Emergency Medicine Ireland

JUNE 14, 2021

While not commonly seen you can rest assured that critical care will be expected to turn up and manage these patients if an incident does occur so it is something we need to know fairly well. Ultimately you’re going to get an edited selection of the available nasty agents.

Radiology 52

Radiology Radiology Hospitals Wellness 52

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.

Radiology 58

Radiology Radiology Emergency Department Ultrasounds 58

Pediatric Education

JULY 14, 2024

He was overall well but his father noted that he had a “bump” on the side of his forehead. The patient was referred to neurosurgery and radiologic evaluation of a magnetic resonance imaging study revealed a dermoid cyst. Patient Presentation A 24-month-old male came to clinic for his health supervision visit.

Radiology 52

Radiology Radiology Pediatrics Operations 52

ALiEM

SEPTEMBER 29, 2023

Additional Images Physical Exam General : Well-appearing male in no distress Neck : Hemostatic wound to his left neck. doi: 10.1148/radiology.216.2.r00jl25356. He now presents requesting “Neosporin.” ” His tetanus status is out of date. No significant pain, no hematoma, no bruits. 2000 Aug;216(2):356-62. r00jl25356.

Radiology 70

Radiology Radiology Academics Ultrasounds 70

American Medical Compliance

FEBRUARY 28, 2024

While there are benefits to using this therapeutic treatment method, there are risks as well. Radiation Protection in Interventional Radiology Over the last decade there has been a rapid increase in the number of interventional radiology (IR) procedures performed.

Radiology 52

Radiology Radiology Fractures Operations 52

The Trauma Pro

APRIL 30, 2024

In the next post, I’ll look at a brand new paper that includes a cost analysis as well. Angioembolization requires the presence of a special interventional radiology team and a reasonably stable patient. Interestingly, the use of AE and PPP vary geographically.

Radiology 147

Radiology Radiology Research Fractures 147

Sensible Medicine

APRIL 12, 2024

For probably the twelfth time on Sensible Medicine, I’ll reference Lisa Rosenbaum’s essay, Being Well while Doing Well — Distinguishing Necessary from Unnecessary Discomfort in Training which brought some of the current inter-generational angst to the fore.

Radiology 76

Radiology Radiology Hospitals Documentation/Coding 76

Pediatric Education

JUNE 9, 2024

She said she hadn’t felt well for a couple hours before that and had had some nausea and emesis before the pain. She had eaten the same food as her college roommates who were all well. The radiologic evaluation of ultrasound showed an enlarged right ovary with a large follicular cyst and decreased blood flow in the pedicle.

Pediatrics 52

Pediatrics Ultrasounds Radiology Radiology 52

Pediatric Education

NOVEMBER 5, 2023

Patient Presentation A 4-month-old male came to clinic for his well child appointment. He was doing well, was breastfeeding, smiling and had good head control during tummy time. The pertinent physical exam showed a well-appearing male with all three growth parameters growing normally at approximately 50%.

Radiology 52

Radiology Radiology Pediatrics Wellness 52

RebelEM

APRIL 17, 2023

However, It is unclear how well POCUS performs in ruling in or ruling out the diagnosis of PTA. Question: How well does the US perform in diagnosing PTA compared to CT, needle aspiration, or Incision and Drainage? Article: Kim DJ et al. Acad Emerg Med. 2023 Jan 10. Epub ahead of print. PMID: 36625850.

Ultrasounds 123

Ultrasounds Radiology Radiology Operations 123

EM SIM Cases

MAY 9, 2023

However, if you find yourself treating a drowning patient in the ED, this case will have you well prepared. Radiologic, Neurologic and Cardiopulmonary Aspects of Submersion Injury. WHY IT MATTERS Every year as the weather warms and more people take advantage of water sports and outdoor activities there is increased risk of drowning.

Pediatrics 52

Pediatrics CPR Radiology Radiology 52

EMDocs

NOVEMBER 1, 2023

ECG – May show tachycardia or rate related ST depressions Laboratory evaluation: CBC w/ differential – may reveal leukocytosis with left shift CMP, Lipase – can reveal alternative intra-abdominal diagnoses as well as show findings of end-organ hypoperfusion (elevated serum creatinine, transaminitis, etc.)

Operations 67

Operations Radiology Radiology Fluid Resuscitation 67

Pediatric Education

OCTOBER 22, 2023

Patient Presentation A 2-week-old female came to clinic for her 2 week well child appointment. Her parents felt that she was doing well with feeding every 2-3 hours with many urine and stool diapers per day. The radiologic evaluation confirmed that these were subcutaneous fat necrosis. Her mild jaundice had disappeared.

Radiology 52

Radiology Radiology Fractures Pediatrics 52

EMDocs

DECEMBER 4, 2023

The Wells’ Criteria for DVT can help risk stratify [2,3]. If the patient’s Wells score is ≤ 0, DVT is nearly clinically excluded and no further immediate lab or ultrasound is necessary. In patients with a Wells’ score of 1-2 (moderate risk), DVT can be ruled out with a negative d-dimer rather than an US. Published 2020 Feb 11.

Ultrasounds 70

Ultrasounds Wellness Documentation/Coding EMS 70

Taming the SRU

JUNE 10, 2024

Examination reveals a well-appearing woman reclining on the hospital bed, in no acute distress. She is breathing comfortably on room air, with strong distal pulses and well-perfused extremities. Radiology Case Reports. Obstet Gynecol Sci. 2018;61(5):621-625. Ntafam CN, Beutler BD, Harris RD. 2022;17(5):1583-1586.

Ultrasounds 84

Ultrasounds Emergency Department Radiology Radiology 84

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 83

CPR Burns Airway Management Wellness 83

Don't Forget the Bubbles

MARCH 11, 2024

There are many causes, and it is less well understood than plagiocephaly. Craniosynostosis, The Radiology Assistant. The Radiology Assistant: Craniosynostosis Accessed 10.01.2024 Mawji, A., Craniosynostosis Craniosynostosis is rare. Prevalence, risk factors, and natural history of positional plagiocephaly: a systematic review.

Radiology 59

Radiology Radiology Pediatrics Documentation/Coding 59

SheMD

NOVEMBER 22, 2023

For those who like radiology, I perform my own thyroid ultrasounds and personally review all of my pituitary and adrenal imaging as well. I am energized at the possibilities that a career in Endocrinology has to offer, as well as the countless opportunities for future contributions to the field.

Radiology 52

Radiology Radiology Wellness Hospitals 52

Don't Forget the Bubbles

MAY 22, 2023

Gemma tells you that as well as the physio, Robin’s LTV Consultant has also prescribed some oral antibiotics. Since then, he has been well in himself. This may include neonatology, paediatric intensive care, respiratory, cardiology, ENT, spinal injury, neuromuscular or neuro-disability specialists, as well as access to palliative care.

Radiology 98

Radiology Radiology Hospitals Wellness 98

SheMD

APRIL 24, 2023

Well there were two other ones that were in morula phase but needed to progress to blastocyst. Well that night, I had the residency over for a wellness Thanksgiving dinner. I got wheeled through the hospital corridors to radiology, in a patient gown, past residents, past firefighters, past a lot of puzzled faces.

Ultrasounds 83

Ultrasounds Radiology Radiology Emergency Department 83

Pediatric Education

SEPTEMBER 10, 2023

The radiologic evaluation included a chest x-ray which showed suspected right-sided tracheal mass. Surgical treatment may include ligation as well as vascular re-implantation. These patients may have tracheal stenosis as well as ~75% may have complete cartilaginous tracheal rings.

Pediatrics 40

Pediatrics Radiology Radiology Wellness 40

Taming the SRU

APRIL 14, 2024

You may place cold packs or ice packs to the hernia site to help reduce inflammation and swelling, as well as to assist in local analgesia. Symptoms include persistent tenderness in the area, as well as symptoms of obstruction including nausea, vomiting, and pain, despite reduction. (2) Emergency Radiology (Print) , vol.

Ultrasounds 86

Ultrasounds Emergency Department Pediatrics Radiology 86

Pediatric Education

AUGUST 4, 2024

Angiography and/or venography may be considered as well. .” Imaging may include ultrasound, computed tomography or magnetic resonance imaging depending on the patient age and circumstances. MRI is often used as it can evaluate soft tissue, bone, neural and vascular structures.

Pediatrics 52

Pediatrics Radiology Radiology Operations 52

PHARM

MAY 12, 2023

Take for example a patient having an xray in the radiology department. He needs rescue , environmental protection AS well as emergency medical care. One doesnt necessarily translate well to the other. Put simply its location and resources available that define prehospital care. The location can even be within an hospital.

Dislocations 52

Dislocations Hospitals Radiology Radiology 52

ALiEM

MAY 13, 2024

They may be well-circumscribed or may have irregular borders. Well-circumscribed abscess with heterogeneous debris C. Larger abscess with well-circumscribed borders D. Superficial abscess with well-circumscribed borders Table 1. The rim may be echogenic or blend in with surrounding tissue. 97.4%) 85.4% (78.9-90.2%)

Ultrasounds 64

Ultrasounds Pediatrics Emergency Department Wellness 64

ACEP Now

MAY 4, 2023

The chest X-ray showed multiple displaced right rib fractures and chest wall subcutaneous emphysema without definitive evidence of a pneumothorax, as well as right lower lobe atelectasis versus contusion (Figure 1). Trauma imaging was performed including bedside X-rays of the chest and pelvis. References Mistry RN, Moore JE.

EMS 52

EMS Fractures Operations Ultrasounds 52

Emergency Medicine Ireland

AUGUST 2, 2021

This is number 50, so for all 7 of you out there, well done for making it this far especially when you can’t even get CPD points for it. This is number 50, so for all 7 of you out there, well done for making it this far especially when you can’t even get CPD points for it.

Radiology 40

Radiology Radiology Wellness 40

Emergency Medicine Ireland

JANUARY 4, 2021

Typically this would be in a patient with progressive respiratory failure with no cause found despite an extensive work up (eg radiology, bronch, micro, fancy acronym ridden blood tests) The CXR will be usually diffuse bilateral infiltrates. When would you consider such an invasive and complication ridden procedure in the ICU?

Radiology 52

Radiology Radiology Wellness 52

The Trauma Pro

OCTOBER 23, 2023

But as we have seen with vision systems and game playing (think chess), computers are getting pretty good at doing this as well. In doing this, they can identify a wide variety of diseases, anomalies, and injuries. Is it only a matter of time until computer artificial intelligence (AI) starts reading x-rays?

Fractures 147

Fractures EKG/ECG Hospitals Wellness 147

The Skeptics' Guide to EM

JUNE 4, 2017

However, when we assess major trauma that includes chest, abdominal and pelvic trauma, the initial radiologic evaluation is left to the treating physician’s judgement. Many studies (most retrospective) have assessed the use of pan scanning as an initial radiologic evaluation. Reference: Sierink et al.

Radiology 52

Radiology Radiology CPR Hospitals 52

Pediatric Education

AUGUST 27, 2023

This obviously is not a congenital malformation, but can be seen with them as well or is due to other conditions Questions for Further Discussion 1. What are the common cyanotic congenital heart diseases and when do they present? A review can be found here 2.

Pediatrics 40

Pediatrics Radiology Radiology Wellness 40

Taming the SRU

JULY 24, 2023

The following day, Interventional Radiology placed a percutaneous cholecystostomy tube. Risk factors associated with increased risk of acute perforated cholecystitis include age greater than 65 years old, as well as diabetes mellitus, atherosclerosis, or organ failure (1, 2). Fluid cultures obtained during the procedure grew E.

Ultrasounds 72

Ultrasounds Sepsis Radiology Radiology 72

ACEP Now

MAY 9, 2024

It has been well over a year since the controversial publication of the Agency for Healthcare Research and Quality (AHRQ) report on diagnostic errors in the emergency department (ED). Active extravasation of blood into the hematoma was identified, and the patient was referred to interventional radiology.

Research 52

Research Emergency Department Infectious Diseases Hospitals 52

Pediatric Education

APRIL 21, 2024

The past medical history showed no bruising or bleeding problems, no pulmonary problems and he had otherwise been well. The radiologic evaluation of a chest radiograph showed prominent interstitial markings at the bases but no obvious focal infiltrate. He also said that since this had happened he had been more nauseated.

Pediatrics 40

Pediatrics Infectious Diseases Radiology Radiology 40

PEMBlog

SEPTEMBER 20, 2023

Special thanks to Dr. Stephen Freedman, from the University of Calgary, for reviewing this post as well – he brought some practical feedback to the table. In fact, Rome IV diagnostic criteria for functional constipation in children do not include presence of pain.

Pediatrics 123

Pediatrics Emergency Department Hospitals Ultrasounds 123

SheMD

MAY 14, 2023

Two days later, an Interventional Radiology resident contacted me right after they performed an artery coil embolization on a patient. As for my splenic pseudoaneurysm patient, I never got a chance to meet him but I did look into his chart 6 months later, and luckily, he’s doing well.

OB/GYN 52

OB/GYN Radiology Radiology Pediatrics 52

Emergency Medicine Ireland

JULY 5, 2021

NSAIDs, Aspirin * Radiology contrast * Protamine * Chlorhexidine is a common and often overlooked cause * Rare beasts like mast cell disorders like systemic mastocytosis Tryptase gets a lot of attention (not without reason) in both anaesthesia and EM circles.

Anaphylaxis 40

Anaphylaxis Radiology Radiology Shock 40