a trauma score of 0 to 2 and are beyond help
 *  – patients who have a trauma score of 3 to 10 (RTS) and need immediate attention
 *  – patients who have a trauma score of 10 or 11 and can wait for a short time before transport to definitive medical attention
 *  – patients who have a trauma score of 12 (maximum score) and can be delayed before transport from the scene

From April 2023, the NHS and ambulance services are to adopt the Major Incident Triage Tool, a new triage tool that will be used in mass causality incidents. This tool was a result of large multi-disciplinary review led by the NHS but its implementation became more urgent after the Manchester Arena Inquiry made it a monitored recommendation for the NHS and National Ambulance Resilience Unit to adopt.

{CURRENT SECTION} United Kingdom
In the UK, the commonly used triage system is the Smart Incident Command System, taught on the MIMMS (Major Incident Medical Management (and) Support) training program. The UK Armed Forces use this system on operations. This grades casualties from Priority 1 (needs immediate treatment) to Priority 3 (can wait for delayed treatment). There is an additional Priority 4 (expectant, likely to die even with treatment) but the use of this category requires senior medical authority.

In the UK and Europe, the triage process used is sometimes similar to that of the United States (see below), but the categories are different:


 *  – patients who have a trauma score of 0 to 2 and are beyond help
 *  – patients who have a trauma score of 3 to 10 (RTS) and need immediate attention
 *  – patients who have a trauma score of 10 or 11 and can wait for a short time before transport to definitive medical attention
 *  – patients who have a trauma score of 12 (maximum score) and can be delayed before transport from the scene