The Skeptics' Guide to EM

JUNE 4, 2017

However, when we assess major trauma that includes chest, abdominal and pelvic trauma, the initial radiologic evaluation is left to the treating physician’s judgement. Many studies (most retrospective) have assessed the use of pan scanning as an initial radiologic evaluation. Reference: Sierink et al.

Radiology 52

Radiology Radiology CPR Hospitals 52

PHEM Cast

FEBRUARY 23, 2017

Priorities for the bleeding trauma patient must include: Minimum time to control of bleeding (tourniquets / haemostatics / knife / interventional radiology) Normothermia Appropriate choice of destination (knife / IR) ? We believed in permissive hypotension – we were probably wrong. J Trauma Acute Care Surg. 2016 Sep;81(3):458-62.

Blood Transfusions 52

Blood Transfusions Head Injuries Resuscitation Radiology 52

RebelEM

AUGUST 30, 2023

Diagnostic Radiology: Musculoskeletal and Breast Imaging. New Delhi: JP Brothers Medical Ltd; 2012 Della-Guistina, D. Vertebral Osteomyelitis and Spinal Epidural Abscess: An Evidence-based Review. J Spinal Disord Tech. 2015 Jul;28(6):E316-27 PMID: 26079841 Chowdhury V, Gupta A, Khandelwal N.

Infectious Diseases 88

Infectious Diseases Fractures Radiology Radiology 88

PEMBlog

SEPTEMBER 23, 2024

Radiologic Follow-up of Ruptured Arachnoid Cysts With or Without Hemorrhage: Five Case Reports and a Review of the Literature.” 7,1 (2012): 33-5. “Spontaneous Arachnoid Cyst Rupture with Subdural Hygroma in a Child.” Case reports in emergency medicine vol. 2016 (2016): 6964713. doi:10.1155/2016/6964713 Kim, Ga-Eun et al. and Joe M.

Pediatrics 59

Pediatrics Radiology Radiology Research 59

EMDocs

MAY 11, 2024

Brainstem stroke: anatomy, clinical and radiological findings. 2012) 43:2904–9. Locked-in syndrome. Reference article, Radiopaedia.org (Accessed on 28 Aug 2023) [link] Ortiz de Mendivil A, Alcalá-Galiano A, et al. Semin Ultrasound CT MR. 2013 Apr;34(2):131-41. doi: 10.1053/j.sult.2013.01.004. 2013.01.004. PMID: 23522778.] Front Neurol.

Stroke 107

Stroke EMS EKG/ECG Radiology 107

Don't Forget the Bubbles

NOVEMBER 8, 2023

Pediatrics, 2012. Hospital Admitted Patient Care Activity. NHS Digital 2021-22; Available from: [link]. Bachur, R.G., Diagnostic imaging and negative appendectomy rates in children: effects of age and gender. 129 (5): p. Bundy, D.G., Does This Child Have Appendicitis? JAMA, 2007. Fawkner-Corbett, D., Lancet Child Adolesc Health. Doria, A.S.,

Emergency Department 105

Emergency Department Ultrasounds Pediatrics Best Practices 105

Mind The Bleep

NOVEMBER 6, 2023

The “teardrop sign” is a radiological sign of inferior orbital wall fractures in which intraorbital fat +/- inferior rectus muscle herniates through the fracture. 2012) The epidemiology of chemical eye injuries. Teardrop sign (inferior orbital wall fracture). Curr Eye Res. British Journal of Oral and Maxillofacial Surgery.

Fractures 52

Fractures Radiology Radiology Emergency Department 52

Don't Forget the Bubbles

MARCH 11, 2024

Craniosynostosis, The Radiology Assistant. The Radiology Assistant: Craniosynostosis Accessed 10.01.2024 Mawji, A., Prevalence, risk factors, and natural history of positional plagiocephaly: a systematic review. Developmental Medicine & Child Neurology, 50(8), 577–586. link] Bomer-Skogstad J, Dremmen M, Mathijssen I, Smithuis R.

Radiology 59

Radiology Radiology Pediatrics Documentation/Coding 59

Northwestern EM Blog

MAY 16, 2022

It is worth mentioning that this study was a multicenter study based in the US with representation from ED, Radiology, and Urology. Third, for those with proper training, and with some exceptions (see the systematic review paper for case vignettes that highlight these), POCUS is non-inferior to radiology-performed US. Coursey, C.

Ultrasounds 52

Ultrasounds Radiology Radiology Outcomes 52

RebelEM

JANUARY 25, 2023

J Trauma Acute Care Surg 2012; 73(5): S362-9. Radiology US 90% 96% 14.1 2.3 – 5.4) (-) LR: 0.18 (0.09 – 0.35) Ultrasound Findings Dilated loops of bowel (diameter > 2.5 3.6 – 55.6) (-) LR: 0.13 (0.08 – 0.20) ED US (+) LR: 9.5 (2.1 3.6 – 55.6) (-) LR: 0.13 (0.08 – 0.20) ED US (+) LR: 9.5 (2.1

Operations 52

Operations Sepsis Resuscitation Ultrasounds 52

Pediatric Emergency Playbook

SEPTEMBER 1, 2015

Treatment: stabilization, embolization by interventional radiology, elective extirpation when more stable. 2012; DOI 10.1007/s12028-012-9695-z Capovilla G et al. 2012; 79:2355-2358. The differential is vast: cardiac, hematologic, infectious, vascaulr, syndromic, metabolic, oncologic, traumatic, toxic. ACEP Scientific Assembly.

Pediatrics 40

Pediatrics Seizures Stroke Radiology 40

Pediatric Emergency Playbook

NOVEMBER 1, 2016

What am I seeing -- or not seeing -- here? First a refresher on radiographic anatomy of the elbow -- Images courtesy of Radioglypics (Open Access Radiology Education). 2012 Jan 18;1:CD007759. Position of comfort, analgesia, xrays, and now what? Used with permission. J Child Orthop. 2013 Jun; 7(3): 225–233. J Pediatr Orthop.

Pediatrics 52

Pediatrics Fractures Dislocations Radiology 52

Pediatric Emergency Playbook

JUNE 1, 2017

The Systemic Lupus International Collaborating Clinics (SLICC) revised the criteria in 2012. 2012; AID 471759. 2012; 7:19796. Blog Post] July 22, 2012. 2012; 59(13):1123-1133. The patient should have ≥4/17 clinical and/or immunologic criteria. 2015; 19(2):e107-e109. Liu Y, Miller BW. Case Reports Cardiol.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Rebuilding of EDs in proximity to Radiology, Blood Bank, OR, and ICU, becoming organic to the hospital. Milestones of Modern Progress in Emergency Care: WWII and Korean War military medical experience and progress. 1950s & 1960s Resuscitation Research. Increasing public usage of EDs for care. Prehospital Emergency Care, 4(4), 285-289.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

PEMBlog

JUNE 5, 2024

2012 Jan 13;61(RR-1):1-20. It’s a highly sensitive rule that is designed to prevent missing cervical spine injuries while limiting the amount of unnecessary radiologic examinations. The risk of radiation is the primary concern here, and radiology departments should follow the ALERA, or as low as reasonably acceptable, principle.

Fractures 52

Fractures Pediatrics Radiology Radiology 52

EMDocs

NOVEMBER 16, 2024

16 US or CT guided biopsy/joint aspiration (typically performed by Orthopedic surgery or Interventional Radiology). Periprosthetic Joint Infection : Diagnosis requires joint fluid sampling, which is typically obtained in consultation with Interventional Radiology and Orthopedic Surgery. 2012 Sep;3(3):107-20. 2013 Dec;6(4):350-6.

EMS 94

EMS Dislocations Fractures Operations 94

EMDocs

JULY 3, 2023

10 Additionally, discussion with radiology and neurology is advisable prior to obtaining an MRI, as data is not available to guide the specific timing of the test following symptom onset. 2012 Jun;14(2):84-9. Kim SY, Kim SM, Park MS, Kim HK, Park KS, Chung SY. J Cerebrovasc Endovasc Neurosurg.  N Engl J Med.2016;375:1033––1043.

Seizures 98

Seizures Stroke Outcomes EMS 98

Don't Forget the Bubbles

JANUARY 22, 2024

The campaign started in the United States in 2012, in Canada two years later, and in the United Kingdom in 2016. Clinical and radiological findings supported the diagnosis of pneumonia. Choosing Wisely is an international initiative to reduce unnecessary tests, treatments, and procedures. What exactly are Liver Function Tests?

Emergency Department 90

Emergency Department Best Practices Radiology Radiology 90

Advanced Emergency Nursing from AENJ

MAY 27, 2015

July 28, 2012) British hospitals present easy terrorist target for CBRNE attacks warns former Athens Olympic security chief. Occupational Safety and Health Administration. (No No Date) [ Some links for the Emergency Department of Hospitals including Terrorism.] Unbound Medline links on Terrorism No Author.

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. It’s noteworthy that a 2012 Cochrane review failed to find clear superiority for one strategy over another.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

EMDocs

NOVEMBER 13, 2023

The American College of Radiology (ACR) recommends a premedication schedule 12 hours before a contrasted CT with steroids and diphenhydramine in patients who are at high risk for hypersensitivity reaction but recognizes that this is not feasible in the acute setting. Lancet Neurol 2012, 11 (4), 307-314. 21) Romero, J. Artunduaga, M.;

Stroke 103

Stroke Radiology Radiology Emergency Department 103

EB Medicine

FEBRUARY 1, 2019

Let’s talk radiology. Nachi: Unfortunately, the 2008 ACEP guideline and 2012 AHA guidelines still recommend a lumbar puncture in those being worked up for SAH. In one study a d-dimer level < 500 mcg/L had a 97% sensitivity and a negative predictive value of 99% - not bad! Nachi: Pretty impressive performance characteristics.

Emergency Department 40

Emergency Department Stroke Ultrasounds Outcomes 40

Taming the SRU

MAY 22, 2023

2012 Nov; 470(11):3270-3274. Hartgerink P, Fessell DP, Jacobson JA, van Holsbeeck MT. Full versus partial-thickness Achilles tendon tears: sonographic accuracy and characterization in 26 cases with surgical correlation. 2001;220:406-12. Paavola M, Paakkala T, Kannus P, Jarvinen M. J Am Acad Orthop Surg. 2020 Apr 15;28(8):309-315.

Fractures 77

Fractures Dislocations Operations Radiology 77

ALiEM

OCTOBER 25, 2024

Epub 2012 Nov 30. Lane JC, Mabvuure NT, Hindocha S, Khan W. Current concepts of prophylactic antibiotics in trauma: a review. Open Orthop J. 2012;6:511-7. doi: 10.2174/1874325001206010511. PMID: 23248721; PMCID: PMC3522105.

Academics 70

Academics Radiology Radiology 70

ACEP Now

FEBRUARY 19, 2025

AI emergency radiology tools can lead to immediate results for high-acuity patients, reducing delay in initiating treatments for acute patients. Published April 25, 2012. Published April 2012. Artificial intelligence in emergency radiology: where are we going? References Edmondson AC. The importance of teaming.

Teamwork 51

Teamwork Clinical Decision Support Systems Administration Radiology 51

Don't Forget the Bubbles

OCTOBER 9, 2023

Both studies found external specialities , particularly cardiology and radiology, were more hostile than their own teams. 2012) Building Empowering Work Environments That Foster Civility And Organizational Trust: Testing an Intervention. Both also found that incivility occurred more frequently during critical situations. K, Leiter M.

Seizures 116

Seizures Incident Reporting Research Emergency Department 116

PulmCCM

MARCH 7, 2025

Australia, and the Netherlands from 2009 to 2012, patients admitted for emergency surgery on the weekend had higher adjusted odds of 30-day mortality. interventional radiology, cardiac catheterization, imaging, and laboratory testing). Among almost 3 million patients at 28 hospitals in the U.S., For elective surgeries at most U.S.

Outcomes 116

Outcomes Hospitals Operations Radiology 116