Lastly but as important is regular and on-going multi-disciplinary training. It has been said of organizations that most fail not from lack of planning but failure in the execution of translating strategy into action. The best established pre-plans become stagnant plans if they are not exercise regularly with all disciplines that were part of the planning process. These training events should exercise response, communications, treatment and post event issues. Without doubt, opportunities for improvement will be identified as the plans are exercised, and then addressed and the plans revised. This cycle should be continuous that plan, do, check and act (PDCA).