Mass casualty data is essential for triage, resuscitative care, and review. T6 mobile application was deployed to record and wirelessly share data and video on injuries, vitals, trauma scene and in route care for patients being transported to the hospital, in real time. MethodsTo simulate a real-world scenario, a hospital dedicated an OR and 1/2 of its ED, and 910 firefighter, law enforcement, and hospital personnel came together for a day of active shooter training. For 6 critical patients, T6 was used to capture and wirelessly transmit data and video - in real time to the receiving ED - on mechanism and location of injuries, vitals, transport status and treatments along the continuum of care. Utilizing "Cut Suits" allowed all levels of healthcare providers to complete cricothyrotomy, needle decompression, chest tube, thoracotomy, and damage control surgery. RESULTST6 successfully captured and transmitted clinical data and video in real time, which was used by the receiving ED to track timing and prepare for arriving patients. Figure 1 shows the timeline of an immediate critical patient. Video demonstrated the scale of the simulation and the status of patients being transported. CONCLUSIONThe feasibility and utility of T6 was demonstrated. Currently data from trauma patients is pieced together after the fact from multiple sources, often leading to fractured patient charts. With the use of T6 software, providers are given real time continuous complete video and data that can influence immediate patient care prior to patient arrival and during hospitalization.Saving time, increasing success.