TRIAGE IT START · MCI TRAINING
SIMPLE TRIAGE & RAPID TREATMENT

SORT THE
CHAOS.

Mass-casualty triage training, drilled the way it works: read the patient, read the RPM, pick a tag, beat the clock. Built for first responders.

v0.2 · TRAINING TOOL · NOT A PROTOCOL
© 2026 FIRE FUELED EDUCATION LLC · ALL RIGHTS RESERVED

ROUND TYPE

DECK SIZE

CUSTOM

DIFFICULTY

REQUIRED YOUR CALL SIGN

CHOOSE

LOBBY CODE

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PLAYERS

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DISPATCH DASHBOARD
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DECISION SPEED · PER-CARD TIMER
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CASE FILE
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RESPIRATIONS
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PERFUSION
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MENTAL STATUS
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CORRECT
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AFTER-ACTION REPORT
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BY CATEGORY

☠
EXPERT MODE · TERMINATED
YOU FORGOT TO DO A 360
Walked into the structure without a size-up. The roof gave first.
CARDS CLEARED: 0
MASS-CASUALTY DRILL

GAME
MODE.

Four sub-modes. Each tests a different layer of triage skill — reading, prioritization, decision-making under pressure, and recall under chaos.

ROUND TYPE

DRILL LENGTH

APPLIES TO ALL SUB-MODES · CHAOS ALSO ENDS ON FIRST WRONG TAG.

DIFFICULTY

Pick a difficulty to see what it tests.

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FIRST UNIT TAGGED: YELLOW
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MCI · AFTER-ACTION REPORT
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DEBRIEF · TOP MISTAKES

FIELD
MANUAL
START TRIAGE · QUICK REFERENCE
01

The Tags

IMMEDIATE
Reversible life-threat. Needs care now.
DELAYED
Significant injury. Can wait.
MINOR
Walking wounded.
DECEASED
Apneic after airway repositioning.
02

The Algorithm

Three vitals: Respirations, Perfusion, Mental status. Check them in order. Stop at the first criterion that triggers a tag.

01
Patient is walking?
YES MINOR NO ↓
02
No respirations after head-tilt?
YES DECEASED Breathing returns IMMEDIATE
03
Respirations > 30/min?
YES IMMEDIATE NO ↓
04
Perfusion: no radial pulse, or cap refill > 2s?
YES IMMEDIATE NO ↓
05
Mental status: can't follow commands?
YES IMMEDIATE NO ↓
06
Otherwise
DELAYED
REMEMBER · RPM
Respirations
> 30
Perfusion
> 2 sec
Mental Status
Can Do?
SORT, DON'T TREAT
The only on-scene treatments allowed during START are airway repositioning and direct-pressure hemorrhage control. Everything else waits for transport. Tag and move.
03

Modes

Four ways to drill. Pick what you want to practice — calm reps, real-time pressure, group teaching, or competition.

▤
TRAINING
Self-paced. Read the patient, pick a tag, learn from each verdict. Optional ⚠ Hard ☠ Expert toggles tighten the deck.
⌖
GAME MODE
Pressure drills. Choose Chaos (multi-patient scene with deterioration), Fog of War (tag from memory), or Treatment Area (retriage patients already tagged by a first unit).
◈
MULTIPLAYER
Host a lobby; players join from their phones with a code. Head-to-head or team play. Top 3 take gold, silver, bronze; streaks persist across rounds.
◉
CLASSROOM
Host from a laptop, students join from phones. Live dashboard while they play; post-round leaderboard with a click-to-review of the cards your class missed most.
SCORING
Every mode ranks the same way — correct count first, fastest total time as the tiebreaker. Speed without accuracy doesn't win.
04

Disclaimer

TRAINING TOOL · NOT A PROTOCOL
A drill cannot replace certified MCI instruction. Use this app as one piece of your training — not a substitute for your agency's standing orders or in-person teaching.