Department of Radiology, University of Southern California, Keck School of Medicine, Los Angeles, California.
Department of Radiology, University of Southern California, Keck School of Medicine, Los Angeles, California.
J Am Coll Radiol. 2020 Jun;17(6):724-729. doi: 10.1016/j.jacr.2020.03.025. Epub 2020 Apr 3.
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.
2020 年 3 月 11 日，世界卫生组织宣布 2019 冠状病毒病（COVID-19）大流行。全球医疗体系应做好准备，迎接未来数周至数月内患者数量的异常增加。即使是效率最高的放射科也将在大批伤病员涌入急诊室并继而涌入放射科时承受巨大压力。预计 COVID-19 病例的初始诊断和治疗随访所需的影像学检查数量将显著增加。在这里，我们强调了制定和实施大规模伤亡事件（MCI）计划的建议，以应对当前的 COVID-19 感染等病毒爆发。该 MCI 计划包括几个步骤，包括准备、资源调动、成像链、调整成像协议以及教育，例如 MCI 计划模拟和在职培训。为病毒爆发制定 MCI 计划将保护患者和员工，并最终减少病毒传播。模拟的使用将有助于发现吞吐量和后勤问题。
