First responders in disaster zones cannot use cloud AI for triage when cell towers are destroyed

When a hurricane, earthquake, or wildfire destroys cellular infrastructure, first responders lose access to every cloud-based tool simultaneously — right when they need AI-assisted mass casualty triage, medication interaction checks, and resource allocation most urgently. After Hurricane Maria, Puerto Rico lost 95% of cell towers and had no reliable connectivity for weeks. A paramedic treating 40 injured people in a collapsed school cannot wait for Starlink to be deployed; they need decision support in the next 30 seconds. On-device Gemma 4 fine-tuned on START triage protocols, drug interaction databases, and field medicine guidelines runs entirely on the responder's phone with no infrastructure dependency whatsoever. The model must be pre-loaded and locally executable because the defining characteristic of a disaster zone is that the communication infrastructure the cloud depends on is the very thing that was destroyed.