Introducing Virtual Reality Training for Mass Casualty Triage

Provide Mass Casualty Triage Training Anywhere, Anytime and with Anyone at a Fraction of the Cost.

  • Training for complex incidents requires significant setup and management resources for large collective events to simulate response and medical care. A simulated Mass Casualty Incident (MCI) training can cost hundreds of thousands of dollars for a mid-sized event.
  • A large organization or city can spend millions on a few events 1 to 2 times per year. With funding constraints for better training and high-op tempo for teams, it can be overwhelming to develop effective training strategies. You may need to postpone or even cancel training events.
  • Now with the ongoing pandemic, you shouldn’t have to lower training standards critical to ensure your emergency responders are confident and mission-ready to execute mass casualty triage systems.

Immersive Rapid Treatment Experience

Mass casualty incident triage through a virtual reality solution which provides an immersive experience to trainees, creating an intense and realistic experience. This virtual reality solution helps agencies gain expertise through a variety of scenarios that most closely mimic real-life emergencies covering severe injuries and lifesaving interventions in the field and hospital emerg med simulations.

Cadets and leaders can now have multiple simulations where they can role play as patient care providers who are responsible for assessing the condition of participating personnel and patients using the START method once inside triage pods which is equipped with the latest virtual reality technology to help deliver more accurate feedback on their performance as compared to using traditional methods of training. Apart from being easier and less expensive than live simulations, this solution can have different “real life” situations such as natural or man-made disasters which enables extensive role play between trainers, participants and agencies even a hospital.


  • delayed ability and limited resources for traditional disaster sceneSetup of MCI scenarios and victims is time consuming
  • not repeatable triage protocolsSTART Triage sessions are not repeatable
  • fake walking wounded with dummiesThere are no visible signs of trauma or wounds
  • patients can not interact in assessmentDummies cannot speak, move, interact or emote
  • disaster med difficult to replicateRealistic environments are difficult to set up
  • limited evidence based approachThere is no way to track performance metrics

injury severity with triage and rapid treatment

  • immediately begin triage and rapid treatmentNo setup time required! MCI Scenarios are auto-generated
  • immediate access to sort assess lifesaving interventionsTrain for START anywhere, anytime, as many times as you need
  • wide range of injuries to identify - minor to severely injuredA wide range of realistic signs of trauma
  • patient emotions help replicate normal circumstancesFull range of emotions and realistic animations
  • patient emotions help replicate normal circumstancesRealistic and immersive 360º crash scene
  • data validates proper diagnosis performedAdvanced analytics to evaluate every task

assess lifesaving interventions treatment


Hundreds of patient profiles to challenge you


Meet the ATS HERO Platform

  • data drivenComprehensive performance analytics
  • accuracy for triage algorithmTrack the speed and accuracy of individual tasks
  • verify triage proceduresView mistagging and misdiagnosis issues
  • while there are many triage systems, our is based on STARTMake sure trainees follow the START triage protocol
  • ensure medical resources complete experienceMonitor training completion and send reminders to teams
  • ensure public health preparednessAssign, track, and monitor via computer, tablet or phone
emergency medical diagnosis and life saving emeg med using traige and rapid treatment

The HERO Platform Makes Managing Your Teams A Snap

Don’t just take our word for it. You can hear straight from first responders participating in the development of a virtual and augmented reality training for EMTs in triaging techniques for mass-casualties. This training was jointly developed through the collaboration between the City of Austin/Travis County EMS, Texas State University and Augmented Training Systems, Inc. This was our third development through US Ignite – Smart Gigabit Communities program. You can learn more about our AMBUS virtual reality training also part of this collaboration.

Bring Disaster Into The Classroom

VR can be defined as follows: “a computer generated simulation of a real or imaginary environment in which people participate via sensory input such as sight and sound.” It takes the user into a different perceptual domain, that is made to feel real, and takes advantage of the human perceptual system’s natural tendency to fill in gaps from what it sees or hears. VR simulators can bring a disaster into the classroom and replicate a mass casualty incident (MCI) setting with high degree of fidelity, presenting realistic scenarios for train-the-trainer sessions.

“This is the coolest
thing I’ve ever done!”

Travis County EMT Trainee

emt in uniform, wearing oculus vr goggles and pointing with hands

Improve Response Efficiency and Increase ROI

The agency responsible for training could simply coordinate an event by sending an invitation email or notification to all cadets who have registered at least 24 hours prior to their scheduled start time. The agency heads can monitor the progress of cadets through performance data which can be accessed using any smart devices – anytime/anywhere. This provides the opportunity to improve response efficiency as well as optimize on ROI and minimize costs.


As much as

per trainee


  • X markRealistic, immersive experience
  • X markTrackable progress and analytics
  • X markRepeatable, randomized trainings


As low as

per trainee

Unlimited Access (300 users and under=$60)

  • check markRealistic, immersive experience
  • check markTrackable progress and analytics
  • check markRepeatable, randomized trainings

Simple To Facilitate and Manage

The following information when sent to the cadets ahead of time for a mass casualty triage training would help them familiarize themselves with what they have to do and how it’s going to work.

– The agency, date and time of your event

– They will be given a brief introduction on how the virtual reality mass casualty incident triage simulation works

– Cadets will be provided PPE (personal protective equipment) before entering the staging area where triage pods are located.

What happens next is that once you are inside a pod, you receive instructions on what you need to do as a response team member when faced with patients in real life situations with those that need to be treated immediately. For example: “You may come across victims who are responsive or unresponsive”, “Victims wearing reflective clothing indicating that they are first responders”, “Victims who are actively bleeding or have been administered with anti-coagulants” etc. The trainees will then be provided with virtual reality equipment such as headsets and hand controllers.

Expanding Virtual Library of Mass Casualty Triage System

Eventually, the library will enable trainees to virtually walk through different scenarios and disaster triage systems such as the SALT triage system occurring during a sporting event to one caused by an active shooter at a school campus or terrorists on board an airliner that crash landed into a forested area. This can be expanded to include any hazard affected community and adhere to potentially any proposed national guideline.

This model may also be applicable toward other fields/industries such as healthcare, military medicine or even academia where individuals are required to provide immediate treatment of first aid or disaster triage.

As a future enhancement to this solution, one could potentially record biometrics (heart rate, respiratory rate, blood pressure) and associate them with physiological response based on the cadets’ performance during sessions with an advanced triage algorithm. The agency can then review analysis from the recorded data which will assist in providing feedback to cadets.

Increase Training Opportunities

The cadets will have the opportunity to interact with virtual patients who respond differently when treated depending on their physical condition to help them determine which patients require immediate first aid treatment (i.e., CPR) vs those with minor injuries that can wait until EMS arrives on site (“triage”). Cadets learn by doing and are given immediate feedback on their performance when applying emergency medicine procedures as compared to using traditional methods.

Apart from being easier and less expensive than live simulations, this solution can have different “real life” situations to apply disaster medicine methods whether natural or man-made disasters. This is expected to transform the level of medical care through extensive role play between trainers and participants.

This is a valuable tool for emergency response agencies that allows them to reduce time spent on training, increase the number of trainees that can be trained in one session, eliminate travel expenses incurred during traditional training scenarios and create opportunities for cadets to receive mass casualty incident triage simulation training in unfamiliar environments.