This scenario focuses on a 42-year-old male who was involved in a rollover motor vehicle accident while evacuating from a wildfire. The patient presents with an open tib-fib fracture, signs of smoke inhalation injury, and abdominal tenderness suggestive of internal trauma. The learner must manage a combination of traumatic injuries, including a liver laceration and impending airway compromise due to smoke inhalation. The scenario highlights key principles in disaster medicine, such as the importance of early airway management, trauma stabilization, and understanding the complications arising from evacuation during wildfires. Participants must prioritize advanced trauma care, administer appropriate antibiotics and tetanus for open fractures, and manage the patient’s shock through fluid resuscitation and blood products. The case also emphasizes the risks of delayed evacuation during wildfires and the need for careful clinical assessment in mass-casualty settings.