Coordination deficiencies have been identified after the March 2011 earthquakes in Japan in terms of scheduling and allocation of resources, with time pressure, resource shortages, and especially informational uncertainty being main challenges. We address this issue of operational emergency response in natural disaster management (NDM) by suggesting a decision support model and a Monte Carlo heuristic which account for these challenges by drawing on fuzzy set theory and fuzzy optimization.Deriving requirements for addressing NDM situations from both practice and literature, we propose a decision model that accounts for the following phenomena: a) incidents and rescue units are spatially distributed, b) rescue units possess specific capabilities, c) processing is non-preemptive, and d) informational uncertainty occurs due to vague and linguistic specifications of data. We computationally evaluate our heuristic and benchmark the results with current best practice solutions. Our results indicate that applying the new heuristic can substantially reduce overall harm.