Taming the SRU

SEPTEMBER 15, 2023

ultrasound grand rounds: bedside dvt studies - family presence in the ed/icu - r1 clinical knowledge: aicd - r3 small groups: difficult airway management Ultrasound grand rounds: DVT studies WITH Dr. minges Why should we perform bedside DVT studies in the ED?

CPR 90

CPR Burns Airway Management Wellness 90

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., Am J Emerg Med.

Ultrasounds 70

Ultrasounds Pediatrics Radiology Radiology 70

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). 2013 Mar; 95(2): e36–e37. 2013 Jun; 7(3): 225–233. Position of comfort, analgesia, xrays, and now what? Used with permission. Ann R Coll Surg Engl.

Pediatrics 52

Pediatrics Fractures Dislocations Radiology 52

Pediatric Emergency Playbook

JANUARY 1, 2018

In the Journal of Pediatric Radiology, Servaes et al catalogued the ultrasound findings in children with surgically confirmed torsion over a 12 year period. 2013; 29(4):518-523. Other things you may see on ultrasound include focal tenderness with the probe, or the whirlpool sign – this is a twisted vascular pedicle. Chmitt ER et al.

Pediatrics 52

Pediatrics Ultrasounds Radiology Radiology 52

Urgent Care Ultrasounds

JANUARY 17, 2019

The Case A 70 year old woman had been waiting in the radiology department for an x-ray to be taken. 2013; 22(10):875-6. After standing for some time, she started to feel light headed, then collapsed. She was brought down to the urgent care clinic for assessment. Cardiovascular ultrasound. 2008; 6:46. pubmed ] 4.

Urgent Care 40

Urgent Care Ultrasounds Radiology Radiology 40

Broome Docs

AUGUST 2, 2022

Bottom line: These radiology guidelines tell us that we should not delay urgent contrast CT scans just to see renal blood work. 2013 Mar 25;173(6):407-16. Dr Josh Farkas @Pulmcrit simplified algorithm for Ct with contrast in ED I imagine all readers know this already, but a full evidence review on the topic is available here.

Sepsis 52

Sepsis Emergency Department Radiology Radiology 52

Pediatric Emergency Playbook

SEPTEMBER 1, 2015

Treatment: stabilization, embolization by interventional radiology, elective extirpation when more stable. 2013; 54 Suppl 7:23-34 Chin RFM et al., The differential is vast: cardiac, hematologic, infectious, vascaulr, syndromic, metabolic, oncologic, traumatic, toxic. Radiosurgery is an options for others. Neurocrit Care.

Pediatrics 40

Pediatrics Seizures Stroke Radiology 40

ACEP Now

MARCH 14, 2024

15,19 Endovascular intervention depends upon the patient’s hemodynamic stability and availability of interventional radiology. 2013:1960-62. This may be via a right brachial artery approach to cover the fistula point and avoid the entrance of the common carotid artery. 169:334-48. Quereshi AZ. Ann Thorac Cardiovasc Surg.

Operations 52

Operations Pediatrics Radiology Radiology 52

EB Medicine

JULY 8, 2019

Jeff: Do note, however that 2013 guidelines do not recommend one procedure over another and leave that decision up to local surgical expertise, patient specific risk factors, and treatment goals. Internal hernia after laparoscopic Roux-en-Y gastric bypass: a correlation between radiological and operative findings. J Gastrointest Surg.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

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. 2013 Dec;6(4):350-6. doi: 10.31486/toj.17.0079.

EMS 98

EMS Dislocations Fractures Operations 98

EMDocs

OCTOBER 17, 2023

In patients with suspected ALCD, we suggest a complete assessment of the patients using clinical history, signs, laboratorial inflammation markers, and radiological findings (weak recommendation based on very low-quality evidence, 2D).” “In American College of Radiology ACR Appropriateness Criteria (2023) Left lower quadrant pain.

Radiology 94

Radiology Radiology Operations Best Practices 94

EMDocs

JUNE 21, 2023

A 2013 study found a sensitivity of ~47% for TA of the knee using plain radiographs. If thinking TA, share your concern with radiology, which improves sensitivity. 2013 Sep;27(9):509-14. While suggestive of TA, not sensitive or specific. Based on the data, a normal x-ray couldn’t rule it out. Konda SR, et al. J Orthop Trauma.

Soft Tissue Injuries 95

Soft Tissue Injuries Fractures Dislocations Radiology 95

Don't Forget the Bubbles

JUNE 30, 2023

CRASH 2 , published in 2013 – was huge. She’s wheeled to radiology. 2013 Mar;17(10):1-79. But, there’s always been a worry that giving TXA could cause clotting in the cerebral vessels. This is not good. There have been a couple of landmark trials. Brakes off. Health Technol Assess. doi: 10.3310/hta17100.

Head Injuries 145

Head Injuries Seizures Pediatrics Outcomes 145

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. Eggers, P.

Ultrasounds 52

Ultrasounds Radiology Radiology Outcomes 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) ? Scand J Trauma Resusc Emerg Med 21(Suppl1):S27, 2013. We believed in permissive hypotension – we were probably wrong.

Blood Transfusions 52

Blood Transfusions Head Injuries Resuscitation Radiology 52

Pediatric Emergency Playbook

JUNE 1, 2017

2013; 34(3):489-491. 2013; 34(4). 2013; 8(2):61-63. 2013; 6(5):752-761. 2013; 57:812-819. World Journal for Pediatric Congenital Heart Surgery. 2014; 5(4)L631-634. Hoffman JIE et al. Electrocardiogram of Anomalous Left Coronary Artery From the Pulmonary Artery in Infants. Pediatr Cardiol. 2015; 19(2):e107-e109.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

Don't Forget the Bubbles

MARCH 11, 2024

Craniosynostosis, The Radiology Assistant. The Radiology Assistant: Craniosynostosis Accessed 10.01.2024 Mawji, A., Developmental Medicine & Child Neurology, 50(8), 577–586. link] Bomer-Skogstad J, Dremmen M, Mathijssen I, Smithuis R. Vollman, A. Hatfield, J., McNeil, D. A., & Sauvé, R. Pediatrics, 132(2), 298–304.

Radiology 59

Radiology Radiology Pediatrics Documentation/Coding 59

Mind The Bleep

AUGUST 5, 2023

England: Oxford University Press; 2013. 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. N Engl J Med. 2011 Jan 20;364(3):255-64. Oxford handbook of paediatrics. 2017;10(1):109-112.

Sepsis 52

Sepsis Ultrasounds Radiology Radiology 52

Don't Forget the Bubbles

OCTOBER 11, 2023

2013 Dec 1;62(6):604-8. Journal of pediatric gastroenterology and nutrition. 2012 Sep 1;55(3):239-42. Silverman JA, Brown JC, Willis MM, Ebel BE. Increase in pediatric magnet-related foreign bodies requiring emergency care. Annals of emergency medicine. The post Rare earth magnet ingestion appeared first on Don't Forget the Bubbles.

Pediatrics 116

Pediatrics Operations Radiology Radiology 116

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. 2013 Sep;184(1):352-7. 2013 Jun;48(6):1377-83. They used REBOA for refractory hemorrhagic shock due to either blunt or penetrating injury. Four patients lived, two died. J Surg Res. J Pediatr Surg.

Resuscitation 40

Resuscitation Pediatrics Fractures Emergency Department 40

PEMBlog

JUNE 5, 2024

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. Pediatrics. Am J Emerg Med.

Fractures 52

Fractures Pediatrics Radiology Radiology 52

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. 2013 Sep;184(1):352-7. 2013 Nov;206(5):655-60. 2013 Jun;48(6):1377-83. To avoid this, we target a MAP of 65 and look for clinical signs of sufficient perfusion. J Surg Res. J Pediatr Surg.

Resuscitation 40

Resuscitation Pediatrics Hyperthermia / Hypothermia Operations 40

Downeast Emergency Medicine

MARCH 13, 2022

He has a past medical history significant for nephrolithiasis and cholecystitis and a past surgical history significant for a cholecystectomy in 2013. Radiology , RSNA, 1 Oct. He is up to date on colonoscopies, and his last colonoscopy was normal aside from diverticula in his sigmoid colon. Edited by Jeffrey A Holmes, MD References 1.

Ultrasounds 52

Ultrasounds EKG/ECG Radiology Radiology 52

Advanced Emergency Nursing from AENJ

MAY 27, 2015

5 June 2014) Terrorist attacks on hospitals 1982-2013 (June). 2013) Terrorism : Are U.S. 27/10/2013). Dolan, Maura. Family of patient found dead in hospital stairwell to sue S.F. Los Angeles Times, March 5, 2014. Shipton, Paul. (5 www.prezi.com. GlobalIncidentMap.com A Public Display of Terrorism and other Suspicious Activity.

Federal Emergency Management Agency 40

Federal Emergency Management Agency Military Hospitals Administration 40

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. 10/20/2013. 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. How the BVM began.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

Pediatric Emergency Playbook

APRIL 1, 2017

Radiologic Cases in Pediatric Emergency Medicine; University of Hawaii. Nonfatal Choking on Food Among Children 14 Years or Younger in the United States, 2001–2009. Pediatrics. 2013;132(2):275-281. doi:10.1542/peds.2013-0260. Committee on Injury V. Policy Statement—Prevention of Choking Among Children. Pediatrics. doi:10.1542/peds.2009-2862.

Pediatrics 52

Pediatrics CPR Operations Resuscitation 52

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

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. Am Surg 2013, 79 (1), 23-29. Eur Radiol 2013, 23 (6), 1443-1449.

Stroke 105

Stroke Radiology Radiology Emergency Department 105

EB Medicine

JANUARY 2, 2019

This corresponds nicely to a 2013 retrospective study demonstrating a bHCG threshold for the fetal pole to be just below 1400. Jeff: All patients with a positive pregnancy test and vaginal bleeding should receive an ultrasound performed by either an emergency physician or by radiology. Generally 1500 is used as the cutoff.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

Mind The Bleep

SEPTEMBER 26, 2023

Sourced from Learning Radiology Figure 7 (right): Fluoroscopy of newborn with meconium ileus. Meconium ileus is a surgical emergency treated with a gastrografin enema, and delayed treatment can lead to meconium peritonitis, which requires surgery Figure 6 (left): Abdominal X-ray of newborn with meconium ileus. Lopes-Pacheco, M. Research gate.

Radiology 96

Radiology Radiology Research Hospitals 96

Pediatric Education

JANUARY 26, 2025

” Sinusitis requires radiological imaging to diagnose but unfortunately there is huge overlap of radiological sinus changes that are not due to sinusitis itself. What radiological studies would you order for possible complications of acute bacterial sinusitis? 2013-1071 Ramadan HH, Chaiban R, Makary C. Pediatrics.

Radiology 40

Radiology Radiology Pediatrics Infectious Diseases 40

PulmCCM

MARCH 7, 2025

Aylin et al BMJ 2013) But that was in the U.K., interventional radiology, cardiac catheterization, imaging, and laboratory testing). 2013 May 28;346:f2424. Among over 4 million admissions for elective surgeries in the U.K. between 2008 and 2011, patients in the U.K. where they have socialized medicine and constrained budgets.

Outcomes 116

Outcomes Hospitals Operations Radiology 116

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. Allergy Asthma Immunol Res 2013; 5: 88–95. 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

Don't Forget the Bubbles

OCTOBER 9, 2023

Both studies found external specialities , particularly cardiology and radiology, were more hostile than their own teams. 2013) Civility, Respect and Engagement at the Workplace (CREW): A National Organization Development Program at the Department of Veterans Affairs. link] Osatuke K, Leiter M, Belton L, Dyrenforth S. and Ramsel D.

Seizures 116

Seizures Incident Reporting Emergency Department Research 116

Don't Forget the Bubbles

SEPTEMBER 23, 2024

Diagnosis is based on Epstein–Barr virus (EBV) in the blood, radiologic findings, and biopsy results. Hebert MF et Al (2013) Interpreting tacrolimus concentrations during pregnancy and postpartum.Transplantation 95:908–915 Liverman, R., Management involves reducing the immunosuppressive regimen and starting specific treatments.

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52