Traumatic abdominal wall hernias in the pediatric population: a 13-year institutional review
ConclusionPediatric traumatic abdominal wall hernias are more likely to be seen following motor vehicle collisions, with a majority (89.5%) having associated injuries, most frequently to the bowel (57.9%). Handlebar injuries were seen in a minority of patients (15.8%) and were less likely to be associated with additional injuries.Clinical impactPediatric patients with a traumatic abdominal wall hernia on admission CT should be thoroughly evaluated for bowel injuries, especially in the setting of a motor vehicle collision. (Source: Emergency Radiology)
Source: Emergency Radiology - November 15, 2022 Category: Emergency Medicine Source Type: research

The impact of performance feedback reports on physician ordering behavior in the use of computed tomography pulmonary angiography (CTPA)
ConclusionOur study found no consistent significant impact of individualized feedback and peer comparison on physician ordering of CTPAs. This points to a potentially greater impact of environmental and institutional factors, as opposed to physician-targeted quality improvement measures, on physician ordering behavior. (Source: Emergency Radiology)
Source: Emergency Radiology - November 15, 2022 Category: Emergency Medicine Source Type: research

Review of appendicitis: routine, complicated, and mimics
The objectives of this article are to review the differential diagnoses for right lower quadrant pain, discuss the imaging characteristics of simple appendicitis on computed tomography (CT), and provide guidance for equivocal cases, complicated appendicitis, and appendicitis mimics. This review will also discuss the identification and management of neoplasms of the appendix. (Source: Emergency Radiology)
Source: Emergency Radiology - November 15, 2022 Category: Emergency Medicine Source Type: research

Traumatic abdominal wall hernias in the pediatric population: a 13-year institutional review
ConclusionPediatric traumatic abdominal wall hernias are more likely to be seen following motor vehicle collisions, with a majority (89.5%) having associated injuries, most frequently to the bowel (57.9%). Handlebar injuries were seen in a minority of patients (15.8%) and were less likely to be associated with additional injuries.Clinical impactPediatric patients with a traumatic abdominal wall hernia on admission CT should be thoroughly evaluated for bowel injuries, especially in the setting of a motor vehicle collision. (Source: Emergency Radiology)
Source: Emergency Radiology - November 15, 2022 Category: Emergency Medicine Source Type: research

The impact of performance feedback reports on physician ordering behavior in the use of computed tomography pulmonary angiography (CTPA)
ConclusionOur study found no consistent significant impact of individualized feedback and peer comparison on physician ordering of CTPAs. This points to a potentially greater impact of environmental and institutional factors, as opposed to physician-targeted quality improvement measures, on physician ordering behavior. (Source: Emergency Radiology)
Source: Emergency Radiology - November 15, 2022 Category: Emergency Medicine Source Type: research

Review of appendicitis: routine, complicated, and mimics
The objectives of this article are to review the differential diagnoses for right lower quadrant pain, discuss the imaging characteristics of simple appendicitis on computed tomography (CT), and provide guidance for equivocal cases, complicated appendicitis, and appendicitis mimics. This review will also discuss the identification and management of neoplasms of the appendix. (Source: Emergency Radiology)
Source: Emergency Radiology - November 15, 2022 Category: Emergency Medicine Source Type: research

Toward automated interpretable AAST grading for blunt splenic injury
ConclusionsThe results of our method were rapid and verifiable, with high agreement between automated and expert consensus grades. Diagnosis of high-grade lesions and prediction of hemorrhage control intervention produced accurate results in adult patients. (Source: Emergency Radiology)
Source: Emergency Radiology - November 12, 2022 Category: Emergency Medicine Source Type: research

Distribution of pediatric hand fractures: age- and bone maturation –dependent differences
ConclusionWhile younger children were more likely to sustain phalangeal than metacarpal fractures and less likely to have displacement and angulation when compared to older children; only displacement and articular extension were significant independent predictors of surgery. (Source: Emergency Radiology)
Source: Emergency Radiology - November 2, 2022 Category: Emergency Medicine Source Type: research

Impact of easing COVID-19 safety measures on trauma computed tomography imaging volumes
ConclusionAfter initial decreases in trauma radiology volumes following stay-at-home orders, subsequent easing of safety measures has coincided with increases in trauma imaging volumes above pre-pandemic levels and longer exam turnaround times. (Source: Emergency Radiology)
Source: Emergency Radiology - October 29, 2022 Category: Emergency Medicine Source Type: research

The use of additional imaging studies after biliary point-of-care ultrasound in the emergency department
ConclusionBiliary POCUS has excellent sensitivity and specificity for cholelithiasis; it has lower sensitivity for cholecystitis, but the specificity remains high. Performing a confirmatory RUS or cholescintigraphy after a positive biliary POCUS adds little value, but additional imaging may be useful when POCUS is negative for cholecystitis. (Source: Emergency Radiology)
Source: Emergency Radiology - October 24, 2022 Category: Emergency Medicine Source Type: research

Radiographic assessment of acute vs chronic vertebral compression fractures
ConclusionRadiographs are relatively insensitive in distinguishing between acute and chronic lumbar compression fractures but the presence of a subendplate cleft or subendplate density increases the likelihood that a given fracture is acute. (Source: Emergency Radiology)
Source: Emergency Radiology - October 22, 2022 Category: Emergency Medicine Source Type: research

Factors associated with survival in adult trauma patients undergoing angiography with and without embolization across trauma centers in the United States
ConclusionThis nationwide study identified variables associated with survival in trauma patients who underwent angiography. These variables can serve in creating standardized risk stratification tools that could be incorporated into evidence-based guidelines for angiography candidates. (Source: Emergency Radiology)
Source: Emergency Radiology - October 20, 2022 Category: Emergency Medicine Source Type: research

Spontaneous prevertebral emphysema following weight training in a 21-year-old female
AbstractSubcutaneous emphysema (SCE) of the head, neck and mediastinum most commonly arises due to penetrating trauma and iatrogenic events facilitating air entry into these spaces [1]. Spontaneous SCE can emerge due to a pressure gradient between the intra-alveolar air and surrounding structures, causing alveolar rupture and dissection of the peribronchovascular sheath. This is known as the Macklin effect. Potential consequences include pneumomediastinum, pneumothorax, facial emphysema and pneumoracchis [1]. We aim to describe a case of SCE in a 21-year-old female presenting to the emergency department (ED) after weight t...
Source: Emergency Radiology - October 7, 2022 Category: Emergency Medicine Source Type: research