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Natural disasters can happen anytime. There is no gold standard for emergency department triaging and setup during these kind of emergencies. On September 19 2017, at 131440, a 7.1 magnitude on the Richter scale earthquake hit Mexico City. Buildings, including hospitals, collapsed. Our hospital offered free medical attention to those affected by the earthquake. We reviewed the patient database for all patients who had been treated between September 19 and September 24 as a consequence of earthquake related injuries in both campuses. Ag