Spencer, C. (2011). Managing Mass Casualty Events is Just the Application of Normal Activity on a Grander Scale for the Emergency Health Services. Or is it? Australasian Journal of Paramedicine, 9(1).
The author explains that managing mass casualty events is not "business as usual" for the following reasons: it requires emergency medical services to go above and beyond traditional services, these incidents extend day-to-day triage, and large incidents require a medical surge response.