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A bus crash, train wreck, deck collapse, fire in a nursing home or school or, as we have seen with the tragedy in Aurora, Colo., a mass shooting all present first responders with the opportunity to respond to and manage a mass casualty situation.
In incidents like this, there is an expectation that the fire department will work with police and EMS, and perhaps lead the effort to ensure that scene hazards are secured, and patients are cared for and transported to the hospital. Even still, this type of incident can give even the most seasoned firefighters or rescue workers a case of butterflies in the stomach.