This all happened at the memorial hospital, there was no plan in place for that disaster situation, john thiele was not okay with doing what he did but he assumed the best choice due to the fact that it would end the suffering. end of life preference was not able to be considered due to the disaster situation the priority became getting anyone out, the one who was physically able to be taken out and the patients that were not able to be taken out were not made a priority regardless of the end of life preferences.