Radiological mass casualty incident (MCI) workflow analysis: single-centre data of a mid-scale exercise

Mueck, Fabian G; Wirth, Kathrin; Muggenthaler, Maximilian; Kreimeier, U.; Geyer, Lucas L.; Kanz, Karl‐Georg; Linsenmaier, Ulrich; Wirth, Stéfan

doi:10.1259/bjr.20150918

Cited by 18 publications

(4 citation statements)

References 27 publications

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“…The CT used should offer 64 rows and modern technology (cardiac capability is welcome but not essential) [ 15 , 24 , 26 – 29 ]. Radiology departments as part of Trauma centres should optimise communication and drive quality assurance/ management [ 15 , 31 , 32 , 34 , 150 , 151 ]. eFAST should be part of the primary survey and Radiography should be immediately available [ 15 , 37 – 41 , 43 , 46 ].…”

Section: Discussionmentioning

confidence: 99%

European Society of Emergency Radiology: guideline on radiological polytrauma imaging and service (short version)

et al. 2020

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Background Although some national recommendations for the role of radiology in a polytrauma service exist, there are no European guidelines to date. Additionally, for many interdisciplinary guidelines, radiology tends to be under-represented. These factors motivated the European Society of Emergency Radiology (ESER) to develop radiologically-centred polytrauma guidelines. Results Evidence-based decisions were made on 68 individual aspects of polytrauma imaging at two ESER consensus conferences. For severely injured patients, whole-body CT (WBCT) has been shown to significantly reduce mortality when compared to targeted, selective CT. However, this advantage must be balanced against the radiation risk of performing more WBCTs, especially in less severely injured patients. For this reason, we recommend a second lower dose WBCT protocol as an alternative in certain clinical scenarios. The ESER Guideline on Radiological Polytrauma Imaging and Service is published in two versions: a full version (download from the ESER homepage, https://www.eser-society.org) and a short version also covering all recommendations (this article). Conclusions Once a patient has been accurately classified as polytrauma, each institution should be able to choose from at least two WBCT protocols. One protocol should be optimised regarding time and precision, and is already used by most institutions (variant A). The second protocol should be dose reduced and used for clinically stable and oriented patients who nonetheless require a CT because the history suggests possible serious injury (variant B). Reading, interpretation and communication of the report should be structured clinically following the ABCDE format, i.e. diagnose first what kills first.

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Section: Discussionmentioning

confidence: 99%

European Society of Emergency Radiology: guideline on radiological polytrauma imaging and service (short version)

et al. 2020

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“…In many hospital MCI plans, radiology gets ranked under ancillary services and is often not included in the early rounds of notification. 18 Previous MCI after-action reviews recommend a move toward earlier notification 19 -24 of radiology, along with theaters, critical care, blood bank, and surgical specialties.…”

Section: Policy and Planningmentioning

confidence: 99%

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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“…These 25% of pathologic findings may not be identified since scout views are only intermittently evaluated by radiologists with no clear guidelines on whether physicians can be found negligent for not interpreting the images [2]. In some cases, start and end points of a scan are set by reference mark and a CT scout might not be obtained [3]. A case presentation follows to demonstrate the utility of MRI scout imaging, and discusses the medical and legal implications of interpreting vs disregarding scout imaging.…”

Section: Introductionmentioning

confidence: 99%

Medical and Legal Implications of MRI Scout Imaging in a Surgical Patient with Case Presentation

Albano

Ramnot

Siddiqi

et al. 2020

Cureus

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Radiological mass casualty incident (MCI) workflow analysis: single-centre data of a mid-scale exercise

Cited by 18 publications

References 27 publications

European Society of Emergency Radiology: guideline on radiological polytrauma imaging and service (short version)

European Society of Emergency Radiology: guideline on radiological polytrauma imaging and service (short version)

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

Medical and Legal Implications of MRI Scout Imaging in a Surgical Patient with Case Presentation

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