‘Organized chaos': What hospitals can learn from Boston Marathon bombing response

David Reisman, MHA, ACHE 2018

David Reisman, MHA, speaking at the 2018 ACHE Congress in Chicago

At first, the 2013 Boston Marathon was going more smoothly for hospitals in and around downtown Boston compared to the prior year’s event, when a heat wave meant more runners needed medical attention. David Reisman, MHA, senior administrative director of emergency medicine at Massachusetts General Hospital, admitted he had begun to think it would be an easy day.

GBCAs should be used when necessary, but minimize repeating scans on the same patient

Imaging providers should still administer gadolinium-based contrast agents (GBCAs) when necessary, according to a recent commentary published in the Journal of the American College of Radiology. However, the authors added, assessing the “necessity, benefits and risks” of each examination and minimizing repeated scans on the same patient is recommended.