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Ramsey County │ Annex F: Fatality Management 11 <br />•Municipal Police or RCSO <br />•Other agencies in consultation with RCEMHS <br />3.5.2 ACTIVATION AND OPERATION <br />The final determination to activate the Fatality Management Annex resides with the Chief Medical <br />Examiner. The Annex may be activated for a number of reasons, including but not limited to: <br />• . <br />•An incident that will exceed the RCME’s Office routine resources for recovery and examination. <br />•An incident that requires a multi-agency response to support mass fatality operations. <br />During an incident requiring activation of the Fatality Management Annex, a team from the RCME’s <br />Office will conduct an initial scene evaluation to evaluate tactical issues, such as an entry and exit path <br />into the scene area, the number of fatalities, coordination with local and/or federal law enforcement for <br />evidence and body collection, condition of bodies in relation to contamination, and preliminary planning <br />for body recovery, documentation, and transportation from the scene. <br />3.5.3 RECOVERY OF HUMAN REMAINS, PROPERTY, AND EVIDENCE <br />Human remains recovery may differ based on the scope and nature of the incident. A natural disaster <br />may result in a broad area of fatalities, while remains may all be in a centralized location in a localized <br />incident. In addition, an intentional act or act of terrorism may present factors that delay recovery <br />efforts. Local, state, and/or federal law enforcement investigations will supersede human remains <br />recovery. For aviation or railway disasters, the National Transportations Safety Board (NTSB) will be <br />responsible for all aspects of the incident, including fatality management and family assistance. The <br />Federal Bureau of Investigations (FBI) will lead the response to an act of suspected terrorism. Mass <br />fatality incidents will likely be treated as a crime scene until the investigation proves otherwise except in <br />cases of natural disasters. Recovery should be conducted with care and respect for the deceased and <br />their families in all instances. <br />The incident site activities may include human remains and personal effects recovery, initial evidence <br />recovery from the remains, and temporary morgue, as needed. Incident site operations will be <br />performed according to professional protocols to ensure accurate identification of human remains and, <br />under certain circumstances (e.g., commercial airline accident and criminal or terrorist act), to preserve <br />the scene and collect evidence. In this context, the priority at any incident site will be to save and <br />protect lives. The RCME’s roles and responsibilities at the scene of a mass fatality will include the same <br />functions it fulfills on a daily basis under normal circumstances but will most likely require additional <br />resources. The basic Medical Examiner team (to be augmented by law enforcement for evidence <br />collection as necessary) will consist of an Assistant Medical Examiner, a Medical Examiner Investigator, <br />and two litter bearers. <br />RCME’s Office responsibilities at the scene will include: <br />•Scene evaluation and investigation. <br />•Collection and documentation of human remains, property, and evidence.