MCI Triage Ready

About this app

MCI Triage Ready is an offline quick-reference decision-support tool for emergency clinicians and prehospital medics responding to suspected mass-casualty Chemical, Biological, Radiological/Nuclear, and Explosive (CBRNE) events. WHAT IT DOES - Zone Setup checklist: hot / warm / cold perimeter, decon corridor, ED lockdown. - START / JumpSTART triage tagger for adults and pediatrics — guided decision tree that begins with massive-hemorrhage control (SALT / TCCC). - Toxidrome Wizard: scores cholinergic, anticholinergic, sympathomimetic, opioid, and sedative-hypnotic patterns from observed signs. - Biological Syndrome Wizard: ranks anthrax, smallpox, plague, botulism, tularemia, VHF, pandemic influenza, viral encephalitis (VEE/EEE/WEE), Nipah, and hantavirus from fever / rash / respiratory / neuro patterns. - Per-agent protocols: signs & symptoms, decontamination steps, PPE, isolation, treatment sequence, antidote dosing (adult + pediatric, route, caveats). - Consolidated Antidote Quick Reference card. SOURCES Every recommendation cites its source inline: CHEMM (HHS Chemical Hazards Emergency Medical Management), REMM (HHS Radiation Emergency Medical Management), CDC Emergency Preparedness, START/JumpSTART triage, U.S. Army FM 4-02.285, and NATO AMedP-7.1. WHAT IT IS NOT - Not a substitute for clinical judgment, Medical Command direction, Poison Control consultation, or Hazmat / Incident Command authority. - Not a substitute for site-specific MCI plans, hospital decon protocols, or local public health guidance. - Not validated for any specific patient or scenario. Dosing must be cross-checked against current local formularies and

The app is now named MCI Triage Ready. Same app, same team, spacing corrected. This release is a full clinical-content audit of the protocol catalog and both triage trees. Twenty-one corrections, every one sourced to the current federal or CDC publication. TRIAGE - START and JumpSTART now separate "breathing spontaneously" from "breathing only after the airway is opened." A patient who breathes only after repositioning correctly terminates RED. Previously that patient could fall through to the respiratory-rate question and end up YELLOW. - START's respiratory criterion is now "greater than 30" alone. The "less than 10" lower bound is a 2021 National Field Triage Guideline criterion, not a START criterion, and has been removed from the prompt and both tag rules. - Added the SALT five-category GRAY (Expectant) tag with its definition, and a note that START and JumpSTART do not assign it. CHEMICAL - CANA is correctly identified as a DIAZEPAM 10 mg autoinjector, not midazolam, with CHEMM's adult and pediatric diazepam schedule. Midazolam is still shown as a defensible substitute. - DuoDote now carries its FDA weight limit: indicated above 41 kg (90 lb); not established at or below that weight. - Nebulized sodium bicarbonate corrected to 4.2%, so the label now matches the 1:1 dilution recipe beside it. - Phosgene observation extended to a minimum of 48 hours, with the 8-hour chest-film discharge criterion. BIOLOGICAL - Anthrax updated to CDC 2023: doxycycline and minocycline are the preferred protein-synthesis inhibitors when meningitis is possible, a 2-dose vaccine series, and obiltoxaximab or raxibacumab as preferred antitoxin. - Plague meningitis: chloramphenicol plus moxifloxacin or levofloxacin. Doxycycline is not a plague-meningitis agent. - Tularemia updated to CDC 2025: doxycycline moved to first-line, streptomycin reserved. - Corrected incubation and case-fatality figures for bubonic plague, smallpox, VEE, EEE and WEE. RADIOLOGICAL AND BLAST - Acute radiation syndrome subsyndrome thresholds corrected to CDC values; filgrastim dosing corrected to 10 mcg/kg/day. - Tympanic membrane rupture is no longer described as a screening sentinel. Isolated TM perforation is not a marker for occult primary blast injury, and a normal TM does not exclude it.

Momentum comes from crawler snapshots for the tracked storefront. “Viral growth signal” means unusually fast recent rating gains; it is an indicator, not download data.

1. First observed Sep 29, 2026 · 7:54 AM $7.99