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The development of both pipelines and CAFOs (confined animal feeding operations) in eastern NC have prompted action from justice organizations such as the North Carolina Environmnetal Justice Network (NCEJN). To address the ongoing problem of CAFOs, NCEJN has provided a number of resources on their site, as well as ways to take action by signing a petition to stop the use of hog waste as fertilizer. Prior to the Atlantic Coast Pipeline (ACP) being canceled in 2020, NCEJN played a role in organizing protests and taking legal actions- in conjunction with many other community member and activist groups- against Dominion and Duke Energy, the companies responsible for the ACP's construction. 

The narrative is maintained through both very real, detailed descriptions of actions taken for both specific cases and the handling of large groups of patients. It also goes into some lesser known events of 9/11, such as the triage camps being destroyed by the collaspe of the towers and how the situation evolved throughout the two crashes and collaspes that day. It appeals to the emotion of the viewer in many ways. It discusses the incrediable physical and psychological damage that the victims sustained during the disaster. It then handled the emotional trauma and determination that the first responders and doctors had to deal with when they saw their gore and chaos of their city all around them while needing to maintain their professionality and ability to care for their pateints. It also later in the film talked about the first responders who lost their lives in their dedication to save others, with direct emotional appeal through the portayal of one first responder who lost a long time friend becoming choked up remembering his fallen friend once again.