Scenario: You are responding to a basketball game at the local high school with report of multiple persons down. You are the first to arrive and notice numerous cars and two buses in the parking lot, but no sound from the gym.

1) What are your initial thoughts?

2) What are your initial actions?

3) What precautions do you take?

4) What level PPE do you use?

Upon entering the gym you find over 200 victims scattered around a small group at one exit and only two survivors.

1) What could be the possible cause of this incident?