EMS and Radiology - Emergency Care Today

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

EMDocs

SEPTEMBER 26, 2024

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. If you have a story to share click here. Baccei SJ et al. Tyler W et al.

Radiology

Radiology Radiology EKG/ECG Documentation/Coding

EM@3AM: Brainstem Strokes

EMDocs

MAY 11, 2024

We’ll keep it short, while you keep that EM brain sharp. A 74-year-old female with a past medical history of hypertension, diabetes, recent basilar artery stent placement with a 20 pack-year smoking history presents to the ED via EMS for altered mental status and episodes of apnea. Vital signs include BP 168/89, HR 96, T 98.3,

Stroke

Stroke EMS EKG/ECG Radiology

EM@3AM: Retroperitoneal Hematoma

EMDocs

SEPTEMBER 7, 2024

We’ll keep it short, while you keep that EM brain sharp. A 25-year-old man presents to the ED via EMS after he sustained a gunshot wound to the left flank. Available from: [link] Guldner GT, Smith T, Magee EM. Vital signs include BP 90/48, HR 122, T 98.3 F, RR 16, SpO2 97% on room air. J Emerg Med. 2012 Aug;43(2):e157-61.

EMS

EMS Fluid Resuscitation Resuscitation Radiology

EM@3AM: Malignant/Necrotizing Otitis Externa

EMDocs

APRIL 27, 2024

We’ll keep it short, while you keep that EM brain sharp. The changing face of malignant (necrotising) external otitis: clinical, radiological, and anatomic correlations. The changing face of malignant (necrotising) external otitis: clinical, radiological, and anatomic correlations. The Lancet. link] Grandis, J., Branstetter, B.

EMS

EMS Infectious Diseases Radiology Radiology

PEG Tube Dislogement

Mount Sinai EM

JULY 21, 2023

Now I love ‘em and you can love ‘em too! ** GJ-tubes or J-tubes do not get replaced in the ED. As always in EM, set yourself up for success in any procedure, small or large. You’ll likely have to go to radiology (UGH) and push some contrast through the port, then they’ll shoot a plain film. Tell me about the PEG tube.

EMS

EMS Radiology Radiology

EM@3AM: Testicular/Scrotal Abscesses

EMDocs

NOVEMBER 4, 2023

We’ll keep it short, while you keep that EM brain sharp. Radiology Key. doi:10.1258/0956462053888853 The post EM@3AM: Testicular/Scrotal Abscesses appeared first on emDOCs.net - Emergency Medicine Education. A 54-year-old male with a history of diabetes presents with “pain in my groin” for the past two weeks. doi:10.1016/j.ucl.2007.09.013

EMS

EMS Ultrasounds Emergency Department Infectious Diseases

EM Topic – Radiology

EMergucate

MAY 17, 2016

– CT – MRI – Nuclear Medicine – Radiation – Ultrasound

Radiology

Radiology Radiology EMS Ultrasounds

Contrast Media Shortage of 2022 – Lessons Learned

EMDocs

OCTOBER 30, 2023

Pillai, MBBS (@sspillai01, EM Resident Physician, University of Kentucky) and Christopher N. 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. Authors: Saran S. 11 Table 1.

Radiology

Radiology Radiology Emergency Department Hospitals

Pseudosubluxation: Rebaked Morsel

Pediatric EM Morsels

MARCH 31, 2023

www.Orthobullets.com The post Pseudosubluxation: Rebaked Morsel appeared first on Pediatric EM Morsels. Swischuk and the Spinal-Laminar lines will help you determine if this is a true problem or a pseudo-problem! References : Swischuk LE. Anterior displacement of C2 in children: physiologic or pathologic. 1977 Mar;122(3):759-63.

Fractures

Fractures Dislocations Pediatrics Radiology

ToxCard: Iron

EMDocs

DECEMBER 6, 2024

Radiology in the management of acute iron poisoning. Iron Poisoning: A Literature-Based Review of Epidemiology, Diagnosis, and Management. Pediatric Emergency Care, 27 (10), 978-985. doi: 10.1097/PEC.0b013e3182302604. 0b013e3182302604. Hosking CS. Med J Aust. 1969;1(11):576-579. doi:10.5694/j.1326-5377.1969.tb92297.x 1326-5377.1969.tb92297.x

Poisoning

Poisoning Fluid Resuscitation Seizures Resuscitation

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

ACEP Now

JANUARY 4, 2025

The specialty, he said, spoke to his interest in surgery and EMS in a way that family medicine did not. 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.

Forensics

Forensics Urgent Care Hospitals Emergency Department

How Good is Ultrasound at Diagnosing PTA?

RebelEM

APRIL 17, 2023

appeared first on REBEL EM - Emergency Medicine Blog. 33 studies selected for full review Of those 33 studies, 17 of those met criteria for inclusion Of the 18 studies, 1 was an RCT, 14 were prospective cohort studies, and 3 were retrospective cohort studies Total of 812 patients of whom 541 had PTA from 17 studies.

Ultrasounds

Ultrasounds Radiology Radiology Operations

A Rolling Stone Without a Home: Bouveret Syndrome on PoCUS

EM Ottawa

JUNE 20, 2024

POCUS demonstrated signs of small bowel obstruction and subsequently guided the decision to pursue radiology-performed imaging. In this case, the patient presented with abdominal pain and a known history of cholelithiasis.

Radiology

Radiology Radiology Ultrasounds Infectious Diseases

emDOCs Revamp: Esophageal Perforation

EMDocs

NOVEMBER 1, 2023

Authors: Katey DG Osborne, MD (EM Attending Physician; Tacoma, WA), Rachel Bridwell, MD (EM Attending Physician; Tacoma, WA) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital) and Brit Long, MD (@long_brit, EM Attending Physician, San Antonio, TX) Welcome to emDOCs revamp!

Operations

Operations Radiology Radiology Fluid Resuscitation

Case Report: EMS Says Flail Chest, But Is It?

ACEP Now

MAY 4, 2023

EMS recognized a chest wall deformity with movement of the chest wall, and a splint was devised and taped around his chest for what was suspected to be a flail chest. The post Case Report: EMS Says Flail Chest, But Is It? The patient had been drinking with friends when he was witnessed to trip and fall a distance of one step.

EMS

EMS Fractures Operations Ultrasounds

Clinical Conundrums: Do We Need to Order a CT for Every Patient with Renal Colic?

RebelEM

FEBRUARY 12, 2024

The panel included physicians from Emergency Medicine, Urology and Radiology and was published in major journals of all three specialities. Research from our very own SIUH department of radiology recommended that contrast-enhanced CT scans can safely exclude obstructive urolithiasis just as well as noncontrast CTs. 2011; 18(7):699-707.

Radiology

Radiology Radiology Emergency Department Ultrasounds

REBEL Core Cast 101.0 – Imaging in Renal Colic

RebelEM

MAY 10, 2023

POCUS and radiology department US are important modalities in evaluation of renal colic. PMID: 31412438 Corependium: [link] REBEL EM: [link] Post Created By: Anand Swaminathan MD, MPH Post Peer Reviewed By: Salim R. Take Home Points Many patients with renal colic require a CT scan. Ann Emerg Med 2019; 74: 391-9.

Radiology

Radiology Radiology EMS

Medical Malpractice Insights: Dirt left in wound leads to infection

EMDocs

OCTOBER 11, 2023

” EM Doc : I depend entirely on the radiology report. I thought they were incidental “ bone islands” so I didn ’ t document them. “Orthogonal positioning” proves they were “ in the olecranon process.” I don ’ t ever view x-rays myself. I always clean dirty wounds. I just didn ’ t document it.

Documentation/Coding

Documentation/Coding Radiology Radiology Patient Safety

The PROPHY-VAP Trial: Ceftriaxone to Prevent VAP in Patients with Acute Brain Injury

RebelEM

FEBRUARY 29, 2024

It is possible that the ceftriaxone altered baseline bacterial colonization within the respiratory tract, causing cultures to be negative despite positive clinical and radiological signs, leaving room for a false negative diagnosis. SECONDARY OUTCOMES At day 28 , ceftriaxone group had (vs placebo): Lower VAP risk (20% vs 36%); hazard ratio 0.62

CDC

CDC Radiology Radiology Head Injuries

REBEL Cast Ep 118: The PROCOAG Trial – 4F-PCC for Trauma Patients?

RebelEM

JUNE 26, 2023

appeared first on REBEL EM - Emergency Medicine Blog. Severe acute traumatic coagulopathy = PT >1.5 to 3.33; P = 0.72 NOT STATISTICALLY SIGNIFICANT Also no difference in individual components given Thromboembolic Events: 4F-PCC: 35% Placebo: 24% Absolute Diff: 11%; 95% CI 1 to 21% Relative Risk 1.48; 95% CI 1.04 to 2.10; P = 0.03

Administration

Administration Outcomes Resuscitation Radiology

SGEM Xtra: Come Together, Right Now – Over Renal Colic

The Skeptics' Guide to EM

DECEMBER 28, 2019

Annals of EM, JU, and JACR 2019. Annals of EM , JU, and JACR 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 ). Date: December 16th, 2019 Reference: Moore et al. NEJM 2014 ).

Radiology

Radiology Radiology Ultrasounds Emergency Department

Imaging Case of the Week 608

EMergucate

OCTOBER 29, 2024

What radiological sign can be seen and … Continue reading → The following chest x-ray is from an elderly patient with cough & dyspnoea.

Radiology

Radiology Radiology EMS

Imaging Case of the Week 592

EMergucate

APRIL 30, 2024

What radiological sign can be seen? The following abdominal x-ray is from a 76-year-old with vomiting. Answer will be posted … Continue reading →

Radiology Radiology Fractures EMS

Perspectives – Aortic Laceration in a Rural Mississippi ED: A resident’s response

EMDocs

JUNE 22, 2023

The radiology tech has his hand on a weak femoral pulse. Early contact with Medcom ensured that they would be able to activate one of the most effective and competent air EMS teams in the state – AirCare. Nurses are throwing on monitor leads, and we completely expose him and do a fast roll to look at his back. No other injuries.

Resuscitation

Resuscitation Ultrasounds Critical Access Radiology

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

EM@3AM: Brainstem Strokes

Trending Sources

EM@3AM: Retroperitoneal Hematoma

EM@3AM: Malignant/Necrotizing Otitis Externa

PEG Tube Dislogement

EM@3AM: Testicular/Scrotal Abscesses

EM Topic – Radiology

Contrast Media Shortage of 2022 – Lessons Learned

Pseudosubluxation: Rebaked Morsel

ToxCard: Iron

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

How Good is Ultrasound at Diagnosing PTA?

A Rolling Stone Without a Home: Bouveret Syndrome on PoCUS

emDOCs Revamp: Esophageal Perforation

Case Report: EMS Says Flail Chest, But Is It?

Clinical Conundrums: Do We Need to Order a CT for Every Patient with Renal Colic?

REBEL Core Cast 101.0 – Imaging in Renal Colic

Medical Malpractice Insights: Dirt left in wound leads to infection

The PROPHY-VAP Trial: Ceftriaxone to Prevent VAP in Patients with Acute Brain Injury

REBEL Cast Ep 118: The PROCOAG Trial – 4F-PCC for Trauma Patients?

SGEM Xtra: Come Together, Right Now – Over Renal Colic

Imaging Case of the Week 608

Imaging Case of the Week 592

EM Notes – CT

EM Notes – Ultrasound

EM Notes – Radiation

Imaging Case of the Week 353

Imaging Case of the Week 460

Imaging Case of the Week 463

Imaging Case of the Week 343

Imaging Case of the Week 453

Red Leg in the Heartland of America: A Rural Physician’s Approach to the Patient with a Potential DVT

Imaging Case of the Week 521

EM Notes – Nuclear Medicine

Emergency Department Evaluation of Cholestatic Labs

SGEM#274: Hocus POCUS for Appendicitis?

REBEL Core Cast 107.0 – Vertebral Osteomyelitis

Nephrolithiasis: Ultrasonography versus Computed Tomography

Pneumocystis jirovecii Pneumonia and HIV: A Practical Guide for ED Diagnosis and Management

Imaging Case of the Week 151

Episode 25: Tension pneumothorax 2

EM Notes – Magnetic Resonance Scanning (MRI)

Ep 175 Emergency Orthopedics Differential: SCARED OF Mnemonic – When X-rays Lie

Perspectives – Aortic Laceration in a Rural Mississippi ED: A resident’s response

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