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s 15th World Congress on Disaster and Emergency Medicine s71 Putting Triage Theory into Practice at the Scene of Multiple Casualty Vehicular Accidents: The Reality of Multiple Casualty Triage / RanseP P. ArbonP K. Zeitz, H. Wren; K. Driscoll; R. Elliott 1. Flinders University, Adelaide, Australia 2. Research Centre for Nursing Practice, Canberra, Australia 3. St. John Ambulance Australia, Canberra, Australia 5. Australian Capital Territory Ambulance Service, Canberra, Australia 6. South Australia Ambulance Service, Adelaide, Australia Research Funding: This project was funded by a research grant from the NRMA-ACT Road Safety Trust. Objectives: The aim of this research project was to investigate the experiences of ambulance paramedics in applying the principles and protocols of prehospital, multiple casualty triage at the scene of a motor vehicle accident. Key objectives included the investigation of situational cues and other contextual factors influencing triage practice and the development of recommendations for the future education of ambulance paramedicsinvolved with the practice of multiple casualty triage. Methods: A triangulated approach was used incorporating demographic data, focus groups, and in-depth interviews. Two focus groups canvassed the issues and concerns of the participants in applying multiple casualty triage principles to motor vehicle accident situations. Additionally, focus groups assisted in creating an interview schedule for indepth interviews. The in-depth interviews were conducted with five participants involved in the earlier focus group discussion, and reflected on their experiences in a detailed way. A thematic analysis of the interviews was conducted using well-established research practices of human science research. Conclusions: Described in this research is an extended and broadened interpretation of the triage process returning to a more authentic definition of triage: the process of the sorting of casualties to determine priority. There is a need to consider triage as an extended and complex process that incorporates evidence-based physiological cues to assist decision-making and the management of the process of triage from call-out to conclusion, including assessment of contextual and situational variables.