I moved to Las Vegas at Christmas 1995, almost a native by Las Vegas standards. As a medical social worker at St Rose Siena I was personal touched by the aftermath. Coming into work on Monday morning my master’s level student and I went to the ER to provide emotional support and active listening. We were to determine who remained, and identify their current needs. There were three remaining patient’s in the emergency room, all women, two midlife and one a very young adult. One was from Canada. Her husband was flying down to take her home. She and a friend had traveled to Las Vegas for the concert. She did not know where her friend was or who she that fared. Another was waiting for a friend to give her a ride home. The third was a young bartender who worked the event; her purse lost in the aftermath; along with her apartment key. She waited, with fear on her face and eyes full of tears, for the business office at her apartment complex to open so that she could return to the safety of her home.