and when you know someone is dead you move on. let's go through the categories. walking wounded and anybody tha follows directions and get up and walk and it's green. d is delayed and anybody that i injured but we don't think it's life-threatening. i is the people that need treatment right now and d is th dead and black and during triag you open an air way and how lon does that take? two seconds and it takes ten seconds to check and bleeding - the only bleeding i want you to treat during triage are arteria bleeding and spurting out and

you could bleed to death in about three minutes and shock and if the person is unconsciou on the chair and how do i treat for shock? lay down and lift the feet and cover you and takes ten -15 seconds and i move on. the categories, black for peopl that are dead and green people that are walking and the only two categories left are red and yellow. this rule here that i'm going t teach you now and i want you to memorize it and this is the rul that is going to determine whether you're red or you're yellow. the rule is 32 can do. i want everybody to say it with me. thirty-two can do. it's a three part rule. thirty, first part and 30 is respiration and it's the amount respirations per minute and if

someone is breathing faster tha 30 times per minutes and it's about a breath every two second and if i breathe like this. that's about faster than 30 right? and if you have a patient breathing 30 seconds and they fail and tag them red and you move on. if someone is breathing normal than you go to the next rule. they pass and if go to the next rule. thirty-two is blood -- also ca called capillary refill and the blarch test and capillary refil and look ata palm of your hand or fingertips and the nail beds are usually pink and if you squeeze and do it on yourself right now and squeeze your finger and it turns right and when you let go the pink return

and i hope everybody in the roo i hope the pink returns in two seconds and if the pink comes back in two seconds you pass an if it takes longer you fail and you tag red and move on to the next patient and we have two rules. thirty and breathing faster and they fail and blarch test faste than two seconds and fail and can do and if someone can follo simple commands. look at me. tell me your name. give me your hand. and if they can follow simple commands they pass. if i say "look at me" and they're not looking at me and "tell me your name" and they don't do anything "give me your hand" and they do something

else they fail and tag them red and to the next patient and thi is the one of the hardest thing to grasp is how to triage and green, anybody that walks and blad and dead an -- dead and bl twice and red if you fail and either of the three parts of th rule. thirty-two can do. we're going to try this right now. okay we will stop here because think we get the point. who are the first patients you came into contact with? and you were tagged yellow.

and you tagged yellow because? >> (inaudible). >> and she was breathing less than third 30? follow commands and tagged yellow and it was tagged corre correctly. what was your deal? >> (inaudible). >> and you tagged her red. >> i caught up in the fact she was bleeding profusely. >> and walking and would you talk her? >> green this is the weird one and i should have gotten to you last and she is green because she is walking. very good. this patient. >> (inaudible). >> very good. >> we tagged red. >> because? >> not responding -- >> very good and tagged red correctly. triage and i hope you guys can

do it and 32 can do and divide the reds and the yellows and th greens are walking wounded and blacks are dead and simple as that and how long should you be with a patient? not more than 15 seconds and ho long does it take to check breathing? and you know right away and couple seconds to ask for a command and 22nds to check this and 15 seconds with a patient at the most and common injuries are brucing bruising, lacerations and sprains and si signs and symptoms that you wil see is pain, di discoloration, e deformity and some of the treatments and you want to see the wounds and see blood and ri open the shirt so you can treat it and you see blood here and

rip the shirt open and the bloo is from somewhere else and i immobilize them and someone has an object and never remove it and it's embedded and if you pull it out you could call caus bleeding and burns and three types and first, second, third degree and first sun burn and second and third is charring an treating burns and remove the heat source and of course it's smoking and cool it off and the cover the person and our skin helps keep our heat in and once we lose the skin and now we are concerned with hypothermia and getting too cold and make sure whatever is burning is not burning anymore and the rules are keep it clean and them them warm and don't forget the air

way, breathing, and shock and whatever you do know your limit and what you are capabilit capa once you are involved with the nert teams and you get to revie the stuff and what you can do and physically you know what yo can do and lift people and mentally is another thing and w will talk about disaster psychology next week and some people say they can't look at blood or some say they can't look at a child screaming and know your limits and don't become a victim yourself.