Emergency radiology
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Emergency radiology · Feb 2019
Impact of the Pediatric Emergency Care Applied Research Network (PECARN) guidelines on emergency department use of head computed tomography at a level I safety-net trauma center.
To evaluate whether the emergency department usage of head computed tomography (CT) on pediatric patients with minor head trauma changed after publication of the Pediatric Emergency Care Applied Research Network (PECARN) head CT guidelines and to identify risk factors associated with performing head CT on patients without a PECARN guideline indication. ⋯ Head CT ordering practices for pediatric patients with head injury did not change at a level I trauma center after publication of the PECARN head CT guidelines.
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Emergency radiology · Feb 2019
Use of ultrasonography for differentiation between bullae and pneumothorax.
Modern lung ultrasound (US) is mainly applied not only in critical care, emergency medicine, and trauma surgery, but also in pulmonary and internal medicine. In some cases, pneumothorax (PTX) distinguishes with bullous diseases. In this study, we aimed to discuss the success of US on detecting PTX versus bullae. ⋯ In conclusion, direct visualisation of ultrasonographic pleural sliding can be a good tool for differentiating bullae and pneumothorax.
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Emergency radiology · Feb 2019
The state of emergency radiology fellowships in North America and the development of a standardized curriculum.
The number of emergency radiology (ER) training programs in North America is small compared to the projected growth in demand for ER-trained radiologists. To date, there is no consensus-based training curriculum that sets a standard for all ER fellowship training programs. This study seeks to (1) identify the programmatic measures currently used in North American ER fellowship programs and (2) gather the perspectives of existing ER fellowship program directors (PD) and their recommendations for minimum and ideal curricular standards. ⋯ This study yielded the creation of a standard fellowship training resource for the field of ER. This deliverable serves as a curricular guideline for existing ER fellowships, as well as a model for new ER fellowship programs.
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Emergency radiology · Dec 2018
Case ReportsPercutaneous embolization of post traumatic splenic pseudoaneurysm.
Management of splenic pseudoaneurysms in hemodynamically stable patients has shifted toward nonoperative management, including watchful waiting and endovascular embolization. Standard of treatment does not include percutaneous embolization for splenic pseudoaneurysm repair. In this case report, we document a successful percutaneous embolization of a post traumatic splenic pseudoaneurysm with thrombin. Percutaneous embolization of splenic pseudoaneurysms can be considered a viable technique in patients who fail endovascular embolization or have lesions inaccessible to endovascular repair.
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Emergency radiology · Oct 2018
An assessment of repeat computed tomography utilization in the emergency department in the setting of blunt trauma.
Computed tomography (CT) is a standard imaging modality utilized during the evaluation of trauma patients in the emergency department (ED). However, while it is common to utilize intravenous (IV) contrast as an adjunct, the use of multiple CT scans and how it impacts patient flow can lead to changes in patient management. Our objectives are to assess length of stay (LOS) and rates of acute kidney injury (AKI), when two CT scans of the abdomen/pelvis are performed compared to one CT scan. ⋯ Two CT scans performed during blunt trauma encounters demonstrated mixed benefit and were associated with an increased hospital LOS. Additionally, IV contrast was associated with lower rates of AKI.