START-A (Simple Triage, Rapid Treatment and Analgesia) in Mass Casualty Incidents

Abstract

Comment on "Time to reconsider analgesia in mass casualty incidents." Wilderness Environ Med. 2024. 2. Valence T de, Suppan L. Time to reconsider analgesia in mass casualty incidents.

Enhancing prehospital analgesia: addressing methodological concerns and proposing the START-A mnemonic

“…At this point, we would like to suggest the “START-A” mnemonic that we developed for use in field triage for analgesia [ 3 ]. START-A offers simple and easy-to-remember steps to ensure rapid and effective analgesic treatment.…”

Prehospital procedural sedation and analgesia agent selection: propofol, etomidate, ketamine

“…Reflecting these guidelines, we have recently advocated for the inclusion of the START-A mnemonic into the Simple Triage and Rapid Treatment (START) protocol during mass casualty incidents to underscore the implementation of analgesia concurrently with triage. This proposal has garnered significant interest [3]. In disaster scenarios, where management of mass traumas is essential, early pain management similarly becomes a critical focus.…”