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Semantic AudiovisuaL Entertainment
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Triage Simulator

Game Summary

“Triage Simulator” is a high fidelity serious game designed to teach and reinforce the process of the triage sieve that should be used as a primary assessment in any mass casualty situation.
What is Triage?
The purpose of the triage sieve is to quickly assess the priority of each casualty involved so that those with the most life-threatening injuries are treated first and those that are less serious have their treatment delayed until sufficient resources are available.
Four categories are available by which to tag the casualties, depending on priority. These are:
  • P1 – Immediate. These casualties are in a critical condition and will die without immediate assistance.
  • P2 – Urgent. These casualties may have serious injuries. However, their condition is not immediately life threatening and treatment can wait until after all the P1 casualties have been seen.
  • P3 – Delayed. These casualties include the walking wounded and those that were involved in the incident but appear to be uninjured. Their treatment can be delayed until all the P1 and P2 casualties have been seen and, in a large incident, they may be instructed to make their own way to designated walk-in clinics.
  • P4 – Dead. These casualties are beyond medical aid. They are not breathing, even after manual opening of the airway and any attempt to save them will be detrimental to the health of the other casualties.
The triage process is extremely simple and casualties can be unequivocally assigned to one of the four categories based on basic physiology. The following chart shows the adult protocol that uses a pulse rate check. A similar protocol can also be used that has a capillary refill check instead of the pulse rate. Using capillary refill instead of pulse rate has the benefit of being faster but the drawbacks of being less accurate, dependant on temperature and difficult to assess in the dark.

The Role of the Player

In “Triage Simulator”, it is the player’s task to correctly label each casualty with the appropriate priority in the minimum time. An easy and intuitive control system allows players to move effortlessly between casualties, perform the required checks and actions and tag each casualty with a triage label.
Once all casualties have been labelled, the player is given in-depth feedback on their performance and a score is awarded based on how well they followed the flowchart, whether the correct decisions were made and how long the procedure took. In a mass casualty situation, every second counts and wasted time could mean the difference between life and death.


“Triage Simulator” uses cutting-edge gaming technology developed by Blitz Games and will contain the following features:
  • Ultra-realistic 3D human models designed to fully immerse the player. Injuries are shown in full detail, casualties may sweat, their skin pallor may change over time and a full range of emotions will be shown. (Prototype restricted to one model only).
  • Underlying physiological system that allows casualties to change and deteriorate over time, depending on injuries. One system governs everything from appearance to mental state.
  • Intuitive control system that lets the player get straight down to triaging without having to worry about how to traverse the terrain or sift through multiple menus.
  • Multiple game environments depicting scenes from typical major incidents. (Prototype restricted to high street explosion environment).
  • Ability to set up and save customised scenarios based on the environment used and types of casualties generated.
  • Choice between Normal and Expert game modes. In Normal Mode, the player is told the results of all checks. For Expert Mode, the player must work out the values for themselves.
  • Time Attack games provide players with endless practice of triaging against the clock in a fun and exciting way.
  • Detailed feedback that lets the player see how well they triaged each casualty, highlights errors and makes suggestions on how to improve performance.
  • Player profile that saves previous results in the form of progress charts. These charts can be easily accessed and viewed to monitor player performance over time.
  • Ability to change the type of triage protocol used to meet the needs of different practices used throughout the world. (Prototype limited to Advanced Life Support Group - ALSG system).

Triage Demo

Links & Downloads


High resolution version of the Triage playthrough video (79 MB, WMV)