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SAEM Clinical Images Series: Only a Flesh Wound

ALiEM

2009 Nov;67(5):1046-1050. doi: 10.1148/radiology.216.2.r00jl25356. The Journal of Trauma. DOI: 10.1097/ta.0b013e3181b83b63. 0b013e3181b83b63. PMID: 19901666. Múnera F, Soto JA, Palacio D, Velez SM, Medina E. 2000 Aug;216(2):356-62. r00jl25356.

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REBEL Core Cast 107.0 – Vertebral Osteomyelitis

RebelEM

Imaging Gadolinium enhanced MRI – modality of choice, highly sensitive and specific ( Mylona 2009 ). Diagnostic Radiology: Musculoskeletal and Breast Imaging. 2009 Aug; 39(1):10-7. Although MRI with and without contrast is preferred, a non-contrast MRI can evaluate for inflammatory processes. J Spinal Disord Tech.

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Approach to Hernias in the ED

Taming the SRU

4, 1 July 2009, p. e14, www.biij.org/2009/4/e14/. Emergency Radiology (Print) , vol. H, Ravikumar, et al. Reduction En-Masse of Inguinal Hernia with Strangulated Obstruction.” Biomedical Imaging and Intervention Journal , vol. Accessed 9 Apr. Jenkins, John T, and Patrick J O’Dwyer. Inguinal Hernias.” 7638, 31 Jan. Long, Brit.

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Qi:KT - Acute Liver Failure

Taming the SRU

2009 Sep;137(3):856-64, 864.e1. Epub 2009 Jun 12. 2009 Jun;136(7):2159-68. The British Journal of Radiology, vol. Lee WM, Hynan LS, Rossaro L, Fontana RJ, Stravitz RT, Larson AM, Davern TJ 2nd, Murray NG, McCashland T, Reisch JS, Robuck PR; Acute Liver Failure Study Group. Gastroenterology. doi: 10.1053/j.gastro.2009.06.006.

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Ultrasound of the Month: No Definitive Yolk Sac, No Definitive IUP!

Taming the SRU

A radiology performed ultrasound is ordered and has similar findings– Impression: no definitive IUP with a small amount of free fluid within physiologic limits. Best Practice & Research Clinical Obstetrics & Gynaecology, Volume 23, Issue 4, 2009. PMID: 34146921. 6 – Emma Kirk, Tom Bourne. Pages 501-508, ISSN 1521-6934.

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PEM POCUS Series: Soft Tissue Ultrasound

ALiEM

In one pediatric study including 3,094 children suspected of a soft tissue infection who underwent either POCUS or radiology department ultrasound, POCUS was shown to have a shorter median LOS by 73 minutes (95% CI 52.4-93.6 Epub 2009 Aug 8. POCUS can also reduce the length of stay (LOS) for our patients. 97.4%) 85.4% (78.9-90.2%)

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Diagnostics and Therapeutics: Thoracentesis in the Emergency Department

Taming the SRU

2009 Mar;26(1):82-5. Seminars in interventional radiology,28(1), 75–86. Ultrasound guidance reduces pneumothorax rate and improves safety of thoracentesis in malignant pleural effusion: report on 445 consecutive patients with advanced cancer. World journal of surgical oncology. Staes W, Funaki B. "Ex Ex vacuo" pneumothorax. link] Yu H.