JumpSTART Pediatric MCI Triage
JumpSTART Pediatric MCI Triage - a deterministic tool in Sophie Well's EMS & Field Medicine group.
Open the JumpSTART Pediatric MCI Triage → Runs in your browser. No signup, no tracking.
What this is
Walk a pediatric patient (roughly age 1-8, or any child who looks pre-adolescent) through the JumpSTART mass-casualty triage algorithm and return GREEN, YELLOW, RED, or BLACK. JumpSTART is the pediatric companion to START: it preserves START's rapid sort structure but adds the five-rescue-breath rule for the apneic-but-pulsatile child (the pediatric reason for cardiac arrest is hypoxia, not a primary cardiac event, so a brief reversal trial changes the category from BLACK to RED), uses pediatric-appropriate respiratory-rate bands (15-45/min), and substitutes the AVPU scale for adult command-following.
When to use it
Use this in any MCI with pediatric victims - school events, daycare incidents, transportation accidents, and disasters where adult and pediatric victims are mixed. The two rules that catch trainees: (1) any child small enough to be carried out by a single rescuer is JumpSTART, and (2) the rescue-breath check is the only place in field triage where an apneic patient can still be tagged RED rather than BLACK. The category drives transport and care priority during the event; it does not freeze the patient's clinical trajectory and should be reassessed at every contact.
References
Romig LE. JumpSTART pediatric MCI triage tool. CHOC Children's Hospital. Public-domain pediatric variant of START.
Source: START / JumpSTART algorithm reference
Worked example: Minor (green): child can walk.
Sophie Well is a reference and educational tool. Not medical, legal, or financial advice. Does not replace clinician judgment, professional billing review, or legal counsel.