Terrorist activities have become increasingly and Hyderabad has been often a key witness to such activities. The most recent being on the 21st February 2013, when twin bomb blast rocked the peace fabric in Hyderabad and where 96 victims were injured and 17 killed. Objectives: 1) To detail the action taken post bomb blast 2) Analyse the demographic profile of the victims, 3) Enumerate the pattern of injuries and disability sustained by the victims and 4)Recommend measures for Mass casualty Emergencies. Method: Data collected from the primary site of bomb blast and also data received at the Directorate of Medical Education. Case records of patients taken prospectively as well as retrospectively from the hospitals were used. Results: A total of 113 people were affected, and 17 of them died (12 on the spot and 5 later) giving an overall mortality rate of 15% (17 out of 113) and a __ampersandsignlsquo;critical mortality rate__ampersandsignrsquo; of 4.9% (5 out of 101). A higher number of males were dead (16 out of 17) and injured too (80 out of 96). The common injury patterns were Penetrating Wounds (54.5%) followed by fractures (23.9%) and Tympanic membrane Perforation (11.5%). Around 63% of the injured were left with no disability and 2% with severe disability. Rapid action taken by the emergency health team, like in triaging, quick transportation, emergency care services and follows up care, helped in saving numerous lives and also in decreasing the disability among the injured. 7 T__ampersandsignrsquo;s for management of disaster emergencies have been suggested - Timely intervention; Triage; Transportation; Treatment Protocols; Transfusion and Treatment Supplies; Team Leadership and Spirit; Training. Conclusion: Most of the injuries were due to penetrating metallic sharps contained in the explosives. Males were more affected than females. Timely intervention and good hospital care definitely helps save a number of lives. Still standard guidelines and protocols for managing mass casualty emergencies need to be developed in India.