RideAlong: EMT School

Youre a Catastrophe Part 1 (Primary Triage)


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In this episode, Mike, Max, and Jonathan kick off the first half of their MCI and ICS discussion, focusing on primary triage. After a brief note about technical difficulties that cut the episode short, the crew explores what makes a mass-casualty incident so overwhelming, how incident command helps organize chaos, and why triage is one of the most important skills EMS providers need when resources are limited.

The Medical Term of the Week is primary triage, including how patients are sorted during an MCI, what the red/yellow/green/black categories mean, and the difference between START and SALT triage. The episode also touches on scene organization, casualty collection points, lifesaving interventions, and how different systems may use different triage methods depending on local protocol.

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Episode Breakdown

00:00 – Intro

00:30 – A note from Mike about the shortened episode

01:18 – Welcome to Episode 46: You’re a Catastrophe

02:37 – MCI and ICS overview

05:26 – SAM Medical shoutout

07:49 – EMS updates and staying sharp

11:34 – EMS 20/20, mental rehearsal, and avoiding burnout

17:28 – Getting into incident command and MCI

18:20 – Why MCI and ICS are linked

20:43 – The origins and scalability of ICS

24:38 – Medical Term of the Week: Primary Triage

25:19 – What triage means and why it matters

27:21 – Triage priority categories: red, yellow, green, and black

30:23 – Triage tags and reassessment

33:37 – START triage explained

36:32 – RPM: respirations, perfusion, mental status

41:10 – SALT triage explained

45:28 – Lifesaving interventions during triage

48:00 – START vs. SALT in practice

49:36 – MARCH assessments and active threat considerations

52:29 – Closing note and preview of Part 2

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⚠️ Disclaimer: This podcast is for educational and storytelling purposes only. It is not medical advice or official EMT training. Always follow your accredited instructors and local protocols.

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🚑 RideAlong: EMT School Links

https://www.RideAlongEMTSchool.com

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RideAlong: EMT SchoolBy Mike Fiore | Max Lizana | Jonathon Aldridge