Advanced Trauma Life Support ATLS Student Course Manual 2018

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APPENDIX F n Triage Scenarios
Triage Scenario VII
Suicide Bomber Blast at a Political Rally
SCENARIO
A suicide bomber blast has been reported at an evening political rally. The area is 30 minutes away from your
level II trauma center. You are summoned to the scene as one of the triage officers. Initial report reveals 12
deaths and 40 injured. Many rescue teams are busy with search and rescue.
You arrive at an area where you find 3 dead bodies and 6 injured patients. The conditions of the 6 injured
patients are as follows:
PATIENT A
A young male, conscious and alert, has a small penetrating wound in the lower neck just to the left side of
the trachea, with mild neck swelling, hoarse voice, and no active bleeding.
PATIENT B
A young male is soaked in blood, pale, and lethargic, yet responding to verbal commands. Both legs are
deformed and attached only by thin muscular tissue and skin below the knees bilaterally.
PATIENT C
A young female is complaining of shortness of breath. She has tachypnea, cyanosis, and multiple small
penetrating wounds to the left side of her chest.
PATIENT D
A middle-aged male has multiple penetrating wounds to the left side of the abdomen and left flank. He is pale
and complaining of severe abdominal pain. Second- and third-degree burns are visible over the lower abdomen.
PATIENT E
An elderly male is breathless and coughing up bloodstained sputum. He is disoriented and has multiple bruises
and lacerations over his upper torso.
PATIENT F
A young male has a large wound on the anterior aspect of the right lower leg with visible bone ends projecting
from wound. He is complaining of severe pain. There is no active bleeding.
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