July 2012 – For emergency managers, events such as these are mass casualty events. There will be a regional response from all first responders, police and emergency medical technicians. Hospitals will need to gear up to receive victims, the dispatching of patients to multiple hospitals will need to be orchestrated by a Hospital Control entity. In this case the event happened late at night. Command staff are not present and it is important that those on duty have the training and knowledge to respond to a larger event and initiate proper command and control procedures.