A 20-minute hurricane mass-casualty drill for fire rescue and EMS crews, in any browser. Twelve patients, one crew, sixty seconds each — every ribbon backed by recorded findings, every RED and YELLOW off the scene. Scored against Miami-Dade Fire Rescue's own procedures, with the debrief built in.
Category Red: Landfall is a computer-based triage drill built for Miami-Dade Fire Rescue. It follows MDFR's Medical Operations Manual — Procedure 34 (Multiple Casualty Incidents) and Procedure 35 (START Triage) — step by step, and scores exactly what those procedures ask for: the first-arriving unit's radio sequence, MCI levels, staging, ribbons rather than tags, 60 seconds per patient, tourniquets and airways during triage and nothing else, REDs loaded first.
The player is the officer on the first Rescue to reach a residential block the morning after a Category 4 hurricane: a house has lost its second floor, neighbors have dragged people into a flooded street, a generator has run all night in a closed garage, and a live service line is down at the east end. The player walks the scene, checks each patient, treats what protocol allows and ties a ribbon. The clock does not stop, patients get worse, and units arrive when they arrive.
Run the first-arriving unit as procedure says, triage twelve patients at protocol tempo with zero under-triage and recorded findings behind every ribbon, then run transport RED-first until every RED and YELLOW has departed.
The loudest patient who is not the sickest. The quiet diabetic who is. The apneic child who lives only if JumpSTART is applied. The walking-wounded nurse with CO exposure who collapses ten minutes in. The body under the debris that is easy to walk past.
Nothing is volunteered: a respiratory rate appears only when the medic checks for it, and the ribbon is theirs to justify. A guided mode that flags RED findings is available for orientation and non-clinical staff.
First radio call to the Post Incident Analysis — the scene, the encounters, the ribbons and the debrief, on the game's real-time incident clock.
Command, MCI level, hazards, then staging and the collection point placed on the map, clear of hazards. In order, inside 90 seconds. The radio sequence is scored as written.
Findings are checked, never volunteered. Tourniquets, airways, adjuncts only. 60 seconds per patient. The first RED finding ends the assessment — keep moving.
The garage opens at T+4. A GREEN goes down between T+8 and T+10 and must be re-triaged. Positions, findings and timing change every run.
A RED takes a whole rescue. YELLOWs ride in pairs, never ahead of a waiting RED. The run ends only when every RED and YELLOW has left.
One ribbon per patient, tied to an upper extremity. When in doubt, go more urgent.
Approach the live line before it is secured and the run ends with a responder down.






A ribbon is credited only when the findings that justify it are on record for that patient. Guessing right is not the same as triaging right — the debrief names the gap when the evidence is missing.
Ability to walk assessed, or seen walking to the collection point.
Respirations, perfusion and mental status all recorded first.
A decisive RED finding on record: RR over 30, failed perfusion, cannot follow commands, or breathing only after the airway is opened.
Respirations checked; still absent after the airway is opened.
JumpSTART: pulse checked before the five rescue breaths; the order is scored.
Every run ends in a Post Incident Analysis: a grade from A to D, eleven pass/fail objectives, a case review per patient — ribbon against protocol, recorded findings, every action with its timestamp, the teaching point — and the radio log. Any case can be re-practiced from the debrief.
Protocol held, tempo and sequence held, every ribbon supported.
Protocol held; tempo or sequence slipped.
A missed critical classification, or unsupported ribbons.
Under-triage, or an uncontrolled bleed.
The report also records whether the run was unassisted — raw findings only, START reference never opened — so an instructor knows what the score was earned with.

A full-scale MCI drill takes a day, a parking lot and dozens of volunteers. This runs on any computer, any time, and no two runs place the patients the same way.
Nothing is volunteered: a respiratory rate appears only when the medic checks for it, and the ribbon is theirs to justify. Guided mode flags RED findings for orientation and non-clinical staff.
Procedures 34 and 35 as written: ribbons not tags, 60 sec per patient, tourniquets during triage, no CPR, MCI level thresholds, REDs straight to transport.
Another department's protocol, a different disaster, local hospitals and unit numbers — the patients and the rules are easy to change.
One file or one link. No accounts, no IT tickets. It works on the training-room laptop as it is.
Grade, eleven objectives, the per-patient case review with timestamps and the radio log appear the moment the run ends — ready for the station-level discussion, or for an instructor's records. Any case can be re-practiced from the debrief.
Hurricane mass-casualty triage the morning after a Category 4. Twelve patients, START/JumpSTART, MDFR Procedures 34 & 35.
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In developmentMulti-vehicle highway pileup in fog: traffic control, scene safety, extrication priority and multi-agency command.
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PlannedYour protocol, your hospitals, your unit numbers, your hazard. The patients and the rules are easy to change — talk to us.
Request a quotePlayable build, trailer and the 14-minute evaluator walkthrough available on request. Tell us about your agency and we will get back to you.