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Mauricio Lynn, MD,* Daniel Gurr, MD,† Abdul Memon, MD,† Jennifer Kaliff, RN* 
The successful management of mass casualty incidents (MCIs) requires standardization of planning, training, and deployment of response. Recent events in the United States, mostimportantly the Hurricane season in 2005, demonstrated a lack of a unified response planat local, regional, state, and federal levels. A standard Israeli protocol for hospital prepared-ness for conventional MCIs, produced by the Office of Emergency Preparedness of the Is-raeli Ministry of Health, has been reviewed, modified, adapted, and tested in both drillsand actual events at a large university medical center in the United States. Lessons learnedfrom this process are herein presented as the10 most important steps (ie, Commandments)to follow when preparing hospitals to be able to respond to conventional MCIs. The stan-dard Israeli emergency protocols have proved to be universally adaptable, flexible, and de-signed to be adapted by any healthcare institution, regardless of its size and location.(J Burn Care Res 2006;27:649–658
