Key Considerations in MASCAL
- Usually, simpler is better.
- Focus on those that will preserve scarce resources, such as blood.
- Triage is a continuous process and should be repeated as often as is clinically and operationally practical.
- Avoid high resource and low yield interventions.
- Emergency airway interventions should prioritize REVERSIBLE pathology in salvageable patients.
- Decisions will depend on available resources and skillsets (i.e. penetrating traumatic brain injury [TBI] triaged differently if no neurosurgery is available in a timely manner or at all in theater).
- Conserve, ration, and redistribute additional scarce resources (i.e. blood, drug).