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Traffic accidents pose a significant societal challenge, with many fatalities being avoidable through timely emergency response. We introduce IMPACT (Integrated Multimodal Pipeline for Rapid Accident Causality Tracking), a scalable AI framework designed for autonomous, rapid traffic incident analysis using existing urban CCTV infrastructure. IMPACT integrates a low-latency, CPU-based classical computer vision module for efficient key-frame filtering with the advanced causal reasoning of Multimodal Large Language Models (MLLMs). Our pre-processing runs in real-time (approx. 24 FPS) on a consumer-grade CPU (Intel Core-i3 11th Gen.), and drastically reduces expensive MLLM invocations by over 92% compared to naive sparse-sampling. We also release code to support further research.