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Major Incident Triage Tool selection — DIPIMC MCQ

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ModerateMajor Incident ManagementMajor Incident Triage Tool selectionDIPIMCDipIMC

At an evolving major incident, the first crews have used the Ten Second Triage tool to sort casualties rapidly. A clinical team now arrives to carry out a more detailed, physiology-based triage of the same casualties. Which tool is designed for this second, clinician-led step?

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Correct answer: C — The Major Incident Triage Tool (MITT)

The Major Incident Triage Tool is the clinician-led, physiology-based tool used after the rapid Ten Second Triage to refine casualty prioritisation, and it has both adult and paediatric versions. The Triage Sieve, Triage Sort and paediatric triage tape have been retired from NHS practice. Simply repeating the Ten Second Triage does not add the physiological detail intended at this stage. Pearl: the Ten Second Triage gives a fast first sort, and the MITT provides the more detailed clinical assessment that follows.

Reference: NHS England Major Incident Triage Tools (MITT)