The Trauma Pro

DECEMBER 12, 2023

The practice at many centers is to bring all transfer patients in through the emergency department. Bringing Patients To Your Emergency Department Patients can be reassessed to see if they meet any of your trauma activation criteria. Access to certain critical services may be more rapid from the emergency department.

Emergency Department 124

Emergency Department Operations Hospitals Radiology 124

The Skeptics' Guide to EM

OCTOBER 21, 2023

Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Date: October 20, 2023 Reference: Cai et al. AEM October 2023.

Emergency Department 134

Emergency Department Radiology Radiology Hospitals 134

EMDocs

OCTOBER 30, 2023

2 In response to the constrained availability of contrast media, emergency medicine (EM) and radiology departments were compelled to enact modifications in their imaging techniques. In most cases, the radiology team functioned as the main decision-maker playing a key role in drafting institutional protocols. 11 Table 1.

Radiology 99

Radiology Radiology Emergency Department Hospitals 99

EMDocs

MARCH 18, 2025

Consult pulmonology/critical care, interventional radiology, and cardiothoracic surgery, which may mean transfer. Am J Emerg Med. The emergency department evaluation and management of massive hemoptysis. Journal of Vascular and Interventional Radiology. References: Pirotte M, Pirotte A, Koyfman A, Long B.

COPD 81

COPD Radiology Radiology PPE 81

EM Literature of Note

OCTOBER 9, 2024

This exploration of LLMs in the emergency department is a bit unique in its conceptualization. Does this patient require radiologic investigations? The clinician reviewers – one resident physician and one attending physician – did not much agree (73-83% agreement) on admission, radiology, and antibiotic determinations.

Radiology 86

Radiology Radiology Emergency Department Documentation/Coding 86

The Skeptics' Guide to EM

NOVEMBER 11, 2023

Case: A 24-year-old manual labourer presents to the emergency department (ED) after drinking a few too many beers, having a disagreement with another beer drinker and gets knocked down. However, the x-rays read as “normal” by radiology. The mechanism was described as a classic FOOSH (fall on outstretched hand) injury.

Fractures 130

Fractures Military Radiology Radiology 130

Don't Forget the Bubbles

SEPTEMBER 13, 2023

The parents of 18-month-old Susie brought her to the Emergency Department after she had a seizure at home. The American College of Radiology guidelines provide further detail on imaging recommendations based on different age and seizure type variants. She has had two days of coryzal symptoms and fever. Pediatrics. doi:10.1111/j.1528-1157.2000.tb00277.x

Seizures 131

Seizures Pediatrics Emergency Department Radiology 131

EMDocs

DECEMBER 6, 2024

Pediatric Emergency Care, 27 (10), 978-985. Radiology in the management of acute iron poisoning. A partner at bedside reports recent depressed mood, abdominal pain, and vomiting yesterday. The patient woke up confused this morning, and has had a worsening mental status throughout the day today. doi: 10.1097/PEC.0b013e3182302604.

Poisoning 97

Poisoning Fluid Resuscitation Seizures Resuscitation 97

ACEP Now

JANUARY 4, 2025

The photos that Dr. Clarke took from 19781980 provide a glimpse into working in an emergency department in the years the specialty was being established. for a few years working as an emergency physician. Dr. Clarke was then hired as assistant director in the emergency department (ED) at Pomona Valley Hospital, Pomona, Calif.

Forensics 52

Forensics Urgent Care Hospitals Emergency Department 52

RebelEM

FEBRUARY 12, 2024

There are greater than 2 million annual emergency department visits for suspected renal colic in the US, and Ct scanning is performed for more than 90% of patients who receive a diagnosis of kidney stone. Radiological Imaging of Patients With Suspected Urinary Tract Stones: National Trends, Diagnoses, and Predictors.

Radiology 73

Radiology Radiology Emergency Department Ultrasounds 73

Emergency Medicine Journal

FEBRUARY 20, 2024

Reference standard was radiological or operative confirmation of AAS. Anonymised, routinely collected patient data including components of CDTs, was abstracted. Clinicians treating prospectively identified patients were asked to record their perceived likelihood of AAS, prior to any confirmatory testing. 14 (0.3%; n=5353) had confirmed AAS.

Emergency Department 52

Emergency Department Operations Radiology Radiology 52

ACEP Now

DECEMBER 7, 2024

7 Aside from equipment and device costs, use of these therapies usually requires multidisciplinary involvement from specialties like pulmonology, interventional cardiology, vascular surgery, interventional radiology, and more, to which smaller institutions may not have access.

Ultrasounds 52

Ultrasounds Radiology Radiology EKG/ECG 52

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives CT Head scans are commonly requested in the Emergency Department (ED), but the increasing demand has led to longer radiology report turnaround times, affecting ED flow. In the prospective phase, 4,815 CT Head interpretations with linked radiology reports were recorded, and data analysis is ongoing.

Emergency Department 40

Emergency Department Radiology Radiology Research 40

ALiEM

JUNE 10, 2024

A 10-year-old boy presents to the emergency department (ED) after a high-speed motor vehicle collision. However, until now, there has been a gap in guidance for clinicians managing pediatric patients at risk for cervical spine injuries. Case Scenario: What would you do? He complains of neck pain and is reluctant to move his head.

Pediatrics 126

Pediatrics Emergency Department Research Fractures 126

Don't Forget the Bubbles

NOVEMBER 8, 2023

7-year-old Tilly is brought to your emergency department at 11 p.m. Abdominal pain in children is common, accounting for over 1 in 20 attendances to paediatric emergency departments [1]. Clinical scoring tools have improved diagnostic performance in assessing suspected appendicitis in the emergency department.

Emergency Department 105

Emergency Department Ultrasounds Pediatrics Best Practices 105

Taming the SRU

OCTOBER 23, 2023

THE CASE A female in her early 20s, G4P2012, presents to the emergency department (ED) with a 5 day history of left lower quadrant abdominal pain which has been worsening since onset. She states her pain is similar to pain that she felt during a prior ectopic pregnancy. Epub 2019 Mar 21. PMID: 30948256. J Ultrasound Med. 14607 14.

Ultrasounds 98

Ultrasounds Operations Radiology Radiology 98

The Skeptics' Guide to EM

FEBRUARY 3, 2024

Case: You’re working the morning shift in the emergency department (ED) when you encounter a 3-year-old boy and his family. Authors’ Conclusions: “Imaging with CTA yielded radiological abnormalities in a few instances. She is also the director of the Pediatric Otolaryngology Fellowship at Children’s National Hospital.

Pediatrics 68

Pediatrics Radiology Radiology Head Injuries 68

ALiEM

MARCH 7, 2024

Renal cysts can be confused for hydronephrosis, and both warrant further imaging by Radiology. Facts and Literature Review Bladder volume estimation Measuring bladder volume via POCUS in pediatric patients has been studied, demonstrating a benefit on Emergency Department workflow and length of stay (Table 1). Dessie et al.,

Ultrasounds 70

Ultrasounds Pediatrics Radiology Radiology 70

The Skeptics' Guide to EM

AUGUST 24, 2024

Sean Baldwin is an Emergency Physician practising in Sydney, Australia in both a large tertiary emergency department and a small regional emergency department. Case: A 67-year-old male presents to your hospital emergency department (ED) after a fall from his bicycle. Reference: Partyka et al.

Fractures 53

Fractures Emergency Department Ultrasounds Radiology 53

Taming the SRU

APRIL 14, 2024

This revealed that ultrasound can improve the ability to reduce an incarcerated inguinal hernia and may decrease the rate of emergency surgery. (1) 1) Table 1 - Study Protocol Table 2 - Results Conclusion Hernias are often encountered in the emergency department as an acute or non-acute finding. Strange, Chad D, et al.

Ultrasounds 93

Ultrasounds Emergency Department Pediatrics Radiology 93

EMDocs

APRIL 27, 2024

A 67-year-old man with a history of hypertension and diabetes presents to the emergency department with right ear pain for 2 weeks. The changing face of malignant (necrotising) external otitis: clinical, radiological, and anatomic correlations. His vital signs are normal except for a temperature of 38.2°C The Lancet. The Lancet.

EMS 105

EMS Infectious Diseases Radiology Radiology 105

EMDocs

NOVEMBER 4, 2023

aureus infections among patients in the emergency department. Skin and Soft Tissue Infections in the Emergency Department. Emerg Med Clin North Am. Radiology Key. Managing a Cutaneous Abscess in the Emergency Department. Ann Emerg Med. Methicillin-resistant S. N Engl J Med. Testicular.

EMS 94

EMS Ultrasounds Emergency Department Infectious Diseases 94

The Skeptics' Guide to EM

MARCH 25, 2023

Point of care biliary ultrasound in the emergency department (BUSED) predicts final surgical management decisions. Trauma Surg Acute Care Open 2022 Guest Skeptic: Dr. Casey Parker is a Rural Generalist that includes in his practice emergency medicine, anesthesia, and critical care. Date: March 22, 2023 Reference: Hilsden et al.

Ultrasounds 52

Ultrasounds Emergency Department Dislocations Radiology 52

Cook County EM Blog

APRIL 11, 2023

Radiology is called to conduct bedside x-ray prior to reduction. So, you reach for your ultrasound… Why It Matters : Shoulder dislocations are a common presentation to the emergency department and account for approximately 200,000 visits annually [1]. You suspect a shoulder dislocation.

Dislocations 52

Dislocations Ultrasounds Emergency Department Radiology 52

EB Medicine

JULY 8, 2019

This month, we are sticking in the abdomen for another round of evidence-based medicine, focusing on Emergency Department Management of Patients With Complications of Bariatric Surgery. 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

Emergency Medicine Journal

JULY 22, 2024

We determined whether the absence of indirect ultrasound signs can rule out appendicitis in children undergoing a radiology-performed ultrasound in which the appendix is not visualised Methods This was a single-centre retrospective observational study of patients aged 3–13 with a clinical suspicion of acute appendicitis evaluated in a Paediatric (..)

Ultrasounds 52

Ultrasounds Radiology Radiology Emergency Department 52

ACEP Now

SEPTEMBER 3, 2024

Still, this wave of private equity acquisitions in emergency medicine has come crashing down on the heads of many early-career physicians. As of 2022, 1 in 4 emergency departments in the United States were staffed by a private equity-owned physician group. Radiology Business. Heartland-Charleston of Hanahan SC LLC et al.

Hospitals 113

Hospitals Radiology Radiology Emergency Department 113

The Skeptics' Guide to EM

DECEMBER 28, 2019

This is an SGEM Xtra and is a result of a paper that was published in three journals ( Annals of EM , Journal of Urology and Journal of the American College of Radiology ). There was a trial published in 2014 comparing radiology department ultrasound, POCUS and CT for suspected nephrolithiasis (Smith-Bindman et al. NEJM 2014 ).

Radiology 40

Radiology Radiology Ultrasounds Emergency Department 40

EM SIM Cases

MAY 9, 2023

EHS arrived, provided oxygen supplementation, and brought them to your tertiary emergency department, with access to PICU. Radiologic, Neurologic and Cardiopulmonary Aspects of Submersion Injury. Pediatric Emergency Care,32 (9), 623-626. Pediatric Drowning Download Hon, K. , Cheung, H. & & Cheung, K.

Pediatrics 52

Pediatrics CPR Radiology Radiology 52

RebelEM

AUGUST 30, 2023

Diagnostic Radiology: Musculoskeletal and Breast Imaging. Evaluation and Treatment of Acute Back Pain in the Emergency Department. Orthopedic Emergencies 2015 May; 33(2) 311-26. J Spinal Disord Tech. 2015 Jul;28(6):E316-27 PMID: 26079841 Chowdhury V, Gupta A, Khandelwal N. PMID: 25892724 Gouliouris T, et al.

Infectious Diseases 96

Infectious Diseases Fractures Radiology Radiology 96

Emergency Medicine Journal

JULY 24, 2023

Clinical Introduction An 80-year-old man with a medical history of hypertension, dyslipidaemia, coronary artery disease, alcohol consumption and atrial fibrillation, not anticoagulated, presented to the emergency department with sudden onset of pleuritic chest pain, dyspnoea and fever. A CXR was performed ( figure 1 ).

Radiology 40

Radiology Radiology Emergency Department 40

SheMD

APRIL 24, 2023

I break bad news almost every shift in the emergency department. An email with a sad face to a woman jacked up hormones was not the best approach. I put on my scrubs (I was on the schedule… again) and drove myself to the Emergency Department (ED). I waited in radiology for my formal ultrasound. It was certain.

Ultrasounds 83

Ultrasounds Radiology Radiology Emergency Department 83

EMDocs

MARCH 25, 2024

2, 3 Biliary POCUS can help decrease patient length of stay in the Emergency Department. 1 A biliary point-of-care ultrasound (POCUS) is the fastest and most accurate way to assess for biliary pathology, but it can be difficult to locate the gallbladder, as it is not a fixed organ. 4 Benefits of Biliary POCUS?

Ultrasounds 98

Ultrasounds Radiology Radiology Operations 98

Don't Forget the Bubbles

MAY 22, 2023

You’ve just started working in the Children’s Emergency Department (CED). Robin’s emergency care plan/RESPECT form and ventilator settings should be reviewed and updated while he is in hospital too. The triage nurse comes to let you know about Robin.

Radiology 98

Radiology Radiology Hospitals Wellness 98

EM Ottawa

AUGUST 22, 2024

Assessing patients with pleural effusions in the emergency department (ED) can be challenging and nuanced. This is largely due to the lack of guidelines around pleural effusions in the ED. In part one we focused on imaging, diagnosis, and management of parapneumonic effusions.

Emergency Department 63

Emergency Department Infectious Diseases Radiology Radiology 63

EMDocs

DECEMBER 4, 2023

Johnson, MD ( Community EM, Salina Regional Health Center) // Reviewed by: Joshua Lowe, MD (EM Attending Physician, USAF); Marina Boushra, MD (Cleveland Clinic Foundation, EM-CCM); Brit Long, MD (@long_brit) Case A 40-year-old woman presents to a rural emergency department (ED) with left leg pain and swelling for the past 5 days.

Ultrasounds 96

Ultrasounds Documentation/Coding Wellness EMS 96

ALiEM

APRIL 12, 2023

emDOCs.net – Emergency Medicine Education. Author information Ivan Ivanov, DO Resident Physician Emergency Department South Brooklyn Health | The post Trick of the Trade: Gel-free ultrasound-guided peripheral IV technique appeared first on ALiEM. US Probe: Ultrasound Water Bath for Distal Extremity Evaluation.

Ultrasounds 103

Ultrasounds Emergency Department Resuscitation Wellness 103