Background: In recent years, we have witnessed dreadful terrorist attacks that increasingly affect us. Catastrophes imply physical damage and grievous bodily harm that can strain the capacity of available hospitals to provide quality healthcare.
Materials and Methods: The authors describe and analyze the performance of the orthopedic surgery department at a university hospital faced with a terrorist attack that injured 1167 and killed 192 people.
Results: The injuries are characterized by severity and tissular damage spreading, including deep wounds, blast injuries, and burns.
Conclusions: The review of analyses of previous catastrophes, described by our colleagues in different studies, can be very useful inorder to avoid mistakes in the future.
Key words: Blast injury, catastrophes, mass casualty, terrorist attack