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Medical Malpractice Insights: Radiology over-reads – Who’s responsible?

EMDocs

Chuck Pilcher, MD, FACEP Editor, Medical Malpractice Insights Editor, Med Mal Insights Radiology over-reads – Who’s responsible? Patient not informed of enlarged heart, dies 3 weeks post ED visit Miscommunicated radiology findings are a hot topic. EKG, labs, and a CXR are interpreted by the EP as normal.

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Dr. Elsburgh Clarke Was Among First to Specialize in Emergency Medicine

ACEP Now

A closer look, though, also shows the technology of the daya bulky, two-way radio for communicating with EMS, metal gurneys, glass saline bottles, and portable ECG monitors the size of a small shopping cart. Notice the use of the medical anti-shock trousers and the ECG machine. Click to enlarge.) I like the excitement.

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Medical Malpractice Insights: Failed communication of incidental mediastinal mass

EMDocs

The EKG and troponin are normal. 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. Exam is unremarkable. D-dimer is elevated at 1.6. Mueller DK.

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Treating Acute Pulmonary Embolism with EKOS and the Inari FlowTriever

ACEP Now

A submassive PE does not result in hypotension but does result in right ventricular (RV) dysfunction (as evidenced by CT or ECG) and/or signs of myocardial injury, such as elevated B-type natriuretic peptide, elevated troponin, or new ECG changes.

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Questioning Coverage for Coronary Artery Scans

Sensible Medicine

This was surprising given subjects also underwent an ECG, an Ankle Brachial Index (ABI), lifestyle education when scans were positive, and blood tests to detect diabetes and hypercholesterolemia. After five years, no significant mortality benefit could be found (see footnote below). See footnote).

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New Technology: Using AI To Interpret Pelvic X-rays

The Trauma Pro

Look at how good they already are at interpreting EKGs. But as we have seen with vision systems and game playing (think chess), computers are getting pretty good at doing this as well. Is it only a matter of time until computer artificial intelligence (AI) starts reading x-rays?

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Chest pain with NonDiagnostic ECG but Diagnostic CT Scan

Dr. Smith's ECG Blog

Here is here initial ECG: There is only a nonspecific flat T-wave in aVL. These were read by our fantastic chief of radiology, Gopal Punjabi, who has his own blog on Spectral CT: [link] [link] Here is the image using Spectral CT : It is much more obvious with this technique! She had subsequent ECGs: First at 1.5 This one at 5.5

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