Military Medical Ethics – Scenario Database

Unexploded Ordnance in an Expectant Patient

ID/Number: 111
Last updated: 22 Nov, 2019
Revision: 1
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  • During a mass casualty response, after a rocket attack, patients come in.
  • On of the casualties is a 30-year-old male sustaining fatal injuries from the aforementioned rocket attack. At triage, he was triaged to the “expectant” category to facilitate final mortality identification and postmortem care.
  • During post-mortem care, the decedent was noted to have a deformity of the anterior chest wall just inferior to the xiphoid process, and an 8 × 8 cm wound in the right posterior wall of the torso. Given the known scenario of injuries suffered in a rocket attack, the possibility of an unexploded ordnance (UXO) was raised.

Questions for the discussion of this scenario

How do you react to the possible danger from the UXO?
Can the possibility of UXO influence the ordinary triage process? If so, in what ways?

Source: Adapted from: Howell, Christopher M., Joseph S. Sontgerath, und Luke B. Simonet. 2016. «Unexploded Ordnance in an Expectant Patient: A Case Report». Military Medicine 181 (3): e302–5.

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folder Military Medical Ethics Scenarios -> Not fitting other categories

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