Built by a U.S. Army combat veteran and paramedic and EMS supervisor with 20+ years in emergency healthcare who has run real mass casualty incident responses. Not theory. Not templates from someone who read about it. · SDVOSB Pending · SAM.gov Registered · CAGE: 1AFL4
The Problem
Most teams have a plan.
Almost nobody has practiced it.
A mass casualty incident or active threat does not wait for your team to get organized. Command decisions happen in seconds. Communication breaks down. The people who practiced it do better. Every time.
Command Confusion
Who is incident commander the moment this starts? If that person has to think about it, you already have a problem. This exercise makes that decision before the incident, not during it.
Triage Decisions
Who gets resources first when there are not enough resources? Your team needs to talk through that answer in a conference room, not figure it out with patients on the floor.
Communication Gaps
Who tells staff what to do? Who talks to law enforcement? Who handles family reunification? Who speaks to the media? These gaps show up in tabletop and they show up in real incidents.
No Plan for After
Most emergency plans cover the first 30 minutes. This exercise runs all the way through recovery, reunification, and operational restoration so your team knows what comes after the immediate threat.
What You Get
Everything needed to run the exercise
and document what you find.
One download. Ready to run.
📋
Facilitator Guide
Step-by-step instructions covering every inject, timing guidance, discussion prompts, facilitator notes, a pre-exercise checklist, and hot wash structure. Read it once and you can run this cold.
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Participant Workbook
Scenario materials, discussion questions, and response worksheets for every participant. Includes an ICS role reference, triage decision guide, and communication checklist to keep after the exercise.
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After Action Report Template
Structured template to capture findings immediately after the hot wash. Includes objective performance ratings, documented findings, and space for up to five identified gaps.
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Improvement Plan
Translates findings into specific corrective actions with owners, due dates, and 30/60/90-day review checkpoints. Built to hand to leadership as a deliverable.
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Executive Summary Template
One-page summary for leadership covering overall readiness ratings, top strengths, priority improvements, and recommended next steps.
🗂️
Scenario Inject Pack
Realistic situation reports and inject cards covering initial incident, escalating casualties, communication failures, resource shortfalls, and recovery decisions. Ready to print and use.
How the Exercise Works
3 phases. 10 injects. 2 to 4 hours.
The scenario unfolds in real time from initial report through full recovery. Each inject creates a new decision point your team has to work through together.
| Phase | Inject / Scenario | What It Tests | Time |
|---|---|---|---|
| 1 | Initial Incident Report | First notification, command activation | 15 min |
| 2 | Threat Confirmation | Active threat vs. MCI decision, lockdown | 15 min |
| 3 | Command Structure | ICS activation, role assignment, span of control | 20 min |
| 4 | Casualty Triage | START triage, resource allocation under scarcity | 20 min |
| 5 | Resource Shortfall | Mutual aid requests, prioritization decisions | 20 min |
| 6 | Internal Communication | Staff notification, role clarity, escalation paths | 15 min |
| 7 | External Coordination | Law enforcement, hospital, EMA coordination | 15 min |
| 8 | Scene Transition | Threat neutralized, transitioning to recovery ops | 15 min |
| 9 | Reunification and Recovery | Family reunification, patient accounting, comms | 15 min |
| 10 | Hot Wash and Improvement | Lessons learned, owned action items, next steps | 30–45 min |
Who This Is For
Any organization that needs to know what happens when it goes bad.
Hospitals
Joint Commission and CMS require documented emergency preparedness exercises. This satisfies that requirement and actually prepares your team.
EMS Agencies
Built around NIMS and ICS. Tests mutual aid activation, triage protocols, command structure, and inter-agency coordination.
Schools
Active threat, lockdown, reunification, and parent communication scenarios. Tests the decisions administrators and staff have to make in real time.
Municipal Government
Emergency management agencies and public safety teams that need to practice multi-agency coordination and mass casualty response.
Healthcare Clinics
Smaller healthcare settings with limited emergency planning resources. This package gives them a professional exercise without the cost of a custom engagement.
Houses of Worship
Soft targets that need active threat and mass casualty planning but rarely have the resources or expertise to develop it internally.
Get the Package
Practice the decisions your team
can’t afford to get wrong.
Built by someone who has actually run mass casualty responses. Six documents, 10 injects, 2 to 4 hours. Everything your team needs to practice, identify gaps, and leave with a real improvement plan.
Get the MCI Package – $499Instant download · Customize with your organization’s name · No facilitator experience required
Questions? michael@forwardsecuritylabs.com
Forward Security Labs · ForwardSecurityLabs.com · Built by a combat veteran and paramedic with 20+ years in emergency healthcare. Protect. Prepare. Move Forward.