• Lee Myers, Sudheer Balakrishnan, Sravanthi Reddy, and Ali Gholamrezanezhad.
• Department of Radiology, University of Southern California, Keck School of Medicine, Los Angeles, California. Electronic address: Leemyers@med.usc.edu.
• J Am Coll Radiol. 2020 Jun 1; 17 (6): 724-729.

AbstractOn 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.Copyright © 2020 American College of Radiology. Published by Elsevier Inc. All rights reserved.

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