A retrospective cohort design was applied in the accomplishment of this study to all patients admitted and discharged at the Surgical Intensive Care Unit (SICU) of Misurata Central Hospital, Misurata, Libya over a 7-months period (February–August 2011). This period marks the peak of revolution that made Libya chaotic. The purpose of this study is to describe the pattern of admission of patients into the SICU, stressing the reasons of patients’ admission and their discharge remarks. Most of the admitted patients in the SICU had gunshot wounds as the reason of admission and that they were transferred to other department of the health facility, in the surgical ward in particular as the top ranked discharge remark. Moreover, there is a strong relationship between the reasons of admission and the discharge remarks of patients. Despite of minimal number of health care professionals, equipment and supplies, nearly excellent performance was considered due to low mortality rate.