They may have to evacuate people to secured areas in order to treat them or even rescue them. Many people from various response teams gave their lives attempting to save others during the 9/11 attack, being a first responder is important and dangerous at the same time. I do believe that the United States is somewhat prepared for primary care management; however, here are some procedures that should take place to better help. According to Lacy and Benedek medical and rescue personnel may experience impaired performance and have a high rate of burn-out related to stress, fatigue, and resisting treatment for themselves as they did after the Oklahoma City bombing” (2003). The localized city or town should initiate the following: “first responders, Incident Command, warning and evacuation, situation assessment, local agency coordination, identification of requirements exceeding local capabilities, request for mutual aid and requests for State assistance” (Fema 2002, 8). There is also a process at the State level which includes “assistance to supplement local efforts, coordination among state agencies, Governors’ unique authority is to issue state emergency declaration mobilize State National Guard, redirect state resources, requests for mutual aid and for Federal assistance” (Fema 2002, 8). The whole process is an Emergency