Disaster management for emergency departments is often problematic. Although an organized system of command and control is often needed to manage the additional chaos brought on by the disaster, emergency physicians are often ill prepared for the situation. Although several current systems exist for command and control structure, including Incident Command System (ICS) and Hospital Incident Command System (HEICS), these systems are extremely comprehensive, and simulation physicians often comment that the systems are too complex. The Incident Command for Emergency Departments (ICED) system represents a novel instrument for emergency department management during disasters. This simplified incident command system consists of an introductory text, a simplified organizational chart with only thirteen color coded positions, job actions sheet for each position, and a set of only five forms.