Taming the SRU

SEPTEMBER 8, 2023

Epub 2021 Jul 14. Epub 2021 Jan 4. 2021 May;8(1):e000648. doi: 10.1136/bmjgast-2021-000648. The British Journal of Radiology, vol. Prz Gastroenterol. 2022;17(1):9-16. doi: 10.5114/pg.2021.107797. 2021.107797. PMID: 35371352; PMCID: PMC8942009. Walayat S, Shoaib H, Asghar M, Kim M, Dhillon S. Ann Gastroenterol.

Radiology 59

Radiology Radiology Ultrasounds EMS 59

Taming the SRU

JULY 24, 2023

The following day, Interventional Radiology placed a percutaneous cholecystostomy tube. General surgery was consulted, and given the patient's significant comorbidities, he was transferred to a tertiary care academic center for further evaluation and management. Fluid cultures obtained during the procedure grew E. Int J Surg.

Ultrasounds 80

Ultrasounds Sepsis Radiology Radiology 80

The Skeptics' Guide to EM

AUGUST 24, 2024

The evidence was not robust enough back in 2021 to confidently use this potential tool. JAMA Surg 2024 Population: Patients aged 16 years or older with clinically suspected or radiologically confirmed rib fractures. We have covered rib fractures twice on the SGEM.

Fractures 54

Fractures Emergency Department Ultrasounds Radiology 54

Cook County EM Blog

MARCH 28, 2023

2021, [link] 2: Bell, Daniel J. Ectopia Lentis: Radiology Reference Article.” 2021, [link] 3: Diagnosis of Traumatic Eye Injuries with Point-of-Care Ocular. 2021, [link] “Bedside Ocular Ultrasound Diagnosis of a Traumatic Lens Dislocation.” Cureus , Cureus, 24 Apr. Radiopaedia Blog RSS , Radiopaedia.org, 8 Feb.

Dislocations 52

Dislocations Ultrasounds Fractures Radiology 52

ALiEM

APRIL 12, 2023

References Cleaning and Disinfecting FUJIFILM SonoSite Products User Guide [PDF]. Accessed April 5, 2023. Disinfectants and Cleaning Solutions for Ultrasound Systems and Transducers [PDF]. Accessed April 5, 2023 Afzal S, Zahid M, Rehan ZA, et al. Preparation and Evaluation of Polymer-Based Ultrasound Gel and Its Application in Ultrasonography.

Ultrasounds 103

Ultrasounds Emergency Department Resuscitation Wellness 103

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

Broome Docs

AUGUST 2, 2022

Epub 2021 Dec 7. Epub 2021 Nov 23. Epub 2021 Oct 27. Bottom line: These radiology guidelines tell us that we should not delay urgent contrast CT scans just to see renal blood work. 2021; 2021:1-22. Ann Intern Med. 2022 Jan;175(1):20-28. doi: 10.7326/M21-0717. Ann Intern Med. 2022 Jan;175(1):29-35.

Sepsis 52

Sepsis Emergency Department Radiology Radiology 52

ACEP Now

JUNE 5, 2023

December 2021 ACEP, along with the American Society of Anesthesiologists and the American College of Radiology, filed a lawsuit against the government in Illinois in December 2021, arguing that the second Interim Final Regulation (Final Reg) implementing the No Surprises Act was fatally flawed and should be vacated.

Administration 59

Administration Radiology Radiology 59

Don't Forget the Bubbles

NOVEMBER 8, 2023

NHS Digital 2021-22; Available from: [link]. References Armon, K., Audit: Determining the common medical presenting problems to an accident and emergency department. Archives of Disease in Childhood, 2001. Hospital Admitted Patient Care Activity. Bachur, R.G., Pediatrics, 2012. 129 (5): p. Lancet Child Adolesc Health. 2020 Apr;4(4):271-280.

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. 2021) Ocular trauma: acute evaluation, cataract, glaucoma. EyeWiki American Academy of Ophthalmology. Accessed on 14.08.23 <[link] Murchison et al.

Fractures 52

Fractures Radiology Radiology Emergency Department 52

Taming the SRU

APRIL 14, 2024

Hernia: The Journal of Hernias and Abdominal Wall Surgery , 25 May 2021, pubmed.ncbi.nlm.nih.gov/34036484/, [link]. Emergency Radiology (Print) , vol. “Algorithm for Management of an Incarcerated Inguinal Hernia in the Emergency Settings with Manual Reduction. Taxis, the Technique and Its Safety.” Siadecki, Sebastian, et al.

Ultrasounds 94

Ultrasounds Emergency Department Pediatrics Radiology 94

Northwestern EM Blog

DECEMBER 20, 2021

Commonly hematogenous spread from bacteremia; clinical suspicion should prompt radiologic evaluation. 2021, Dec 20). 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]. Hip Pain in Pediatrics.

Pediatrics 52

Pediatrics Ultrasounds Emergency Department Radiology 52

PEMBlog

AUGUST 30, 2023

2021-051405. Ramgopal S, Ambroggio L, Lorenz D, Shah SS, Ruddy RM, Florin TA. A Prediction Model for Pediatric Radiographic Pneumonia. Pediatrics. 2022 Jan 1;149(1):e2021051405. doi: 10.1542/peds.2021-051405. PMID: 34845493 Florin TA, Carron H, Huang G, Shah SS, Ruddy R, Ambroggio L.

Pediatrics 52

Pediatrics Best Practices Hospitals Emergency Department 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. 2021 Aug 31. 2021 Mar;33(1):11-17.

EMS 97

EMS Dislocations Fractures Operations 97

EMDocs

FEBRUARY 12, 2025

She had previously undergone carbon ion radiotherapy, receiving a cumulative dose of 75 GyE in 20 fractions over two courses from December 2020 to January 2021. Symptoms of radiation-induced skin injury began on the eighth day after initiating radiotherapy, and by January 18, 2021, the lesion had progressed to Grade IV radiation dermatitis.

Best Practices 56

Best Practices Documentation/Coding Radiology Radiology 56

EMDocs

MARCH 18, 2025

Consult pulmonology/critical care, interventional radiology, and cardiothoracic surgery, which may mean transfer. 2021 Dec;50:148-155. Journal of Vascular and Interventional Radiology. If the patient is intubated, an 8.0 mm or greater ETT is recommended if possible, with frequent suctioning and lung isolation if possible.

COPD 81

COPD Radiology Radiology PPE 81

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 93

Radiology Radiology Operations Best Practices 93

Don't Forget the Bubbles

FEBRUARY 5, 2025

E.g. burns, neurosurgery, interventional radiology. Don’t Forget the Bubbles, 2021. Clinical Radiology: Major paediatric trauma radiology guidance. Chest compressions in traumatic cardiac arrest. Available at: [link] Advanced Life Support Group. Advanced Paediatric Life Support (S. The Royal College of Radiologists.

Domestic Violence 59

Domestic Violence Fluid Resuscitation Head Injuries Sexual Assault 59

EMDocs

MAY 24, 2023

A mediastinal mass – or any “OMG” imaging result warrants discussion with radiology and sharing the information with the patient. Give the patient a copy of the radiology report and provide follow-up information in writing. Medscape eMedicine, August 2, 2021. Verbal communication is not enough. Mueller DK.

Radiology 89

Radiology Radiology EKG/ECG Patient Safety 89

RebelEM

MAY 25, 2023

Anesth Analg 2021. NEJM 1994. [2] 250 cc) up to 1L) VASOPRESSORS Current dogma is that vasopressors are not helpful in trauma patients as they can worsen ischemia (no reason to squeeze the pipes if the tank is empty). Richards JE et al. of injured limbs Tourniquet patients were less likely to arrive in shock compared to no torniquets (13.0%

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145

ED ECMO

JANUARY 1, 2021

January 1, 2021: The year following COVID19 Global Pandemic brings us a new horizon – lets appreciate what has happened, learn from our mistakes and begin to look forward. The patient was resuscitated with REBOA and her pathology was fixed by an Iliac Artery stent placed in Interventional Radiology.

Shock 52

Shock Resuscitation Radiology Radiology 52

Taming the SRU

OCTOBER 1, 2023

doi:10.1148/radiology.144.4.7111716 Published 2021 Jun 24. AJR Am J Roentgenol. 1995;165(5):1127-1130. doi:10.2214/ajr.165.5.7572489 165.5.7572489 Rhea JT, DeLuca SA, Greene RE. Determining the size of pneumothorax in the upright patient. 1982;144(4):733-736. 144.4.7111716 Light RW. Management of spontaneous pneumothorax. Respir Med.

Fractures 97

Fractures COPD Hospitals Emergency Department 97

EMDocs

NOVEMBER 4, 2023

McGraw Hill; 2021. Radiology Key. Radiographics. 2013;33(3):721-740. doi:10.1148/rg.333125158 333125158 Moore, S and Ryan Pedigo. Scrotal Abscess. In: Knoop KJ, Stack LB, Storrow AB, Thurman R. The Atlas of Emergency Medicine, 5e. Accessed April 26, 2023. link] =2969&sectionid=250456991 Moran GJ, Krishnadasan A, Gorwitz RJ, et al.

EMS 93

EMS Ultrasounds Emergency Department Infectious Diseases 93

ACEP Now

SEPTEMBER 3, 2024

Published May 31, 2021. Private equity firm, accused of trying to build a monopoly in radiology, dismissed as defendant in FTC lawsuit. Radiology Business. Lee is a second-year resident in emergency medicine at Highland Hospital in her hometown of Oakland, California. References Pomorski C. The death of Hahnemann Hospital.

Hospitals 113

Hospitals Radiology Radiology Emergency Department 113

Don't Forget the Bubbles

OCTOBER 28, 2024

As this is being given and definitive treatment is planned (either surgery or interventional radiology), you consider what adjunctive treatments are needed. doi:10.1136/bmjopen-2021-057780 Hibberd O, Price J, Thomas SH, Harris T, Barnard EBG. Published 2021 Apr 29. Rhaenyra continues to receive blood products in a 1:1:1 ratio.

Blood Transfusions 72

Blood Transfusions Hyperthermia / Hypothermia Shock Pediatrics 72

Don't Forget the Bubbles

FEBRUARY 7, 2024

Pediatric radiology , 48 , pp.735-744. 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., Yorioka, M.A.W., Pereira, M.W.A., Borges, L.L., Nahas, W.C. and Arap, M.A., International urology and nephrology , 53 , pp.7-11.

Pediatrics 111

Pediatrics Ultrasounds Operations Hospitals 111

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. 2021 Nov;30(11):106064. 2021 Dec;35(3):662-668. Ikram A, Javaid MA, Ortega-Gutierrez S, Selim M, Kelangi S, Anwar SMH, Torbey MT, Divani AA.

Seizures 98

Seizures Stroke Outcomes EMS 98

EMDocs

JUNE 3, 2023

This is a unique scenario where interventional radiology, orthopedic surgery, and trauma surgery all have potential roles, and it is most important for emergency physicians to know their own institutional policies on unstable pelvic trauma. 2021 Aug 05;21:101558]. Note placement over the greater trochanters. 2023;158(1):63-71.

Fractures 63

Fractures Resuscitation Operations EMS 63

EMDocs

NOVEMBER 13, 2023

2021) found that the top 5 reasons for ordering a CTA head/neck were suspected stroke, neurologic problem, dizziness, headache with new/concerning symptoms, and altered mental status. RadioGraphics 2021, 41 (3), E81-E89. Aging Dis 2021, 12 (4), 1000-1009. AJNR Am J Neuroradiol 2021, 42 (4), 743-748. Heilbrun, M.

Stroke 105

Stroke Radiology Radiology Emergency Department 105

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. Artificial intelligence in emergency radiology: where are we going? link] Published September 16, 2021. Artif Intell Med. 2020;102:101762. Cellina M, C M, Irmici G, et al. Net Health.

Teamwork 51

Teamwork Clinical Decision Support Systems Administration Radiology 51

Taming the SRU

MAY 22, 2023

Foot & Ankle Specialist. 9(1):31-36. doi: 10.1177/1938640015593078 Weiss AJ, Jiang J. Most frequent reasons for emergency department visits, 2018. Agency for Healthcare Research and Quality. Statistical brief #286. Accessed March 5, 2023. Belatti DA, Phisitkul P. Economic burden of foot and ankle surgery in the US Medicare population.

Fractures 78

Fractures Dislocations Operations Radiology 78

Don't Forget the Bubbles

AUGUST 10, 2023

August 10, 2021) Nail Regeneration of an Allen III Fingertip Amputation After a Dog Bite Using the Semi-occlusive Dressing Technique: A Case Report and Literature Review. Cureus 13(8): e17068. doi:10.7759/cureus.17068

Fractures 52

Fractures Soft Tissue Injuries Emergency Department Operations 52

Don't Forget the Bubbles

SEPTEMBER 23, 2024

Diagnosis is based on Epstein–Barr virus (EBV) in the blood, radiologic findings, and biopsy results. References UK Renal Registry (2023) UK Renal Registry 25th Annual Report – data to 31/12/2021, Bristol, UK. Most PTLD cases occur within the first year after transplant , during the period of intensive T-cell immunosuppression.

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52