
MCI Triage Ready
Mass-casualty CBRNE reference
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What's New in MCI Triage Ready
1.1
September 3, 2026
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.
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