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I got the chance to speak to the leadership of LCMC Health in New Orleans on January 8th. Those doing the quick math will have realized this was but a week after the horrific terrorist attack of New Year's Day. It was the first time these leaders had all been together and they reviewed their response to the Mass Casualty Incident (MCI). The story left me with great admiration for LCMC. Given the frequency of attacks like this in Europe during the last decade, it is -- I hate myself a little for saying it -- something that all providers should look at carefully. I write this in that spirit: admiration and best practice (with the obvious caveats: I do not represent LCMC and I am not a lawyer). LCMC took 37 injured from the attack, most of them (26) at University Medical Center. The best practices I noted are numerous, but I will try to capture the most important ones for any provider who faces something like this in future. Have a Command Center: LCMC immediately set up a clinical command center but faced no major disruptions like a shortage of blood or supplies. The initial thought was that it was an "MCI-small" meaning six or fewer cases, but this was soon upgraded to "MCI-moderate/large" which means calling in staff. Call All Orthopods: There was an only one stat OR case, a patient whose spleen was ruptured when hit by the truck. There were multiple blunt force trauma injuries to patients' heads and torsos, but the most common injuries were severely broken arms and legs. A large team of orthopedic surgeons was brought to bear. Ready a Call Center: The media noted that many patients were being taken to University, so by early morning, hundreds of calls were coming in, and soon friends and family members were appearing in person. More than 300 calls were taken. Staff Thoughtfully: LCMC took the initiative, recruited staff, and created a call center to manage this demand. This was something the city was intending to do but there was confusion (as always in a crisis) about collecting information and waiting for the FBI. The call center job is far harder than it may sound: callers are panicking but the job of the call center is to get information, not give it. This takes a lot of emotional intelligence. Ready a Response Center: University turned its (large and beautiful) conference center into a family response center, welcoming large numbers of people and getting them comfortable while they waited for information. They created more intimate private spaces for the more difficult conversations with family. Expect More Cases from the Response Center: With this many people in the building, all in a state of keen anxiety, more cases are inevitable. When a family group was told they had lost their loved one, an older male appeared to have a stroke, and a younger woman appeared to go into labor. There is much more that I could say, but I will finish with: bless you, LCMC.