Emergency Radiology: Current Challenges and Preparing for Continued Growth

Chong, Suzanne T.; Robinson, Jeffrey D.; Davis, Melissa; Bruno, Michael A.; Roberge, Eric; Reddy, Sravanthi; Pyatt, Robert S.; Friedberg, Eric B.

doi:10.1016/j.jacr.2019.03.009

Cited by 29 publications

(33 citation statements)

References 40 publications

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“…The radiology departmental lead, typically an emergency/trauma radiologist depending on the site, should have knowledge of the capacity of the facility in relation to the number of victims as communicated by the DCC. 28 Identifying patients that require urgent imaging (triage) and how routine institutional practice should be diverted to cater to an MCI is expected to be planned and executed by the lead radiologist. This process is improved by practice and simulation.…”

Section: What Is the Role Of Radiology In Mci?mentioning

confidence: 99%

A Guide to Mass Casualty Incidents for Radiology Residents: Strategies, Ethics, Directions

Nasir

Chandy

Roberts

et al. 2021

Current Problems in Diagnostic Radiology

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Mass casualty incidents, by nature of their scale and unpredictability, can rapidly overwhelm health infrastructure. Preparation is the key to managing these crises with the lowest risk to emergency and health personnel, while providing maximal life saving measures. We present an overview of the multitiered planning that should go into forming a well set out emergency response plan and one that is capable of being adapted to a wide range of mass casualty scenarios. We highlight the ethical implications that a healthcare team faces while making challenging decisions rapidly in a high-pressure environment. Radiology trainees should be aware of the response systems in place at their institutions and the role that is expected of them in mass casualty incidents.

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Section: What Is the Role Of Radiology In Mci?mentioning

confidence: 99%

A Guide to Mass Casualty Incidents for Radiology Residents: Strategies, Ethics, Directions

Nasir

Chandy

Roberts

et al. 2021

Current Problems in Diagnostic Radiology

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“…The responsibility for planning for such occurrences lies with radiology leaders, who must determine the departmental maximum capacity. 1,8,10 Depending on local factors, this may be related to staffing or scanner numbers, ability to scan, image transfer capabilities, or numbers of radiologists to report scans. Allowing contingency plans to be put in place enables radiology departments to mobilize more radiologists to read images and/or more technologists to open more CT scanners.…”

Section: Definition Of MCImentioning

confidence: 99%

“…Where available, emergency radiologists have a most valuable role in MCI planning due to the nature of their training and daily workload, as well as often having well-developed clinical relationships with other emergency medical providers such as emergency department (ED) physicians, trauma surgeons, and intensivists. 10 They are often best placed to coordinate and lead the drive of MCI planning in radiology departments. 10 However, not all hospitals and health services have dedicated emergency radiologists and yet all these institutions and services need to be prepared.…”

Section: Definition Of MCImentioning

confidence: 99%

“…10 They are often best placed to coordinate and lead the drive of MCI planning in radiology departments. 10 However, not all hospitals and health services have dedicated emergency radiologists and yet all these institutions and services need to be prepared. This review aims to provide information of value to both emergency and nonemergency radiologists alike so does not specifically focus on their role.…”

Section: Definition Of MCImentioning

confidence: 99%

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Mass Casualty Imaging—Policy, Planning, and Radiology Response to Mass Casualty Incidents

et al. 2020

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A mass casualty incident (MCI) is an event that generates more patients at one time than locally available resources can manage using routine procedures. By their nature, many of these incidents have no prior notice but result in large numbers of casualties with injuries that range in severity. They can happen anywhere and at any time and regional hospitals and health-care providers have to mount a response quickly and effectively to save as many lives as possible. Radiologists must go from passenger to pilot when it comes to MCI planning. When involved at the hospital-wide planning stage, they can offer valuable expertise on how radiology can improve triage accuracy and at what cost in terms of time and resources and thereby contribute a pragmatic understanding of radiology’s role and value during MCIs. By taking ownership of MCI planning in their own departments, radiologists can ensure that the radiology department can respond quickly and effectively to unforeseen emergencies. Well-designed radiology protocols will save lives in an MCI setting.

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“…Today, the emergency radiologist must not only be familiar with the breadth of imaging findings that may be seen in the Emergency Department (ED) but should also manage imaging in the ED. 6 Particular facets of imaging that differ from other radiology settings include maintaining the relationship with the Emergency Medicine physicians, staffing considerations, designing ED-specific imaging protocols, active management of acquisition and interpretation of a wide range of imaging studies, managing outside imaging, and planning and practice for mass casualty incidents (MCI).…”

Section: Introductionmentioning

confidence: 99%

Operational Considerations in Emergency Radiology

Robinson

Gross

Cohen

et al. 2020

Seminars in Roentgenology

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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.

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Emergency Radiology: Current Challenges and Preparing for Continued Growth

Cited by 29 publications

References 40 publications

A Guide to Mass Casualty Incidents for Radiology Residents: Strategies, Ethics, Directions

A Guide to Mass Casualty Incidents for Radiology Residents: Strategies, Ethics, Directions

Mass Casualty Imaging—Policy, Planning, and Radiology Response to Mass Casualty Incidents

Operational Considerations in Emergency Radiology

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