Factors that affect mass fatality management and crisis standards of care: Lessons from the El Paso COVID-19 surge.

This paper examines the substantial spike in fatalities that occurred in El Paso, Texas in late 2020 due to an unprecedented surge in COVID-19 infection. It also considers various explanations for the fatality surge, and the fatality management issues observed during the event. The paper suggests what lessons can be learned from this event, in particular those preventable causes that could be avoided in a future outbreak. The paper also examines the gaps in existing mass fatality management processes as they apply to planning for pandemics and mass fatality crisis standards of care.