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The previous approach to major incident triage, known as sieve and sort, relied heavily on physiological indicators, which posed challenges in real-world scenarios. These traditional methods were often complicated by the stress and chaos encountered by first responders during critical incidents, making it difficult to perform necessary assessments accurately. Recognizing these limitations, there was a clear need for change to improve accuracy and usability in triage, especially among non-clinical emergency responders like police officers. The push for a new tool was driven by the understanding that better decision-making aids were needed to assist responders in urgent situations, ultimately enhancing patient outcomes.