“I need every operating room open,” Menes said. Dave MacIntyre, put crash carts in the trauma bays, four curtained-off areas that took up two walls in the ER.ĭoctors in place, Menes found a secretary at the front desk and told her to call every surgeon and scrub tech she could find. Menes sent the other ER doctors to the diagnostic area, a group of half-rooms just behind the waiting room. A doctor outside could filter through waves of patients and ensure a hospital’s resources went to the most critically injured.

But he learned that the most important position was at the front door. He thought that was the most important place to be. As a medical resident in Detroit he worked a Super Bowl, stationed in a room that would fill with victims if terrorists struck. Menes decided he would stand in front of the hospital, where the life-and-death decisions would be made. Friends at the hospital grew used to hearing him talk about mass casualties and trauma and triage. He quizzed his emergency response team and built plans in his mind. Theirs was a city of crowds, of festivals and concerts and other targets of terrorism, and he wanted his response to be automatic. For years Menes had imagined these moments.

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