particular patient, and making sure that they had the resources they needed and were stabilized and the trauma physicians sort of were aware of every patient and making decisions about who needed to go where next, who kneeleded to go to the o.r., who needed to go to the icu and transition them to the emergency department. >> those who aren't local probably don't know that virginia beach maintained one of the largest volunteer emergency medical systems in the country. and expound on that situation when they are prepping patients and the communication there. >> so ems had established a local on-site command system and they were in contact with the emergency department and our charge nurse and the physicians