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 75

Radiology Radiology Emergency Department Ultrasounds 75

Sensible Medicine

NOVEMBER 30, 2023

Typically, we place the burden on manufacturers to show that their products improve health outcomes prior to sale. At 50% of GDP on health care, we will give everyone a weekly pass to get unlimited, unnecessary radiologic imaging, and if two doctors on Twitter think you should get a solid organ transplant, insurers have to pay.

Research 145

Research Radiology Radiology Administration 145

The Skeptics' Guide to EM

FEBRUARY 3, 2024

. * Excluded: Oropharyngeal trauma combined with other severe head injury or multisystem trauma, not primary research, non-English publication * Intervention: CTA * Comparison: No CTA * Outcome: radiologic and clinical outcomes including infection, injury to vasculature, cerebrovascular injury, and neurologic abnormalities.

Pediatrics 69

Pediatrics Radiology Radiology Head Injuries 69

EMDocs

SEPTEMBER 7, 2024

Transfer to the interventional radiology suite for embolization (D) is indicated in patients with ongoing hemorrhage after a blunt injury to zone III, rather than a penetrating injury. Spontaneous retroperitoneal hematoma: etiology, characteristics, management, and outcome. J Emerg Med. 2012 Aug;43(2):e157-61. doi: 10.1016/j.jemermed.2011.06.006.

EMS 98

EMS Fluid Resuscitation Resuscitation Radiology 98

ACEP Now

JULY 7, 2023

Will this be enough for the general surgeon, or will they want an US performed by the radiology department to make their surgical decision? Clinical Question What is the value of radiology-performed US (RUS) compared to BUSED in terms of the surgical decision-making in acute biliary disease? Click to enlarge. Reference: Hilsden, et al.

Ultrasounds 52

Ultrasounds Radiology Radiology Emergency Department 52

SheMD

JUNE 8, 2023

The transition from internal medicine or surgery intern to Radiology resident (or any other residency) feels daunting to most. 10 pages a day One of the things that helped me immensely during radiology residency was setting “micro-goals” for myself. Advocate · As a woman in radiology (and most fields in medicine), you are a minority.

Radiology 52

Radiology Radiology Outcomes Hospitals 52

EMDocs

APRIL 27, 2024

However, the bioavailability of antipseudomonal antibiotics has improved outcomes, limiting surgery as a confirmatory diagnostic procedure and as needed for granulation tissue removal. The changing face of malignant (necrotising) external otitis: clinical, radiological, and anatomic correlations. The Lancet. link] Grandis, J.,

EMS 105

EMS Infectious Diseases Radiology Radiology 105

Sensible Medicine

APRIL 12, 2024

There have been observational studies and a handful of actual RCTs looking at how duty hours have affected medical education, patient outcomes, the prevalence of medical errors, housestaff satisfaction, sleep duration… I am definitely not one to question whether restricting housestaff duty hours was necessary.

Radiology 83

Radiology Radiology Hospitals Documentation/Coding 83

The Skeptics' Guide to EM

AUGUST 24, 2024

JAMA Surg 2024 Population: Patients aged 16 years or older with clinically suspected or radiologically confirmed rib fractures. Outcome: Primary Outcome: Composite pain score reduction 4 hours after enrollment, defined as a reduction in the pain score by 2 or more p.

Fractures 54

Fractures Emergency Department Ultrasounds Radiology 54

RebelEM

SEPTEMBER 11, 2023

Outcomes: Primary: Percent change in management decisions after introducing the Radiology Department RUQ US. A change in clinical course resulting from a discrepancy between POCUS and radiology department imaging only occurred in 2% of patients (not 10%).

Ultrasounds 68

Ultrasounds Radiology Radiology Emergency Department 68

EMDocs

MAY 11, 2024

Brainstem stroke: anatomy, clinical and radiological findings. Endovascular and Clinical Outcomes of Vertebrobasilar Intracranial Atherosclerosis-Related Large Vessel Occlusion. Locked-in syndrome. Reference article, Radiopaedia.org (Accessed on 28 Aug 2023) [link] Ortiz de Mendivil A, Alcalá-Galiano A, et al. doi: 10.1053/j.sult.2013.01.004.

Stroke 111

Stroke EMS EKG/ECG Radiology 111

Emergency Medicine Journal

JULY 22, 2024

The main outcome variable was the diagnosis of acute appendicitis. Background and objectives The ability to rule appendicitis in or out using ultrasound is limited by studies where the appendix is not visualised.

Ultrasounds 52

Ultrasounds Radiology Radiology Emergency Department 52

Taming the SRU

OCTOBER 23, 2023

A radiology performed ultrasound is ordered and has similar findings– Impression: no definitive IUP with a small amount of free fluid within physiologic limits. Discrimination between an IUP and an interstitial pregnancy is critical as interstitial pregnancies can have devastating outcomes. Am J Emerg Med. 2019 Jun;37(6):1165-1168.

Ultrasounds 98

Ultrasounds Operations Radiology Radiology 98

EMDocs

NOVEMBER 20, 2023

Management of Positive CTA Recommendation: We recommend that patients who have a CTA demonstrating extravasation be promptly referred to interventional radiology for transcatheter arteriography and possible embolization. (Conditional recommendation, low-quality evidence). Strong recommendation, moderate-quality evidence).

Resuscitation 105

Resuscitation Fluid Resuscitation Hospitals Research 105

Mind The Bleep

APRIL 10, 2025

Examples of LLMs used in healthcare are: The main aims of using AI in healthcare would be to reduce costs, improve patient outcomes and medical education. They can be fine tuned to respond to prompts and perform specific tasks such as finishing code, generating essays or textual responses to users. One of the most famous LLMs is ChatGPT.

Documentation/Coding 52

Documentation/Coding Research Outcomes Administration 52

Pediatric Education

JUNE 9, 2024

The radiologic evaluation of ultrasound showed an enlarged right ovary with a large follicular cyst and decreased blood flow in the pedicle. Overall outcomes are good. Interestingly there is worse outcome for a “normal” ovary that undergoes torsion than with one that has an identified mass as the cause of torsion.

Pediatrics 52

Pediatrics Ultrasounds Radiology Radiology 52

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

American Medical Compliance

APRIL 25, 2024

For radiologic technicians or healthcare professionals, our Level 2 Training will greatly enhance your expertise in MRI practices. Our Continuing Medical Education (CME) program is committed to enhancing the knowledge, skills, and professional performance of healthcare providers to improve healthcare outcomes.

Radiology 52

Radiology Radiology Operations Research 52

Don't Forget the Bubbles

MARCH 4, 2024

This was a secondary outcome embedded in the Travel Fever study – a multi-centre, retrospective diagnostic accuracy study for imported malaria. Safety and efficacy of a nitrous oxide procedural sedation programme in a paediatric emergency department: a decade of outcomes. Emerg Med J. 2024 Jan 22;41(2):76-82. PMID: 38123983.

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

Pediatric Education

FEBRUARY 4, 2024

The radiologic evaluation of an ultrasound examination showed a small hypoechoic mass in the area of right adrenal gland that was smaller than previously recorded prenatally. This close monitoring does not appear to have poorer outcomes if the patient has neuroblastoma. The diagnosis of a healthy male was made. Pediatr Surg Int.

Ultrasounds 52

Ultrasounds Radiology Radiology Pediatrics 52

The Skeptics' Guide to EM

JULY 18, 2020

AEM July 2020 * Population: Adolescents and adults presenting with symptoms of respiratory infection or clinically suspected pneumonia in the outpatient setting * Intervention: Any clinical sign or symptom (including vital signs) for pneumonia * Comparison: * Outcome: Radiologically confirmed pneumonia (using CXR as the gold standard) This is an

Radiology 52

Radiology Radiology Emergency Department Outcomes 52

EMDocs

JUNE 22, 2023

The radiology tech has his hand on a weak femoral pulse. After this experience, I realized some crucial factors that contributed to this patient’s outcome: (1) Know your resources. Nurses are throwing on monitor leads, and we completely expose him and do a fast roll to look at his back. No other injuries. It’s still present.

Resuscitation 98

Resuscitation Ultrasounds Critical Access Radiology 98

Emergency Medicine Journal

NOVEMBER 28, 2023

We hypothesized that there is a specific coagulopathy of ITBI, detectable using functional coagulation tests and that coagulopathy is associated with worse outcomes including raised intracranial pressure (ICP), progression of intracranial haemorrhage (PICH), and mortality.

Head Injuries 40

Head Injuries Radiology Radiology Outcomes 40

Taming the SRU

SEPTEMBER 15, 2023

ultrasound grand rounds: bedside dvt studies - family presence in the ed/icu - r1 clinical knowledge: aicd - r3 small groups: difficult airway management Ultrasound grand rounds: DVT studies WITH Dr. minges Why should we perform bedside DVT studies in the ED?

CPR 90

CPR Burns Airway Management Wellness 90

Taming the SRU

SEPTEMBER 8, 2023

Prognosis of acute severe autoimmune hepatitis (as-AIH): The role of corticosteroids in modifying outcome.” The British Journal of Radiology, vol. Hepatology, vol. 2, 2013, pp. 612–621, [link] Yeoman, Andrew D., Journal of Hepatology, vol. 4, 2014, pp. 876–882, [link] Potts, Jonathan R. Digestive Diseases and Sciences, vol.

Radiology 59

Radiology Radiology Ultrasounds EMS 59

Pediatric Education

AUGUST 4, 2024

What are common neonatal brachial plexus injuries and what are their outcomes? What are common overuse injuries in sports and how could they be mistaken for TOS?

Pediatrics 52

Pediatrics Radiology Radiology Operations 52

Pediatric Emergency Playbook

NOVEMBER 1, 2016

What am I seeing -- or not seeing -- here? First a refresher on radiographic anatomy of the elbow -- Images courtesy of Radioglypics (Open Access Radiology Education). Acute compartment syndrome of the upper extremity in children: diagnosis, management, and outcomes. Position of comfort, analgesia, xrays, and now what?

Pediatrics 52

Pediatrics Fractures Dislocations Radiology 52

Dr. Smith's ECG Blog

JUNE 27, 2021

A chest X-ray was obtained: This was read by radiology as "Bilateral lower lobe interstitial opacities. We should not have been fooled by the radiology reading of "pneumonia". The patient was given morphine, which is associated with worse outcomes in NonSTEMI (probably because it fools you into thinking you have treated the ischemia).

EKG/ECG 40

EKG/ECG Radiology Radiology Ultrasounds 40

RebelEM

JANUARY 25, 2023

Small bowel obstruction: Outcome and cost implications of admitting service. Radiology US 90% 96% 14.1 Radiology US 90% 96% 14.1 2.3 – 5.4) (-) LR: 0.18 (0.09 – 0.35) Ultrasound Findings Dilated loops of bowel (diameter > 2.5 3.6 – 55.6) (-) LR: 0.13 (0.08 – 0.20) ED US (+) LR: 9.5 (2.1

Operations 52

Operations Sepsis Resuscitation Ultrasounds 52

Pediatric Emergency Playbook

SEPTEMBER 1, 2015

Treatment: stabilization, embolization by interventional radiology, elective extirpation when more stable. Incidence, cause, and short-term outcome of convulsive status epilepticus in childhood: prospective population-based study. Other options for stable patients include an endovascular flow-directed microcatheter using cyanoacrylate.

Pediatrics 40

Pediatrics Seizures Stroke Radiology 40

Emergency Medicine Ireland

FEBRUARY 6, 2023

Whereas in SAH you have a whole bunch of interesting and well proven interventions that can improve outcome for the lucky patients who haven’t already prognosticated themselves by presenting with a GCS of 3. As a starter for 10: in which meningeal space in the brain do you find an SAH?

Stroke 52

Stroke EMS Radiology Radiology 52

ACEP Now

MARCH 14, 2024

15,19 Endovascular intervention depends upon the patient’s hemodynamic stability and availability of interventional radiology. Fatal outcomes postoperatively may be due to re-bleeding after attempts to preserve flow in the innominate artery or using sutures or prosthetic material in an infected area.22,23

Operations 52

Operations Pediatrics Radiology Radiology 52

PEMBlog

SEPTEMBER 13, 2023

The causes are many – it could be a force of habit, a medical liability concern for “missing something,” a desire to please the caregivers, a previous seizure patient of theirs who had a bad outcome, or numerous other causes.

Seizures 52

Seizures Pediatrics Point-of-Care Testing Wellness 52

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 98

Radiology Radiology EKG/ECG Documentation/Coding 98

EMDocs

NOVEMBER 16, 2024

16 US or CT guided biopsy/joint aspiration (typically performed by Orthopedic surgery or Interventional Radiology). 13 Management: Dislocation As with all dislocation, early reduction improves outcomes. Epidemiology of total hip arthroplasty: demographics, comorbidities and outcomes. 16 CT Accuracy up to 84% in detecting PJI.

EMS 98

EMS Dislocations Fractures Operations 98

RebelEM

FEBRUARY 29, 2024

1, 2 Its occurrence often portends worse outcomes in intubated patients, whose projected hospital course was already tenuous. SECONDARY OUTCOMES At day 28 , ceftriaxone group had (vs placebo): Lower VAP risk (20% vs 36%); hazard ratio 0.62 4, 8 Paper: Dahyot-Fizelier, C.,

CDC 121

CDC Radiology Radiology Head Injuries 121

PulmCCM

APRIL 10, 2025

Among 166 patients with “sepsis” who were randomized to aspirin 200 mg or placebo at five ICUs in Brazil, those receiving aspirin had no improvement in organ failure scores or other outcomes. The American College of Radiology wrote a letter of opposition to the move. hours after symptom onset. work-related pneumoconiosis).

CDC 40

CDC Stroke Sepsis Radiology 40