When a mass casualty incident occurs, emergency physicians are quickly thrust onto the front lines. That is precisely what happened on October 1st at Sunrise Emergency Department in Las Vegas the night Stephen Paddock opened fire on a music concert, killing 58 people and injuring more than 500. This article, the first in a series on mass casualty incident (MCI) strategies, takes lessons learned from that event in order to highlight tough questions that your institution will need to answer to be prepared for the worst case scenario.

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