When the city of Boston was shut down for four days after the marathon bombings because the suspects were on the loose, trauma centers caring for the victims had already updated their response plans based on lessons learned on that horrific day. Boston’s RN teams found that disaster plans need fine-tuning after the fact, but definitely not an overhaul. The story talks about what RNs at the various hospitals learned; how communication was crucial; the effects of social media; and how they defined new roles and altered processes during the disaster.