Disaster site management is a systematic and coordinated approach to handling the aftermath of natural or man-made catastrophes, with the primary objective of saving the maximum number of lives and minimizing morbidity. Central to this process is casualty load management and the effective treatment of victims under constrained and often chaotic conditions. In disaster medicine, the focus shifts from individualized patient-centered care to population-based care, where decisions are guided by the principle of doing the greatest good for the greatest number. Casualty load management begins with the activation of an organized response system immediately after the occurrence of a disaster. The first responders assess the scene to ensure safety, identify hazards, and estimate the scale and type of casualties. Scene safety is paramount, as rescuers must avoid becoming victims themselves. Once the site is secured, an Incident Command System (ICS) is established to coordinate rescue, triage, treatment, and transportation. Clear command hierarchy, communication channels, and defined roles prevent confusion and duplication of efforts. One of the most critical components of casualty load management is triage. Triage is the process of sorting victims based on the severity of injuries and the urgency of medical intervention required. In mass casualty incidents, resources such as personnel, equipment, and transport facilities are limited; therefore, prioritization is essential. Standard triage systems such as START (Simple Triage and Rapid Treatment) categorize patients into four groups: immediate (red), delayed (yellow), minor (green), and deceased or expectant (black). Immediate cases require life-saving interventions such as airway management, hemorrhage control, or treatment of shock. Delayed cases have serious injuries but can tolerate some waiting. Minor cases, often referred to as the “walking wounded,” require minimal treatment. Expectant cases have injuries so severe that survival is unlikely given the available resources. Effective triage must be rapid, repeated, and flexible. As patients’ conditions change, re-triage ensures that those who deteriorate receive timely attention. Triage officers require training and experience to make quick, ethically sound decisions under pressure. Emotional