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Mass Casualty Incident Planning, Training and Exercises


In the event of a major incident, the demand for an orchestrated plan allowing for coordination of multiple agencies will facilitate resolving that incident safely and efficiently. A Mass Casualty Incident (MCI) plan implements a systematic delivery that integrates the immediate involvement of first responders when community resources, mutual aid, strike teams, and task forces are requested by incident commanders. ASG planning methodology integrates community response capabilities utilizing the whole community concept with emergency management, first responder agencies and organizations, and supporting community resources, to include healthcare, the military, and Non-Governmental Organizations

ASG then leads training and exercises activities with organizations, providers and agencies that may be involved in a disaster/mass casualty incident to prepare agencies and responders for the day when the MCI Plan is required to become operational. ASG tailors and facilitates the design, development and implementation of a series of training seminars focused on improving the capabilities of the community. Following the training, an exercise program with tabletop and functional exercises, in accordance with HSEEP, are conducted to validate the training received.

This exercise program employs a crawl-walk-run approach (e.g., tabletop, functional, full-scale exercise with moulage) with capability-specific exercise evaluation guidelines to validate activities and tasks for first responders and receivers – local fire departments, hazardous material response teams, hospital personnel, emergency medical services, and other community support organizations.


Our mass casualty training programs encompass the following:


  • Emergency response capability assessments
  • Community level emergency planning and response
  • Basic and advanced tabletop exercises, functional exercises, large-full-scale exercises - plan, design, develop, and conduct.
    • Participants to employ response plans and equipment (e.g., radiological, biological, and chemical detection, personal protective equipment (PPE), decontamination tents, emergency communications items, etc.) to respond to complex and realistic scenarios.
  • Mass Casualty with Moulaged Casualties
    • Fire, EMS and Law Enforcement Integration
  • Decontamination of Patients
  • Mass Prophylaxis Dispensing Exercise
  • Lessons Learned and After Action Report Generation Focused on Capability Improvement.

“The exercises at our MTFs [Medical Treatment Facilities] have been a resounding success! The MTF Commanders are now confident that if an event occurred, they would be able to provide the base excellent support. Through ASG’s hard work and perseverance, we have made outstanding progress towards HSMR (Home Station Medical Response) preparedness.”

~   Air Force Space Command Surgeon General - 2009

Emergency Mgmt. Overview > CBRN Training > Mass Casualty Training > Emergency Training & Exercises > Casualty Planning Analysis > LEPC Support > Media Gallery