A sudden and massive disruption in health care service because of hostile elements of any
kind (natural and man-made) requiring survival resources be brought into action in the
shortest possible time using the fewest resources
Examples: airway obstruction, sucking chest wounds, tension pneumothorax,
hemothorax, open fractures of long bones, burns (2nd and 3rd degree as long as it
is 15%-40% of the TBSA)
Examples: nursing home patients who are DNR, unresponsive people with penetrating head wounds, major burns over 60% of body, fixed and dilated pupils, brain matter coming out of ears, this is also the walking wounded
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