earthquake is result of sudden release of energy in earth's crust and creats seismic waves,ends in thousands dead and many thousands injured as happened in nepal on 25 apr15. this remind us to think again on manegement of trauma patients,in india trauma is leading cause of death in below 50 years of age population, and 1 person die every minute in road traffic accidents(highest in world) and leaves 4 injured. our aim is how to prevent and treat these patients in diaster. cause of death in accidents can be categraged .... 1. deaths immediatly at spot  because of a.

brain stem transection b. spinal cord transection c. decapitation d.major thoracic vesseles injury e. liver avulsion f.cardiac rupture 2. death within minuts to hrs i. hypoxia due to airway obstruction,pneumothorax,open pneumothorax and massive flial chest ii.pericardial temponade iii.major bleeding from other site like pelvic…