START Triage Sebagai Istrumen Penanganan Korban dalam Setting Bencana

  • Bayu Laksono institut teknologi sains dan kesehatan RS dr Soepraoen
Keywords: Disaster; Triage; START Triage


Unexpected incidents that result in significant loss or destruction are called disasters. In general, this event is closely associated with natural phenomena. Ultimately, though, this is frequently linked to incidents brought about by human intervention that entail drastic lifestyle modifications and significant harm. Since it is vital to allocate comparatively few resources to specific, urgent medical needs, triage is a crucial component of contemporary medical treatment. When a patient's medical demands and the resources that are available are not met in a timely or convenient manner, this task becomes critical. The foundation of Simple Triage and Rapid Treatment (START) is a quick evaluation of mental status, breathing, and perfusion (RPM). This work was written using a literature study methodology.  Reference books (textbooks), scientific journals, and other pertinent sources provide the literature that is used. According to calibration and discrimination data, RPM (STARt triage) is a more reliable indicator of the blunt trauma survival rate than the Trauma Severity Score and the Revised Trauma Score. SALT triage is inferior to START (SMART) triage. On the other hand, employing START triage has been shown to increase time efficiency. It has been scientifically demonstrated that using START triage can result in suitable assessments for disaster management. Through the development of the Mass Casualty Triage Pack (SMART Triage Pack), STRAT triage has been used to enhance its efficacy.


BNPB. (2013). Info bencana. Badan nasional penanggulangan bencana : Indonesia
CHEMM. (2010). START Adult Triage Algorithm. diunduh dari
David C. Conea, John Serrrab and Lisa Kurlandc. (2011). Comparison of the SALT and Smart triage systems using a virtual reality simulator with paramedic students. European Journal of Emergency Medicine 2011, Vol 00 No 00
Department of Health. (2011). Policy Directive : Mass Casualty Triage Pack - SMART Triage Pack. Department of Health North Sydney
Depkes. (2011). Petunjuk teknis penanggulangan krisis kesehatan akibat bencana. Depkes RI: Jakarta
Guha-Sapir, Debby ., Vos,Femke., Regina, Ponserre, Sylvain., (2011). Annual Disaster Statistical Review 2011 The numbers and trends. WHO collaborating Centre for Research on the Epidemiology of Disasters - CRED
Husted, Ernie . (2011). Principles of Triage During A Mass Casualty Incident. EMS training : Utah
Mace, S.E. and Mayer, T.A. (2008), TRIAGE, the Practice Environment
Manitoba Health. (2003). Triage. General EMERGENCY TREATMENT GUIDELINES G4
Sacco WJ, Navin DM, Fiedler KE, Waddell RK 2nd, Long WB, Buckman RF Jr. (2005). Precise formulation and evidence-based application of resource-constrained triage.Acad Emerg Med. 2005 Aug;12(8):759-70.
Sarwidi. (2012). Penanggulangan bencana gunung merapi berdasarkan system penanggulanan bencana nasional. Yogyakarta. DPPM & MTA UII
Songer, Thomas . (1998). Disaster Epidemiology - Introduction. University of Pitsburg
Tracy Edwards. (2011). How Rapid Assessment At Triage Can Improve Care Outcomes. EMERGENCY NURSE, October 2011 | Volume 19 | Number 6
Wisner, B.; Adams, J., ed. (2002). Environmental health in emergencies and disasters: A practical guide. Geneva: World Health Organitation.
How to Cite
Laksono, B. (2024). START Triage Sebagai Istrumen Penanganan Korban dalam Setting Bencana . Nursing Information Journal, 3(2), 69-78.