Point-of-care ultrasound: impact on emergency department length of stay for suspected lower extremity DVT
ConclusionED POCUS scans decrease the amount of time between order placement and disposition when compared to RADUS. POCUS significantly decreases length of stay in the ED when RADUS is not available. (Source: Emergency Radiology)
Source: Emergency Radiology - April 1, 2023 Category: Emergency Medicine Source Type: research
Structured coaching as a means to improve sonographic visualization of the appendix: a quality improvement initiative
ConclusionAn appendix visualization rate monitoring program coupled with structured training was successful in improving the appendix visualization rate throughout a large pediatric health system. This program demonstrates the positive effect that monitoring and targeted intervention can have on a quality improvement program. The program continues to be carried out as part of a plan-study-do-act cycle. (Source: Emergency Radiology)
Source: Emergency Radiology - April 1, 2023 Category: Emergency Medicine Source Type: research
Resident pre-dictation of ED case delay signoff of those reports, but overall, residents improve report turnaround time
ConclusionResident pre-dictation causes delay in the finalization of individual CT, US, and XR reports; however, overall, working with residents results in a significant decrease in report turnaround time supporting the belief that overnight resident education does not delay patient care. (Source: Emergency Radiology)
Source: Emergency Radiology - April 1, 2023 Category: Emergency Medicine Source Type: research
Spectrum of imaging findings in soft-tissue necrosis
AbstractSoft tissue necrosis can occur at different tissue levels, with numerous underlying causes. In this pictorial review, we highlight myonecrosis, and its accompanying stages, fat necrosis, devitalized soft tissue seen with infection, and necrotizing soft tissue infections. Imaging examples are provided with each entity. (Source: Emergency Radiology)
Source: Emergency Radiology - April 1, 2023 Category: Emergency Medicine Source Type: research
CTPA ordering trends in local emergency departments: are they increasing and did they increase as a result of COVID-19?
ConclusionOver the studied period from 2018 –2022, the overall number of CTPA studies ordered by local emergency departments has increased, in line with literature reports from other locations. There was also a correlation between the onset of the COVID-19 pandemic and CTPA positivity rates, possibly secondary to the prothrombotic nature of this infection or the increase in sedentary lifestyles during lockdown periods. (Source: Emergency Radiology)
Source: Emergency Radiology - April 1, 2023 Category: Emergency Medicine Source Type: research
Positive rate and quality assessment of CT pulmonary angiography in sickle cell disease: a case ‒control study
ConclusionsThis study revealed a relatively low positive rate of CTPA in both SCD patients and the control group. However, SCD was significantly associated with suboptimal image quality due to inadequate contrast enhancement of the pulmonary artery. Further research is needed to identify measures that can enhance the quality of CTPA studies in SCD patients and to establish a specific imaging protocol for this patient population. (Source: Emergency Radiology)
Source: Emergency Radiology - April 1, 2023 Category: Emergency Medicine Source Type: research
An uncommon case of high-pressure paint gun injury to the orbit with multimodality evaluation and literature review
We present an unfortunate case of high-pressure paint injury to the right orbit of a young patient. High-pressure injection injury presents with a unique injury mechanism and resultant deep tissue damage. The superficial appearance of the entry site injury is deceiving; therefore, a thorough evaluation is necessary. Debridement is usually required if foreign body material is present. Antibiotics and steroids are commonly used in such cases. (Source: Emergency Radiology)
Source: Emergency Radiology - April 1, 2023 Category: Emergency Medicine Source Type: research
Rare case of an acute liver torsion
This report describes the rare case of an acute liver torsion in a 76-year-old man. Surgery revealed dislocation of the left liver lobe, which was flipped over to the right upper abdomen. There was a hypermobile and long falciform ligament and absence of the triangular ligaments. The liver was manually flipped back with subsequent fixation of the umbilical ligament to the diaphragm to prevent reoccurrence. The patient had an uneventful recovery and is doing well 3 months after surgery with good liver function. (Source: Emergency Radiology)
Source: Emergency Radiology - April 1, 2023 Category: Emergency Medicine Source Type: research
Correction to: In ‑person radiologist to review the trauma panscan: a high‑fidelity simulation training program for radiology trainees at an academic level 1 trauma center
(Source: Emergency Radiology)
Source: Emergency Radiology - April 1, 2023 Category: Emergency Medicine Source Type: research
Emergent and unusual presentations of endometriosis: pearls and pitfalls
AbstractThe purpose of this pictorial
essay is to highlight atypical and unusual presentations of endometriosis that can be missed or misinterpreted in the emergency setting. Although endometriosis is a chronic disease, it can present acutely with symptoms and imaging mimicking more common acute gynecologic, gastrointestinal, or urinary conditions as well as neoplasms. Furthermore, patients may present emergently prior to an established diagnosis of endometriosis. Here, we present a range of cases including endometrioma rupture and infection, urinary tract involvement and obstruction, bowel obstruction, appendicitis, g...
Source: Emergency Radiology - April 1, 2023 Category: Emergency Medicine Source Type: research
Effect of the COVID-19 pandemic on emergency department utilization of computed tomography scans of appendicitis and diverticulitis
ConclusionDuring lockdown, significantly fewer patients presented to the ED. The proportion of ordered CT abdominal scans increased significantly per person seen, without change in CTAS scores. Considering combined pathology cases increased during the lockdown, ED physicians were warranted in increasing abdominal imaging as patients did not avoid the ED. This may have resulted from a change in clinical practice where the uncertainty of COVID-19 increased CT scan usage. (Source: Emergency Radiology)
Source: Emergency Radiology - March 29, 2023 Category: Emergency Medicine Source Type: research
Rare case of an acute liver torsion
This report describes the rare case of an acute liver torsion in a 76-year-old man. Surgery revealed dislocation of the left liver lobe, which was flipped over to the right upper abdomen. There was a hypermobile and long falciform ligament and absence of the triangular ligaments. The liver was manually flipped back with subsequent fixation of the umbilical ligament to the diaphragm to prevent reoccurrence. The patient had an uneventful recovery and is doing well 3 months after surgery with good liver function. (Source: Emergency Radiology)
Source: Emergency Radiology - March 27, 2023 Category: Emergency Medicine Source Type: research
Role of MRI in the evaluation of acute pyelonephritis in a high-risk population with renal dysfunction: a prospective study
ConclusionDWI is an excellent stand-alone imaging tool that can be combined with conventional sequences for the diagnosis of APN even in patients with high serum-creatinine or other contraindications to intravenous contrast. Further, ADC values can be used to differentiate between renal abscesses and uncomplicated pyelonephritis. (Source: Emergency Radiology)
Source: Emergency Radiology - March 24, 2023 Category: Emergency Medicine Source Type: research
Positive rate and quality assessment of CT pulmonary angiography in sickle cell disease: a case ‒control study
ConclusionsThis study revealed a relatively low positive rate of CTPA in both SCD patients and the control group. However, SCD was significantly associated with suboptimal image quality due to inadequate contrast enhancement of the pulmonary artery. Further research is needed to identify measures that can enhance the quality of CTPA studies in SCD patients and to establish a specific imaging protocol for this patient population. (Source: Emergency Radiology)
Source: Emergency Radiology - March 22, 2023 Category: Emergency Medicine Source Type: research
Point-of-care ultrasound: impact on emergency department length of stay for suspected lower extremity DVT
ConclusionED POCUS scans decrease the amount of time between order placement and disposition when compared to RADUS. POCUS significantly decreases length of stay in the ED when RADUS is not available. (Source: Emergency Radiology)
Source: Emergency Radiology - March 14, 2023 Category: Emergency Medicine Source Type: research
