Mixed Mass Casualty Incident Triage

Scenario Description

In this scenario, learners are plunged into the chaotic aftermath of a military airshow accident. They arrive on the scene to discover a family of four among the injured: a father, mother, a five-year-old child, and an infant. The scenario is designed to test the learners’ ability to perform under pressure by requiring them to apply triage methodology to sort patients and adhere to MARCH principles.
Learners will first need to assess the patients’ injuries, with a particular focus on the father and five-year-old child, who present with severe bilateral lower leg injuries and massive, active hemorrhaging. The learners must recognize hemorrhagic shock and apply tourniquets promptly to prevent patient decompensation. As they work against a strict timeline, they will also evaluate the airway with cervical spine control, assess breathing and circulation for all four patients, and manage other critical injuries such as potential tension pneumothorax or airway compromise. Using the AVPU scale, they will assess disability and head injuries while exposing patients and preventing hypothermia. The scenario further challenges learners with pediatric care, requiring them to use appropriate weight-based dosing for the children. Finally, the learners must complete the triage process and initiate transport for the most severely injured patients, demonstrating their ability to manage complex, time-sensitive medical situations and ensure the best possible outcomes for all family members.