When I ask about fire evacuations in procedural areas such as the cardiac cath lab, PACU, same-day surgery, and operating areas, it is disturbing as a consultant to hear that some of these areas don’t take part in fire drills because they are in the “middle of cases” when the practices occur. The next question that I ask is, “Where would you evacuate patients in the event of a fire in this area?” Surprisingly, some staff ponder the question or start a discussion with colleagues about the process, which doesn’t give me confidence that patients would be evacuated efficiently and effectively in the event of a fire.