title: The rules have changed.
authors.affiliation: Cleveland (OH) Emergency Medical Services, USA.
authors.forename: Matthew R
authors.initials: MR
authors.lastname: Streger
authors.forename: Ned
authors.initials: N
authors.lastname: McElfresh
mesh_terms: D004189:Disaster Planning; D004632:Emergency Medical Services / Q000458:organization & administration*; D006801:Humans; D008887:Military Medicine / Q000458:organization & administration*; D023481:Terrorism; D014481:United States