A Bayesian Reasoning Framework for Robotic Systems in Autonomous Casualty Triage

arXiv cs.RO / 4/24/2026

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Key Points

  • The study presents an autonomous robotic triage system for mass casualty incidents that integrates multiple vision algorithms to assess severe hemorrhage, visible trauma, and physical alertness under incomplete or noisy data.
  • A Bayesian network built from expert-defined rules performs probabilistic reasoning, allowing the system to handle missing or conflicting sensory inputs while producing a coherent triage assessment.
  • In evaluations during the DARPA Triage Challenge using realistic scenarios with 11 and 9 casualties, the approach substantially improved physiological assessment accuracy compared with a vision-only baseline.
  • Overall triage accuracy increased from 14% to 53%, and diagnostic coverage rose from 31% to 95%, indicating the framework both improves correctness and reduces missed cases.
  • The results support the claim that combining expert-guided probabilistic reasoning with advanced vision sensing can significantly enhance reliability and decision-making for autonomous systems in high-stakes environments.

Abstract

Autonomous robots deployed in mass casualty incidents (MCI) face the challenge of making critical decisions based on incomplete and noisy perceptual data. We present an autonomous robotic system for casualty assessment that fuses outputs from multiple vision-based algorithms, estimating signs of severe hemorrhage, visible trauma, or physical alertness, into a coherent triage assessment. At the core of our system is a Bayesian network, constructed from expert-defined rules, which enables probabilistic reasoning about a casualty's condition even with missing or conflicting sensory inputs. The system, evaluated during the DARPA Triage Challenge (DTC) in realistic MCI scenarios involving 11 and 9 casualties, demonstrated a nearly three-fold improvement in physiological assessment accuracy (from 15\% to 42\% and 19\% to 46\%) compared to a vision-only baseline. More importantly, overall triage accuracy increased from 14\% to 53\%, while the diagnostic coverage of the system expanded from 31\% to 95\% of cases. These results demonstrate that integrating expert-guided probabilistic reasoning with advanced vision-based sensing can significantly enhance the reliability and decision-making capabilities of autonomous systems in critical real-world applications.