MCI Triage Application

Patient Dashboard

Sheet ID:

Triage Form

Triage ID

Name / Alias

Age

Sex

Injuries

Initial Treatment

Voice Memo Note

Final Triage Level

RED YELLOW GREEN BLACK

Treatment Zone

Patient Triage ID

Vital Signs & RTS Calculation

BP (Systolic)

BP (Diastolic)

HR

RR

GCS (E)

GCS (V)

GCS (M)

DTX

-

Injuries (Additional)

Treatment (Additional)

Upload Photos (max 5)

Voice Memo Note

Update Triage Level

Transport Zone

Patient Triage ID

Ambulance / Vehicle No.

Destination Hospital

Vital Signs & RTS Calculation

BP (Systolic)

BP (Diastolic)

HR

RR

GCS (E)

GCS (V)

GCS (M)

DTX

-

Injuries (Transport Stage)

Treatment (Transport Stage)

Voice Memo Note

Update Triage Level

Ambulance Record

Patient Triage ID

Vital Signs During Transport

Before Transport

BP

HR

RR

GCS-E

GCS-V

GCS-M

DTX

During Transport

BP

HR

RR

GCS-E

GCS-V

GCS-M

DTX

At Destination

BP

HR

RR

GCS-E

GCS-V

GCS-M

DTX

Final Vital Signs & RTS Calculation

BP (Systolic)

BP (Diastolic)

HR

RR

GCS (E)

GCS (V)

GCS (M)

DTX

-

Injuries (Ambulance Stage)

Treatment (Ambulance Stage)

Voice Memo Note

Update Triage Level

Commander's Monitor

Live Syncing

Overall Evacuation Progress (Ambulance stage) 0%

Total Patients

0

Red

0

Yellow

0

Green

0

Black

0

Active Transport & Dispatched Ambulances

Patient ID	Name/Alias	Triage Level	Ambulance No.	Destination	Evacuation Status

MCI Triage

Patient Dashboard

Triage Form

JumpSTART Triage Assessment

Injuries

Initial Treatment

Voice Memo Note

Treatment Zone

Vital Signs & RTS Calculation

Injuries (Additional)

Treatment (Additional)

Voice Memo Note

Transport Zone

Vital Signs & RTS Calculation

Injuries (Transport Stage)

Treatment (Transport Stage)

Voice Memo Note

Ambulance Record

Vital Signs During Transport

Final Vital Signs & RTS Calculation

Injuries (Ambulance Stage)

Treatment (Ambulance Stage)

Voice Memo Note

Commander's Monitor

Total Patients

Red

Yellow

Green

Black

Active Transport & Dispatched Ambulances

Patient Count by Triage Level

Patient Location by Zone

Patient Dashboard

Triage Form

JumpSTART Triage Assessment

Injuries

Initial Treatment

Voice Memo Note

Treatment Zone

Vital Signs & RTS Calculation

Injuries (Additional)

Treatment (Additional)

Voice Memo Note

Transport Zone

Vital Signs & RTS Calculation

Injuries (Transport Stage)

Treatment (Transport Stage)

Voice Memo Note

Ambulance Record

Vital Signs During Transport

Final Vital Signs & RTS Calculation

Injuries (Ambulance Stage)

Treatment (Ambulance Stage)

Voice Memo Note

Commander's Monitor

Total Patients

Red

Yellow

Green

Black

Active Transport & Dispatched Ambulances

Patient Count by Triage Level

Patient Location by Zone

Patient Data QR Transfer

Scan Patient QR Code

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