Emergency imaging after a mass casualty incident: role of the radiology department during training for and activation of a disaster management plan

The British Journal of Radiology
Ferco H BergerRonald M Bilow

Abstract

In the setting of mass casualty incidents (MCIs), hospitals need to divert from normal routine to delivering the best possible care to the largest number of victims. This should be accomplished by activating an established hospital disaster management plan (DMP) known to all staff through prior training drills. Over the recent decades, imaging has increasingly been used to evaluate critically ill patients. It can also be used to increase the accuracy of triaging MCI victims, since overtriage (falsely higher triage category) and undertriage (falsely lower triage category) can severely impact resource availability and mortality rates, respectively. This article emphasizes the importance of including the radiology department in hospital preparations for a MCI and highlights factors expected to influence performance during hospital DMP activation including issues pertinent to effective simulation, such as establishing proper learning objectives. After-action reviews including performance evaluation and debriefing on issues are invaluable following simulation drills and DMP activation, in order to improve subsequent preparedness. Historically, most hospital DMPs have not adequately included radiology department operations, and they ...Continue Reading

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Citations

Sep 7, 2017·World Journal of Orthopedics·Fikri M Abu-Zidan
Mar 12, 2020·Disaster Medicine and Public Health Preparedness·Salman ZarkaOlga Polyakov
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Nov 2, 2021·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Brian T GibneySiobhán B O'Neill

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