In the START triage system, which step assesses mental status by asking questions to determine if the patient can answer?

• A. Respirations
• B. Perfusion
• C. Mental Status
• D. Triage color

Answer: (C)

The mental status check in START uses a quick neurologic screen by asking simple questions or giving commands to see if the patient can answer and follow directions. This step is all about whether the person is responsive and can cognitively engage, which reflects brain function and overall urgency. If they can respond to basic questions or commands, you continue assessing them for triage color based on respirations and perfusion; if they cannot answer or follow commands, they are categorized as needing immediate care. Respirations and perfusion are separate checks that come before or alongside this mental status screen, while the triage color is the resulting category, not the act of assessing mental status itself.