This scenario is a mass casualty event following a shooting. There are 5 adult patients collected in an empty room for treatment. The first patient has a gunshot wound in the abdomen and is suffering hemorrhagic shock, the next has arterial hemorrhage from a gunshot wound in the left arm at the elbow, another has a gunshot wound to the right groin with large venous injury, the fourth has a wound to the thigh with mild oozing, and the last patient has no injuries but is sobbing uncontrollably and in clear psychological distress. The player must identify the injury for each patient and apply appropriate treatment.

Learning Objectives

‘- Discriminate between major arterial injury, major venous injury, major visceral injury and no injury
– Provide appropriate treatment for each patient
– categorize all patients for hospital transport