In crisis situations, first responders are expected to act speedily, improvise, and do whatever is necessary to save lives and minimize damage; they should not wait for orders before they act. But while the benefits of quick action may be self-evident, there is little consideration in theory or practice of the moral costs that come with discretionary crisis decision-making. This article presents a framework for the ethical analysis of crisis decision-making on the front line. It is illustrated through a case study of the Memorial Hospital tragedy that played out in the days after Hurricane Katrina hit New Orleans. The conclusion explores the prospect of collective deliberation as a way to deal with the challenge of crisis-induced moral dilemmas.