The Catastrophic Incident Response (CIR) Annex provides a functional annex that guides the state level response and provides local medical services with guidance on the care of patients (including crisis care and resource allocation), during a catastrophic incident that incapacitates the local, regional, and/or state health care system and prevents the ability to provide conventional and/or contingency care.  Included within the annex are several attachments that provide resources and guidance, including crisis care and resource allocation tactics that are specific for EMS, healthcare facilities, local health departments, and pediatric and neonatal patients.