During triage at a mass-casualty incident, what is the next step for a responsive patient with 26 breaths/min respiratory rate?

In the context of triage during a mass-casualty incident, assessing for bilateral radial pulses is critical because it provides valuable information about the patient's circulation and overall hemodynamic status. The presence of radial pulses indicates that there is adequate blood flow to the extremities, suggesting that the patient may have an adequate blood pressure and perfusion.

In a situation where a patient is responsive and exhibiting a respiratory rate of 26 breaths per minute, this elevated rate may indicate distress or hypoxia, but it is not necessarily indicative of a life-threatening condition on its own. It makes sense to check the radial pulse next, as this can help determine the priority of care. If the radial pulses are weak or absent, this could indicate more severe issues that need immediate attention.

Identifying whether the patient can follow commands also plays a role in assessing their neurological status, but checking the circulatory status through pulse assessment is a more immediate priority in triage. Administering high-flow oxygen is sometimes necessary for patients with respiratory distress, but triage protocols emphasize evaluating vital signs and circulation first before administering treatment. Triage tags (such as the immediate or red tag) are assigned based on a comprehensive assessment, including circulation, respiratory rate, and the ability