Abstract Background The risk of COVID-19 transmission to healthcare professionals is likely to continue for the foreseeable future. The wearing of personal protective equipment (PPE) presents a number of potential challenges to responders that may impact upon the management of patients in a multi-casualty incident. This report describes a multi-agency multi-casualty incident. https://www.lightemupsequences.com/flash-pick-Tiki-Luau-Shaped-Thank-You-Cards-Tropical-Hawaiian-Summer-Party-Thank-You-Note-Cards-with-Envelopes-Set-of-12-top-super