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  • START Free

    START Free

    8.1 1.2 2025-09-13
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START Free presents a simplified simulation of mass-casualty triage.

START Free helps emergency responders study START: Simple Triage and Rapid Treatment, a procedure for quickly triaging victims in mass-casualty incidents.

START Free presents the trainee with a series of four randomly simulated victims to be triaged and treated.

The START Review app is for classroom and self-study use only, not for field use. In a mass-casualty incident, time is of the essence, and the responder must have practiced the START procedure beforehand so that triage takes less than one minute per victim.

The START procedure was developed by the Newport Beach Fire and Marine Department and Hoag Hospital in Newport Beach, California in 1983. It is currently the most commonly used mass-casualty triage system in the United States.

What's New in the Latest Version 1.2

Last updated on Jan 21, 2016 START 1.2 changes how positioning the airway is done. Instead of sliding in when they are needed, the buttons “Airway 1” and “Airway 2” are visible from the beginning. You must watch the victim’s chest to see if positioning the airway is appropriate. The airway buttons disappear after they are tapped, or when the perfusion or mental buttons are tapped.

START 1.2 also displays a count of victims above the triage tapes so you can see how many you have done and how many there are to go.

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