Mass casualty triage is a critical skill. Although many systems exist to guide providers in making triage decisions, there is little scientific evidence available to demonstrate that any of the available systems have been validated. Furthermore, in the United States there is little consistency from one jurisdiction to the next in the application of mass casualty triage methodology. There are no nationally standardized categories or color designations. SALT Triage is the product of a CDC Sponsored working group to propose a standardized triage method. The guideline, entitled SALT (sort, assess, life-saving interventions, treatment and/or transport) triage, was developed based on the best available science and consensus opinion. It incorporates aspects from all of the existing triage systems to create a single overarching guide for unifying the mass casualty triage process across the United States. SALT is compliant with the Model Uniform Core Criteria for Mass Casualty Triage currently contemplated as the proposed national standard for all mass casualty triage systems.
On July 8, 2013 all of the members of Federal Interagency Committee on EMS (members: DOT, DOD, HHS, DHS, and FCC) concurred with the following statement “The FICEMS recommends that state and local Emergency Medical Services (EMS) systems improve their mass casualty incident triage capabilities through adoption of triage protocols and systems that are based on the Model Uniform Core Criteria. Federal resources may be used to support development of capabilities which improve EMS system preparedness for mass casualty triage.”
The full text of their implementation plan is available at (this also includes a list of the members of FICEMS):
This on-line training program consist of a 22 minute video, links to articles on SALT Mass Casualty Triage and a downloadable powerpoint set for teaching SALT Triage to others. The program has a short 5 question quiz that upon successful completion will result in a certificate of completion.
There are two course versions that are identical, the only difference is the type of completion certicate that is awarded. One without CME (Free) and one with a CME certificate ($5 US). The free version contains the contact hour information on the certificate sufficient to claim credit for many professional organizations / licenses. The CME certificate program has specific language needed for the awarding of CME Credit and is typically used by Physicians and PAs. In some cases, profession organizations will exchange a CME certificate for CEUs without any additional approval process.
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