Sometimes, trauma strikes with a momentous vengeance and many are injured and killed at once. These mass casualty incidents have to be addressed by a multi-array of professionals such as law enforcement, emergency care workers, and those who are immediately on the scene to use their mental and physical laurels to deal with the situation. Some argue that mass death tears communities apart. The theory is that an area can only stand so much devastation. With the stress of the catastrophe more destruction will arise by the people themselves. What are the procedures and polices of dealing with a mass fatality event? The tornado tragedy in Riegelwood, North Carolina is an excellent case study for a multi-death disaster scene in the rural setting. This prompted an inquiry in to the larger issues of death whether in a small town or world setting.