North Carolina EMT State Practice Exam

What is the final step in the START Triage process?

1. Check respirations

2. Assess the patient's mental status

3. Check for blood loss

4. Observe for consciousness

The correct answer is: Assess the patient's mental status

In the START Triage process, the final step is to assess the patient's mental status. This step is crucial because it helps triage personnel determine the patient's ability to follow commands and respond appropriately, which is a key indicator of their neurological status and overall stability. Evaluating mental status provides important information about potential life threats that may not be visible through physical assessments alone. The assessment starts with checking the patient's primary vital signs and airway, followed by evaluating their breathing and circulatory status. By the time mental status is assessed, the triage responder already has a good understanding of the patient's physical condition. In emergencies, a patient’s mental status can rapidly change, making it vital for responders to identify those who may need immediate transport to a medical facility based on their cognitive response. This prioritization ensures that those in the most critical condition can receive timely medical intervention.