RebelEM

SEPTEMBER 11, 2023

Outcomes: Primary: Percent change in management decisions after introducing the Radiology Department RUQ US. A change in clinical course resulting from a discrepancy between POCUS and radiology department imaging only occurred in 2% of patients (not 10%). 2011 Mar;18(3):227-35. Acad Emerg Med. PMID: 21401784.

Ultrasounds 68

Ultrasounds Radiology Radiology Emergency Department 68

ALiEM

MARCH 7, 2024

Renal cysts can be confused for hydronephrosis, and both warrant further imaging by Radiology. Point-of-Care Ultrasound Assessment of Bladder Fullness for Female Patients Awaiting Radiology-Performed Transabdominal Pelvic Ultrasound in a Pediatric Emergency Department: A Randomized Controlled Trial. Dessie et al., Sibley et al.,

Ultrasounds 70

Ultrasounds Pediatrics Radiology Radiology 70

Taming the SRU

SEPTEMBER 8, 2023

16, 2011, p. The British Journal of Radiology, vol. Journal of Hepatology, vol. 4, 2014, pp. 876–882, [link] Potts, Jonathan R. Optimizing management in autoimmune hepatitis with liver failure at initial presentation.” World Journal of Gastroenterology, vol. 2070, [link] Imaging: Obaid Shakil, A., Digestive Diseases and Sciences, vol.

Radiology 59

Radiology Radiology Ultrasounds EMS 59

Mind The Bleep

AUGUST 5, 2023

2011 Jan 20;364(3):255-64. Management It is useful to be aware of Bell’s modified staging for NEC for deciding on treatment. Below is a simplified version. 1, 3-4, 7-8, 12) Medical Management : Nil by mouth (NBM) to rest the bowel. One-year outcomes following surgery for necrotising enterocolitis: a UK-wide cohort study. N Engl J Med.

Sepsis 52

Sepsis Ultrasounds Radiology Radiology 52

Taming the SRU

MAY 27, 2024

Seminars in interventional radiology,28(1), 75–86. How to do thoracentesis - pulmonary disorders. Merck Manual Professional Edition. Accessed May 15, 2024. link] Yu H. Management of pleural effusion, empyema, and lung abscess. doi:10.1055/s-0031-1273942 Light RW. Clinical practice. Pleural effusion. N Engl J Med. 2002 Jun 20;346(25):1971-7.

Emergency Department 87

Emergency Department Ultrasounds Radiology Radiology 87

ACEP Now

MAY 9, 2024

Active extravasation of blood into the hematoma was identified, and the patient was referred to interventional radiology. 2011 Feb;12(1):109-12. A CT angiogram was not ordered until the following morning, nor performed for several additional hours. A critical appraisal of AHRQ’s “diagnostic errors” report. Moffett P, Moore G.

Emergency Department 52

Emergency Department Research Infectious Diseases Hospitals 52

Pediatric Emergency Playbook

JUNE 1, 2017

2011; 2(1):70-72. 2011 Jan-Jun; 4(1): 81–83. 2011; 32:492-497. 2011; 552-555. 2011; 128(6):1-6 Munk K et al. Acute Myocardial Infarction related to Blunt Thoracic Trauma. Arq Bras Cardiol. 2006; 87:e168-e171. Liu X et al. Acute myocardial infarction in a child with myocardial bridge World J Emerg Med. 2016; 17:2.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

Pediatric Emergency Playbook

SEPTEMBER 1, 2015

Treatment: stabilization, embolization by interventional radiology, elective extirpation when more stable. 2011; 76(12):1071-7 Baren J. The differential is vast: cardiac, hematologic, infectious, vascaulr, syndromic, metabolic, oncologic, traumatic, toxic. Radiosurgery is an options for others. ACEP Scientific Assembly. Boston, MA.

Pediatrics 40

Pediatrics Seizures Stroke Radiology 40

PEMBlog

JUNE 5, 2024

Guidelines for field triage of injured patients: recommendations of the National Expert Panel on Field Triage, 2011. 2011 Aug;58(2):145-55. It’s a highly sensitive rule that is designed to prevent missing cervical spine injuries while limiting the amount of unnecessary radiologic examinations. MMWR Recomm Rep. 2010.08.038.

Fractures 52

Fractures Pediatrics Radiology Radiology 52

ALiEM

AUGUST 9, 2023

2011 Oct;140(4):859-866. J Ultrasound Med. 2017 Nov;36(11):2325-2328. PMID: 28586113 Ding W, Shen Y, Yang J, He X, Zhang M. Diagnosis of pneumothorax by radiography and ultrasonography: a meta-analysis. PMID: 21546439 Additional Reading Rizvi MB, Rabiner JE. Pediatric Point-of-Care Lung Ultrasonography: A Narrative Review. West J Emerg Med.

Ultrasounds 98

Ultrasounds Pediatrics Emergency Department Operations 98

Northwestern EM Blog

DECEMBER 20, 2021

Commonly hematogenous spread from bacteremia; clinical suspicion should prompt radiologic evaluation. doi:10.1136/archdischild-2011-301245. Osteomyelitis - Occurs in 1:5000-7700 kids in increased prevalence with MRSA communities; 2:1 male to female predominance with half of all cases occurring in ages less than 5 [7]. Am Fam Physician.

Pediatrics 52

Pediatrics Ultrasounds Emergency Department Radiology 52

Pediatric Emergency Playbook

FEBRUARY 1, 2016

After balloon occlusion, blood pressure improved sufficiently to take the patient either to interventional radiology or to the OR. 2011 Dec;71(6):1869-72. They used REBOA for refractory hemorrhagic shock due to either blunt or penetrating injury. Four patients lived, two died. J Pediatr Surg. 2013 Jun;48(6):1377-83.

Resuscitation 40

Resuscitation Pediatrics Fractures Emergency Department 40

Pediatric Emergency Playbook

MARCH 1, 2016

Adults tolerate hypotension relatively well, and is sufficient until we send them to the OR or interventional radiology suite. 2011 May;18(5):477-82. To avoid this, we target a MAP of 65 and look for clinical signs of sufficient perfusion. In children, this is simply not the case. Hypotension in children is a sign of pre-arrest.

Resuscitation 40

Resuscitation Pediatrics Hyperthermia / Hypothermia Operations 40

Pediatric Emergency Playbook

APRIL 1, 2017

Radiologic Cases in Pediatric Emergency Medicine; University of Hawaii. Thieme; 2011. Diagnosis and management of upper aerodigestive tract foreign bodies. Otolaryngol Clin North Am. 2008;41(3):485-496, vii - viii. doi:10.1016/j.otc.2008.01.013. 2008.01.013. Loren Yamamoto, Inaba A, DiMauro R. Radiol Cases Emerg Med. 2013.12.028.

Pediatrics 52

Pediatrics CPR Operations Resuscitation 52

EMDocs

JUNE 21, 2023

If thinking TA, share your concern with radiology, which improves sensitivity. 2011 Nov;71(5):E110-3. A 2013 study found a sensitivity of ~47% for TA of the knee using plain radiographs. Based on the data, a normal x-ray couldn’t rule it out. 2008 Feb;466(2):432-5. PMID: 18196428. Feathers T, et al. PMID: 21768902.

Soft Tissue Injuries 96

Soft Tissue Injuries Fractures Dislocations Radiology 96

Don't Forget the Bubbles

FEBRUARY 7, 2024

Pediatric radiology , 48 , pp.735-744. Indian Journal of Urology: IJU: Journal of the Urological Society of India , 38 (2), p.135. Bandarkar, A.N. and Blask, A.R., Testicular torsion with preserved flow: key sonographic features and value-added approach to diagnosis. Barbosa, J.A., de Freitas, P.F.S., Carvalho, S.A.D., Coelho, A.Q.,

Pediatrics 111

Pediatrics Ultrasounds Operations Hospitals 111

Advanced Emergency Nursing from AENJ

MAY 27, 2015

2011) Emergency Preparedness. 4/22/2011) What Boston Hospitals Learned from Israel. No Date, possibly 9/1/2011) Mumbai Large Scale Attacks. Preparing Hospitals, Doctors, and Nurses for a Terrorist Attack. Hudson Institute White Paper. California Hospital Association. Preparing Hospitals for Disaster. JewishJournal.com.

Federal Emergency Management Agency 40

Federal Emergency Management Agency Military Hospitals Administration 40

EB Medicine

JANUARY 2, 2019

Jeff: All patients with a positive pregnancy test and vaginal bleeding should receive an ultrasound performed by either an emergency physician or by radiology. Per a 2010 and 2011 Cochrane review, there is not evidence to recommend one antibiotic over another, so let your local antibiograms guide your treatment.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

Don't Forget the Bubbles

SEPTEMBER 18, 2024

He has been treated four times for pneumonia, two of which were confirmed radiologically and required hospitalisation, and he has also experienced recurrent bouts of otitis media. Pediatrics 2011; 127: 810–816. Of concern is the recurrent number of ENT and respiratory tract infections he had which have required antibiotics.

Emergency Department 98

Emergency Department Wellness Infectious Diseases Pediatrics 98

PulmCCM

MARCH 7, 2025

between 2008 and 2011, patients in the U.K. interventional radiology, cardiac catheterization, imaging, and laboratory testing). 2011 Jul;146(7):810-7. Epub 2011 Mar 21. More Weekend Worries An even larger study a decade earlier had raised concerns for worse outcomes occurring after Friday surgeries. PMID: 28914284.

Outcomes 116

Outcomes Hospitals Operations Radiology 116

Sensible Medicine

DECEMBER 30, 2024

The authors used a sample of Medicare patients aged 65 and older who were admitted to a hospital between 2011-14 with a medical diagnosis. Specialist consultations, nursing, respiratory and physical therapy, lab, radiology, surgery, to name a few. The paper is open access. This was a big database analysis of over 1.2

Academics 125

Academics Outcomes Leadership Radiology 125

Don't Forget the Bubbles

AUGUST 10, 2023

A BestBets evidence review in 2011 looked at 4 published papers between 1948 & 2011. Current evidence supports the stance that Isolated tuft fractures do not require a course of prophylactic antibiotics especially when adequate wound cleaning has occurred. They do not improve outcomes. This included over 500 cases in total.

Fractures 52

Fractures Soft Tissue Injuries Emergency Department Operations 52