Modeling emergency radiology demand for FIFA 2026 and the Los Angeles 2028 Olympic Games using discrete-event simulation[1]
Summary
Monte Carlo discrete-event simulation (LA General / USC group) of an 8-hour emergency radiology shift with a 2-hour event-related CT surge, built for FIFA 2026 and LA 2028 planning. With ~133 CTs per shift, local-only coverage produced mean turnaround 48.7 min (90th percentile 89.6) and 47.4 cases delayed >60 min; adding a teleradiology team triggered at a 10-case unread backlog cut mean turnaround to 18.0 min, the 90th percentile to 37.3, and >60-min delays to 2.0. Sensitivity analysis: saturation risk rises sharply when surge arrivals grow against fixed local staffing. Concludes threshold-triggered teleradiology is a surge buffer, not a substitute for adequate local staffing and predefined escalation.
So what
The first published capacity model for the US mega-event decade aimed at a downstream chokepoint nobody's event medical plan owns: CT interpretation. Its design pattern — a numeric backlog threshold that auto-triggers surge support — is the hospital-side twin of the show-stop trigger doctrine, and its punchline (buffers help, baseline staffing decides saturation) generalizes to every event-adjacent hospital resource. Direct planning input for FIFA 2026 / LA28 host hospitals and a methods template MGMI can point US planners at.
Key findings
- Discrete-event simulation of event CT surge for FIFA 2026 / LA 2028
- Teleradiology at 10-case backlog threshold: turnaround 48.7→18.0 min; >60-min delays 47.4→2.0
- Saturation risk rises sharply with surge volume against fixed local staffing
- Threshold-triggered surge support = buffer, not substitute for baseline capacity
- Transferable pattern: numeric auto-escalation thresholds for hospital-side event resources
Read the paper
- Publisher (DOI) ↗may be paywalled
- PubMed ↗abstract · free