The Skeptics' Guide to EM

MARCH 1, 2025

Chest x-ray shows no pneumonia or pneumothorax and bedside ultrasound reveals no B-lines or effusion. There is a need to right size testing such that we do not miss clinically important PEs without exposing very low risk patients to risks of imaging (ionizing radiation, contrast, allergic reaction, cost, and misdiagnosis).

Allergic Reactions 69

Allergic Reactions Research Emergency Department Ultrasounds 69

EM Literature of Note

JULY 27, 2023

Platelets, like any blood product, are associated significant risks, not limited to acute lung injury, transfusion-related circulatory overload, allergic reactions, and more.

Allergic Reactions 70

Allergic Reactions Ultrasounds Outcomes Hospitals 70

EB Medicine

SEPTEMBER 1, 2018

Nachi: In terms of imaging, a chest x-ray should be obtained in those with respiratory symptoms and ultrasound may even have an expanding role here for tracking edema, looking for fluid collections, and assessing deep muscle compartments and vascular flow.

Emergency Department 40

Emergency Department Poisoning Anaphylaxis Allergic Reactions 40

EMDocs

NOVEMBER 13, 2023

An understanding of the risks involved including allergic reaction, radiation exposure, contrast extravasation, and contrast-associated nephropathy allows for a thorough risk-benefit analysis prior to ordering these studies. Semin Ultrasound CT MR 2017, 38 (4), 345-356. References (1) Barkovich, E. DOI: 10.1161/strokeaha.118.023173

Stroke 103

Stroke Radiology Radiology Emergency Department 103