A new principles-based two-pass triage system aims to improve decision-making and efficiency in military mass casualty scenarios.

• 93% of assessed cases relied on simplified categorization over formal triage, highlighting the need for operationally relevant systems.
• The two-pass model allows for quick identification of casualties needing urgent care, followed by sorting into urgency levels for evacuation planning.

Surgeons should consider adapting this streamlined approach for faster, more effective patient management in complex scenarios.

• Enhanced communication and rapid assessment tools support better casualty flow and training among personnel.