Disaster surgery challenges every assumption of routine care. This episode explores surgical response in mass casualty incidents — where resources are limited, numbers are overwhelming, and triage becomes a moral as well as clinical act.

We examine principles of disaster triage, damage control surgery, and coordination with emergency services and public health systems. The episode addresses ethical decision-making, leadership, communication, and the psychological toll on clinicians working under extreme pressure.

This chapter reframes disaster surgery as preparation and systems thinking — where planning done long before the event determines lives saved when it occurs.

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