Clinical casualty management in disaster medicine refers to the systematic medical care provided to injured or ill individuals during mass casualty incidents where available resources are limited compared to the number of victims. The objective is to provide the greatest good for the greatest number while stabilizing patients, preventing further deterioration, and ensuring effective utilization of personnel, supplies, and infrastructure. This process requires organized planning, rapid assessment, coordinated response, and continuous adaptation to changing circumstances. The first step in clinical casualty management is scene safety and initial assessment. Medical teams must ensure that the disaster site is secure before beginning treatment to avoid additional casualties among responders. Hazards such as fire, chemical exposure, structural collapse, radiation, or ongoing violence must be controlled or isolated. Only after confirming safety can rescuers initiate patient access, rescue operations, and medical intervention. Rapid situation assessment includes estimating casualty numbers, types of injuries, and resource requirements, allowing authorities to mobilize appropriate support systems. Triage is central to casualty management in disaster settings. Unlike routine emergency care where each patient receives maximal care, disaster triage prioritizes treatment based on survivability and urgency. Patients are categorized into groups such as immediate, delayed, minimal, and expectant. Immediate cases require life-saving intervention without