The Trauma Pro

AUGUST 14, 2024

Like go to CT, do some more stuff in the ED because that BP cuff just has to be wrong, or call interventional radiology and wait for 45 minutes. And they want to do things they wouldn’t think of doing to a crashing patient. But here’s the third law of trauma: The only place an unstable trauma patient can go is to the OR.

Radiology 236

Radiology Radiology Operations Resuscitation 236

The Trauma Pro

OCTOBER 29, 2024

Here are the factoids: Only 110 patients had a postop CT scan; 73 had scans within the first 24 hours, the other 37 were scanned later The rationale for early scan was to investigate retroperitoneal injury in half of patients, but frequently no indication was given (41%) The rationale for late scan was for workup of ileus in one-third or for evaluation (..)

Operations 221

Operations Fractures Radiology Radiology 221

Mount Sinai EM

JANUARY 11, 2023

Accident and Emergency Radiology: A Survival Guide,3e. In: Sherman SC. Simon’s Emergency Orthopedics, 8e. McGraw Hill; 2019. Accessed January 04, 2023. link] Feger J, Knipe H, El-Feky M, Tibiofibular overlap. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Ankle & Hindfoot. Saunders Ltd; 2015.

Radiology 130

Radiology Radiology Fractures Dislocations 130

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 52

Radiology Radiology EMS 52

EM Literature of Note

OCTOBER 9, 2024

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. Specifically, the LLM – here GPT-3.5T and GPT-4T – is asked: Should this patient be admitted to the hospital?

Radiology 84

Radiology Radiology Emergency Department Documentation/Coding 84

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 66

Radiology Radiology Ultrasounds Infectious Diseases 66

Emergency Live

FEBRUARY 1, 2024

A Journey through Education and Careers in the Field of Radiology The Academic Path to Becoming a Radiologist The career of a radiologist begins with obtaining a degree in Medicine and Surgery, followed by a specialization in Radiology and Diagnostic Imaging.

Radiology 52

Radiology Radiology Academics 52

Emergency Live

MARCH 25, 2024

Advanced Prediction Thanks to New Artificial Intelligence Models An innovative study published in “Radiology” introduces AsymMirai, a predictive tool based on artificial intelligence (AI), which leverages the asymmetry between the two breasts to forecast the risk of breast cancer one to five years before clinical diagnosis.

Radiology 98

Radiology Radiology 98

Emergency Live

JANUARY 25, 2024

Frontline Technicians and Specialists Radiology technicians, laboratory technicians, and healthcare assistants are among the fastest-growing healthcare […] The post Health professions most in demand in 2024 appeared first on Emergency Live.

Radiology 98

Radiology Radiology 98

Emergency Live

JANUARY 10, 2024

Understanding Magnetic Resonance Imaging, Its Purpose, and Procedure Introduction to Magnetic Resonance Imaging Magnetic Resonance Imaging (MRI) is a medical imaging technique used in radiology to create detailed images of the body’s anatomy and physiological processes.

Radiology 98

Radiology Radiology 98

Emergency Live

SEPTEMBER 14, 2023

He currently serves as the CBRNe (Chemical, Biological, Radiological, Nuclear, and Explosives) Expertise Leader at TFC Research and Innovation […] The post David Crouch will discuss the latest trends in CBRNe appeared first on Emergency Live.

Radiology 111

Radiology Radiology Research 111

PulmCCM

MAY 10, 2024

The authors analyzed 7 studies (n=1772) that tested point-of-care ultrasound performed by emergency physicians against the reference standard of final diagnosis (by discharge diagnosis, formal abdominal ultrasound by radiology, or surgical pathology).

Ultrasounds 97

Ultrasounds Radiology Radiology Emergency Department 97

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 73

Radiology Radiology Emergency Department Hospitals 73

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 85

Radiology Radiology Emergency Department Ultrasounds 85

Emergency Medicine Ireland

JUNE 14, 2021

Welcome back to the tasty morsels of critical care podcast. Oh dedicates an entire chapter, number 88 to CBRN issues. While not commonly seen you can rest assured that critical care will be expected to turn up and manage these. Read More » Welcome back to the tasty morsels of critical care podcast.

Radiology 52

Radiology Radiology Hospitals Wellness 52

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 52

Radiology Radiology EMS 52

Mind The Bleep

AUGUST 14, 2023

In the webinar below, Dr Sam Kular (interventional radiology fellow) provides a structured approach to CT head interpretation, with an overview of common cases & pitfalls. Our Webinar

Radiology 52

Radiology Radiology 52

Mind The Bleep

AUGUST 14, 2023

In the webinar below, Dr Dexter Valencia (interventional radiology registrar) provides a structured approach to CT chest/thorax interpretation, with an overview of common cases & pitfalls. Our Webinar

Radiology 52

Radiology Radiology 52

Mind The Bleep

AUGUST 14, 2023

In the webinar below, Dr Henry de Boer ( radiology registrar) provides a structured approach to CT abdomen & pelvis interpretation, with an overview of common cases & pitfalls. Our Webinar

Radiology 52

Radiology Radiology 52

Mind The Bleep

AUGUST 14, 2023

In the webinar below, Dr Joe Kang ( radiology registrar) provides a structured approach to interpreting knee, ankle & foot x-rays, with an overview of common cases & pitfalls. Our Webinar

X-Ray Interpretation 52

X-Ray Interpretation Radiology Radiology 52

EM Ottawa

AUGUST 31, 2023

There are next-day overreads from Radiology, and patients are sometimes called back, but by and large, in-the-moment decisions are made by the […] The post The Donut of Truth (ahh that CT scan) appeared first on EMOttawa Blog.

Radiology 56

Radiology Radiology 56

Mind The Bleep

AUGUST 14, 2023

In the webinars below, Dr June Lau & Dr Henry de Boer ( radiology registrars) provides a structured approach to interpreting shoulder, elbow, forearm, wrist & hand x-rays, with an overview of common cases & pitfalls. Our Webinar

X-Ray Interpretation 52

X-Ray Interpretation Radiology Radiology 52

EMergucate

MAY 17, 2016

– CT – MRI – Nuclear Medicine – Radiation – Ultrasound

Radiology 40

Radiology Radiology EMS Ultrasounds 40

ALiEM

FEBRUARY 16, 2024

This patient was admitted to the hospital’s general surgical service and treated with IV broad-spectrum antibiotics and a percutaneous cholecystostomy tube placed by interventional radiology. doi: 10.1148/radiology.148.1.6856839. Intraluminal membranes or wall irregularities suggest gangrenous cholecystitis. 148.1.6856839.

Radiology 64

Radiology Radiology Ultrasounds COPD 64

PEMBlog

APRIL 24, 2024

There is a validated Pediatric Stroke Scale from the NIH that can be used in conjunction with a stroke protocol that involves Neurology, Radiology, and a local/regional Stroke Team. Pediatric strokes are rare and challenging to diagnose.

Stroke 59

Stroke Pediatrics Blood Transfusions Radiology 59

PEMBlog

SEPTEMBER 1, 2023

We can help our Radiology colleagues by avoiding unnecessary chest X-ray orders for most children with respiratory problems such as bronchiolitis, asthma exacerbations, croup, or first-time wheezing. Repetitive Read Syndrome is affecting Radiologists across the globe.

Radiology 52

Radiology Radiology Pediatrics 52

The Trauma Pro

APRIL 26, 2024

If the patient can be stabilized to some degree, interventional radiology can be very helpful. Unfortunately, it’s generally not feasible to operatively fix the pelvis acutely, and external fixation has limited impact on ongoing hemorrhage. Unfortunately, access after hours involves some degree of time delay.

Fractures 147

Fractures Head Injuries Radiology Radiology 147

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

Emergency Medicine Journal

NOVEMBER 28, 2023

Method and Design The ED and radiology departments collaborated to develop an MRI direct to scan (DTS) pathway bypassing radiology discussions. All DTS scans had documented senior review at radiology request to ensure governance. The pathway has reduced average waiting times for MRI scan in hours by 46% and in OOH period by 58%.There

Radiology 40

Radiology Radiology Documentation/Coding Hospitals 40

The Trauma Pro

MAY 3, 2024

If there is concern that there could be ongoing bleeding, PPP can be followed by a trip to the interventional radiology suite. You can feel comfortable that outcomes will be the same as AE. This is a common practice. I shouldn’t have to say it, but AE should never even be considered in an unstable patient. What about stable patients?

Fractures 147

Fractures Documentation/Coding Radiology Radiology 147

The Trauma Pro

JUNE 14, 2024

Radiology 265(3):678–693, 2012. PMID: 35830194; PMCID: PMC9280606. CT findings of traumatic bucket-handle mesenteric injuries. Am J Radiol 209:W360-@364, 2017. Multidetector CT of blunt abdominal trauma.

Operations 147

Operations Radiology Radiology Hospitals 147

Pediatric Education

JULY 14, 2024

The patient was referred to neurosurgery and radiologic evaluation of a magnetic resonance imaging study revealed a dermoid cyst. Treatment is excision with or without pre-operative radiological imaging depending on patient age and location. It was non-pulsatile and did not transilluminate. There were no other lesions.

Radiology 52

Radiology Radiology Pediatrics Operations 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

Don't Forget the Bubbles

JULY 24, 2023

Radiological resolution can take time. Pediatric Radiology. Vertebral osteomyelitis: assessment using MR. Radiology. It can reduce diagnostic delay and can identify adjacent inflammatory lesions requiring prolonged treatment +/- surgical intervention. It is also used to monitor improvement/resolution. Adapted from Alghamdi, A.,

Radiology 98

Radiology Radiology Infectious Diseases Pediatrics 98

ALiEM

FEBRUARY 28, 2024

We also must recognize the important contributions of media such as clinical photographs, radiology images, and ECGs. Photographs, ECGs, Radiology Images These fall into the category of “other multimedia” in the AMA Manual of Style, and here is my best attempt to interpret this to clinical media. Apps App Title app. Version number.

Radiology 52

Radiology Radiology Academics Fractures 52

ALiEM

SEPTEMBER 29, 2023

doi: 10.1148/radiology.216.2.r00jl25356. Múnera F, Soto JA, Palacio D, Velez SM, Medina E. Diagnosis of arterial injuries caused by penetrating trauma to the neck: comparison of helical CT angiography and conventional angiography. 2000 Aug;216(2):356-62. r00jl25356. PMID: 10924553.

Radiology 70

Radiology Radiology Academics Ultrasounds 70

University of Maryland CC Project

OCTOBER 31, 2021

Lydia Chelala, Assistant Professor of Radiology at the University of Chicago presents on the golden rules and critical diagnoses of chest radiology.

Radiology 40

Radiology Radiology 40