Who doesn’t love a list that makes you feel — I am fully prepared, engaged and ready for the day. Bring it on.

And life does bring it on. And your list goes from a well organized thought process into a pile of chaos in front of your very eyes.

And so you try to salvage it by filtering all the items through:

With that system, things feel wobbly — and don’t stand up to the addition of five new demands during the first few hours of the day.

Whether it’s a new report your manager needs, a water leak at your house, or payroll questions at your company — you’re spending energy justifying your list order, while trying to superficially solve all of the issues simultaneously.

All while hoping, in a stroke of genius, the most important thing will magically rise to the top on its own.

But I promise you, there is a better way, born in the most critical moments in all of medicine, codified centuries ago. And while it is based on medical triage, I have translated the concept for everyone, to start using today. Triage Thinking.

To obtain clarity and order when everything lands at once — and accomplish more of what actually matters — with greater ease, calm, and joy.

TRIAGE. TRANSLATED FOR LIFE.

TRIAGE
THINKING

Lead a significant life while carrying the minimal cognitive and emotional load — more joyfully.

A framework born in Emergency Medicine. For every demand. Every day.

Jane G. Wigginton MD MSCS

“People always asked how I carried so much — and still seemed steady. The honest answer: I had a system. I just didn’t have a name for it yet.”

Jane G. Wigginton, MD, MSCS

Board Certified — Emergency Medicine and Lifestyle Medicine

First Author, American Heart Association (AHA), Advanced Life Support (ALS) Guidelines, Circulation (2025) — the national standard, updated every five years

25 years in one of the busiest emergency departments in the country

Five FDA-cleared implantable device clinical trials — bench to bedside in six years

~70 peer-reviewed publications · Cited more than 3,500 times

Former municipal bond wholesaler, John Nuveen and Company

The Framework

Two questions. One algorithm.
They change everything.

Two Questions

What is most significant right now?

AND

What is actionable right now?

Together they determine priority.
Priority determines attention.

That is not neglect of what remains. That is precision.

Not a better to-do list.
A better operating system.

The Algorithm — The Living Loop

One continuous rhythm.
Five steps. Applied to everything.

THE BOX Contained. Monitored. Trusted. STEP 1 Assess the Demands STEP 2 Act as Fully as Possible STEP 3 Mentally Contain if Can't Fully Complete (In the Box) STEP 4 Identify Friction Point(s) STEP 5 Act and Advance

Same two questions. Every situation. The algorithm is applied.

In medicine, an algorithm is a simple, repeatable decision framework — a set of questions that guides a healthcare provider to the best action every time, even under maximum pressure. Triage Thinking is that — for your life.
Field Tested

Triage has been vetted through centuries of medical practice.
Triage Thinking carries that provenance.

First Author, American Heart Association (AHA), Advanced Life Support (ALS) Guidelines — the national standard for clinical decision-making under maximum pressure, published 2025. Dr. Wigginton helped codify for the country the same intersection of significance and actionability that Triage Thinking translates for everyday life.

Five FDA-cleared implantable device clinical trials — bench to bedside in six years. Most bench research never reaches a single human trial. Five, in six years, built from the ground up — made possible by Triage Thinking.

“A lot of people get up and give talks with polished lines. This had traction — because the framework represents a genuinely novel system with real significance.”

— Senior Neuroscientist, Leading Brain Research Institution
The Box Works — With an Intentional Monitoring System

In the emergency department, the box is monitored by nursing staff, telemetry, and colleagues.

Who and what monitors yours?

Most people have never been asked to build a deliberate surveillance system for their life. Instead they have been relying on hypervigilance — continuous mental engagement, simultaneous active processing of everything at once — to do that job.

Grinding through scenarios in your mind that may never happen is mental expenditure without forward motion. It drains the finite cognitive resources you need for what is most significant and actionable right now.

Anxiety as a monitor never rests. It never sleeps. It cannot tell the difference between something that needs your attention right now and something that simply feels urgent. It keeps everything active simultaneously — which is precisely the problem Triage Thinking was built to solve.

The box replaces that entire system. Not with avoidance. Not with neglect. With active, deliberate containment — surveillance set, alert built, trust established, and zero expenditure on what cannot move.

Every effective surveillance system has three components — regardless of domain. People who report changes to you. Systems that alert you automatically. Scheduled moments where you deliberately recheck.

They have just never deployed them deliberately and precisely. The box works because you have intentionally placed a surveillance system around it. Without that system the box cannot do its job.

What does your surveillance system look like?

What are your monitors?

What are your alarms?

Triage Thinking shows you exactly how to build yours — specifically, practically, for your world, your work, and your life.

A Life Story

“My mother always hoped I would get my ducks in a row.”

But what I tell her is: Mom, if I ever did get my ducks in a row — I would just go get more ducks.

That is what Triage Thinking does. It does not shrink what you take on. It expands what you can carry — while making faster, more accurate decisions, getting more of the right things done in less time, with a lighter cognitive load, more clarity, more joy, and more peace.

That is not only a productivity story. That is a life story.

Tomorrow your day will blow up.
You will want this.

Triage Thinking is the answer. Enabled through the algorithm.
Be the first to know when the book is available and when Dr. Wigginton is speaking near you.

Use it two or three times on real situations and it will become second nature — the way a clinical algorithm becomes permanent for medical providers.

Bring Triage Thinking to your organization.

The framework is field tested. The system is ready.
You can’t work harder — so work smarter.