In May 2008 the United States House of Representatives, Committee on Oversight and Government Reform released a report entitled Hospital Emergency Surge Capacity: Not Ready For The Predictable Surprise.
From the report's Executive Summary:
At the request of Chairman Henry, the majority staff of the Committee conducted a survey of Level I trauma centers in seven major cities in the United States to assess whether they have the capacity to respond to the level of casualties experienced in the Madrid Spain commuter trains attack that killed 177 instantly and injured more than 2,000.
The survey was conducted on Tuesday March 25 2008 at 4:30PM local time in each of the seven cities. The survey was designed to determine the real-time capacity of the emergency rooms at the Level I trauma centers to absorb a sudden influx from a mass casualty incident. 34 of the 41 Level I trauma centers in these cities participated in the survey.
The results of the survey show that none of the hospitals surveyed in the seven cities had sufficient emergency care capacity to respond to an attack generating the number of casualties that occurred in Madrid.
The entire report can be viewed by logging onto:
Not Ready For The Predictable Surprise