Mass casualty incidents (MCI) are rare, large-scale events that result in heavy damage to people and infrastructure. These types of incidents result in a high influx of patients in local hospitals. In Beirut, this was witnessed on the 4 of August. A massive explosion took place in Lebanon’s capital city Beirut. Although Hotel-Dieu de France Hospital was damaged, it played a crucial role in the management of numerous injured, especially in the orthopedics department. Six months later, the hospital contacted all patients that had been hospitalized during that night and the following 2 days for musculoskeletal injuries. The contact was done for feedback purposes as the event was considered one of the largest non-nuclear explosions in international history. Accordingly, most of the patients that were contacted gave a credible and positive rating. There were few who had suggestions for management improvement. MCIs are rare, but it is crucial to be prepared to face any edging situation. Having effective communication and an organized plan in any risk management process are essential tools to foster for the well of the community and to scale down the losses of the locals in the area.