Coronavirus Outbreak: Is Radiology Ready? Mass Casualty Incident Planning
Identifieur interne : 000494 ( Pmc/Checkpoint ); précédent : 000493; suivant : 000495Coronavirus Outbreak: Is Radiology Ready? Mass Casualty Incident Planning
Auteurs : Lee Myers ; Sudheer Balakrishnan ; Sravanthi Reddy ; Ali GholamrezanezhadSource :
- Journal of the American College of Radiology [ 1546-1440 ] ; 2020.
Abstract
On March 11, 2020, the World Health Organization declared a coronavirus disease 2019 (COVID-19) pandemic. Health care systems worldwide should be prepared for an unusually high volume of patients in the next few weeks to months. Even the most efficient radiology department will undergo tremendous stress when victims of a mass casualty flood the emergency department and in turn the radiology department. A significant increase is expected in the number of imaging studies ordered for the initial diagnosis and treatment follow-up of cases of COVID-19. Here, we highlight recommendations for developing and implementing a mass casualty incident (MCI) plan for a viral outbreak, such as the current COVID-19 infection. The MCI plan consists of several steps, including preparation, mobilization of resources, imaging chain, adjusting imaging protocols, and education, such as MCI plan simulation and in-service training. Having an MCI plan in place for a viral outbreak will protect patients and staff and ultimately decrease virus transmission. The use of simulations will help identify throughput and logistical issues.
Url:
DOI: 10.1016/j.jacr.2020.03.025
PubMed: 32304643
PubMed Central: 7128279
Affiliations:
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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Am Coll Radiol</journal-id>
<journal-id journal-id-type="iso-abbrev">J Am Coll Radiol</journal-id>
<journal-title-group><journal-title>Journal of the American College of Radiology</journal-title>
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<article-id pub-id-type="doi">10.1016/j.jacr.2020.03.025</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Coronavirus Outbreak: Is Radiology Ready? Mass Casualty Incident Planning</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" id="au1"><name><surname>Myers</surname>
<given-names>Lee</given-names>
</name>
<degrees>MD</degrees>
<email>Leemyers@med.usc.edu</email>
<xref rid="cor1" ref-type="corresp">∗</xref>
</contrib>
<contrib contrib-type="author" id="au2"><name><surname>Balakrishnan</surname>
<given-names>Sudheer</given-names>
</name>
<degrees>MD</degrees>
</contrib>
<contrib contrib-type="author" id="au3"><name><surname>Reddy</surname>
<given-names>Sravanthi</given-names>
</name>
<degrees>MD</degrees>
</contrib>
<contrib contrib-type="author" id="au4"><name><surname>Gholamrezanezhad</surname>
<given-names>Ali</given-names>
</name>
<degrees>MD</degrees>
</contrib>
<aff id="aff1">Department of Radiology, University of Southern California, Keck School of Medicine, Los Angeles, California</aff>
</contrib-group>
<author-notes><corresp id="cor1"><label>∗</label>
Corresponding author and reprints: Lee Myers, University of Southern California, LAC+USC Medical Center, 1200 N State Street, Room D&T 3D321, Los Angeles, Ca 90033-1029. <email>Leemyers@med.usc.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="pmc-release"><day>3</day>
<month>4</month>
<year>2020</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="epub"><day>3</day>
<month>4</month>
<year>2020</year>
</pub-date>
<permissions><copyright-statement>© 2020 American College of Radiology.</copyright-statement>
<copyright-year>2020</copyright-year>
<copyright-holder>American College of Radiology</copyright-holder>
<license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p>
</license>
</permissions>
<abstract id="abs0010"><p>On March 11, 2020, the World Health Organization declared a coronavirus disease 2019 (COVID-19) pandemic. Health care systems worldwide should be prepared for an unusually high volume of patients in the next few weeks to months. Even the most efficient radiology department will undergo tremendous stress when victims of a mass casualty flood the emergency department and in turn the radiology department. A significant increase is expected in the number of imaging studies ordered for the initial diagnosis and treatment follow-up of cases of COVID-19. Here, we highlight recommendations for developing and implementing a mass casualty incident (MCI) plan for a viral outbreak, such as the current COVID-19 infection. The MCI plan consists of several steps, including preparation, mobilization of resources, imaging chain, adjusting imaging protocols, and education, such as MCI plan simulation and in-service training. Having an MCI plan in place for a viral outbreak will protect patients and staff and ultimately decrease virus transmission. The use of simulations will help identify throughput and logistical issues.</p>
</abstract>
<abstract abstract-type="graphical" id="abs0015"><title>Visual abstract</title>
<fig id="undfig1" position="anchor"><graphic xlink:href="fx1_lrg"></graphic>
</fig>
</abstract>
<kwd-group id="kwrds0010"><title>Key Words</title>
<kwd>Coronavirus</kwd>
<kwd>COVID-19</kwd>
<kwd>mass casualty</kwd>
<kwd>novel COVID-19-infected pneumonia</kwd>
<kwd>preparedness</kwd>
<kwd>radiology</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations><list></list>
<tree><noCountry><name sortKey="Balakrishnan, Sudheer" sort="Balakrishnan, Sudheer" uniqKey="Balakrishnan S" first="Sudheer" last="Balakrishnan">Sudheer Balakrishnan</name>
<name sortKey="Gholamrezanezhad, Ali" sort="Gholamrezanezhad, Ali" uniqKey="Gholamrezanezhad A" first="Ali" last="Gholamrezanezhad">Ali Gholamrezanezhad</name>
<name sortKey="Myers, Lee" sort="Myers, Lee" uniqKey="Myers L" first="Lee" last="Myers">Lee Myers</name>
<name sortKey="Reddy, Sravanthi" sort="Reddy, Sravanthi" uniqKey="Reddy S" first="Sravanthi" last="Reddy">Sravanthi Reddy</name>
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