In the wake of the largest mass shooting in the United States, our thoughts are with our member, Orlando Health, as it treats the victims and keeps their family members informed.

Nearly 50 people were killed in an Orlando, Fla., LGBT nightclub on the morning of June 12, and more than 50 more were injured in the attack. Orlando Health led the emergency response.

The health system’s Orlando Regional Medical Center (ORMC) — Central Florida’s only level I trauma center — treated nearly 50 victims for assault rifle wounds to the abdomen, extremities, and torso.

Under the worst possible circumstances, the hospital’s staff answered the call. ORMC called in a total of six surgeons to help respond to the situation when staff realized the volume of victims being brought to the hospital. Twenty-six surgeries were performed on victims on the day of the attack, and six more were scheduled for June 13.

About 200 family members of the victims were at the hospital’s emergency department on Sunday. ORMC provided information to families through a local senior center and created a victim hotline. The hospital also used Twitter to keep the community informed.

While it’s a job our hospitals hope never to do, responding to mass casualties has become a sad fact of life for them — in San Bernardino, Calif., Boston, Aurora, Colo., and other cities across the country. Essential hospitals, many of which are level I trauma centers, are well-prepared. But that never makes the job any easier or the responsibility welcome.