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
Diagnostic accuracy of pelvic radiographs for the detection of traumatic pelvic fractures in the elderly
ConclusionPelvic radiographs have low sensitivity in detecting traumatic pelvic fractures. These radiographically occult fractures may be clinically significant as a cause of long-term pain and may require orthopedic consultation and possible surgical management. (Source: Emergency Radiology)
Source: Emergency Radiology - October 3, 2022 Category: Emergency Medicine Source Type: research
Multicenter survey clarifying phrases in emergency radiology reports
ConclusionThe survey demonstrated a wide range of answers for probabilistic phrases for both radiologists and emergency physicians. While the medians and means of the two groups were often different by statistical significance, the actual percent difference was minor. These wide range of answers suggest that use of probabilistic phrases may sometimes lead to misinterpretation between radiologist and emergency room physician and should be avoided or defined if possible. (Source: Emergency Radiology)
Source: Emergency Radiology - October 1, 2022 Category: Emergency Medicine Source Type: research
Costal cartilage fractures in blunt polytrauma patients — a prospective clinical and radiological follow-up study
ConclusionNon-union in CCFX is uncommon but may lead to decreased stability and discomfort. Both clinical and radiological examinations play an important part in the post-traumatic evaluation of CCFX. CT and MRI visualize the healing process, while dynamic ultrasound may reveal instability. No significant difference in QoL was detected between patients with radiologically healed and non-healed CCFX. Post-traumatic disability was mostly due to other non-thoracic injuries. (Source: Emergency Radiology)
Source: Emergency Radiology - October 1, 2022 Category: Emergency Medicine Source Type: research
How to improve the performance of acetabulum fracture diagnoses: investigating the use of three-dimensional CT-scan reconstructions
Conclusions3D reconstructions have improved the routine diagnosis of acetabular fractures, especially for junior radiologist or in cases of complex fractures. (Source: Emergency Radiology)
Source: Emergency Radiology - October 1, 2022 Category: Emergency Medicine Source Type: research
Efficacy of the scatter correction algorithm in portable chest radiography
ConclusionThis study shows the potential radiation dose neutral IQ improvement when using an SCA in clinical patient CXRs. (Source: Emergency Radiology)
Source: Emergency Radiology - October 1, 2022 Category: Emergency Medicine Source Type: research
Resident-attending discrepancy rates for two consecutive versus nonconsecutive weeks of overnight shifts
ConclusionResidents self-selecting 2 consecutive weeks of overnight shifts do not have increased resident-attending discrepancy rates compared to 2 nonconsecutive weeks. (Source: Emergency Radiology)
Source: Emergency Radiology - October 1, 2022 Category: Emergency Medicine Source Type: research
Reliability of teleconsultation in the diagnosis and treatment of proximal humeral fractures
ConclusionThe reliability of teleconsultation was found to be high in the radiological evaluation of proximal humerus fractures. It is clear that these consultations cannot replace the evaluation of the patient as a whole; however, we think that rapid consultation can enable faster patient management and more accurate diagnosis, especially when under time constraints. (Source: Emergency Radiology)
Source: Emergency Radiology - October 1, 2022 Category: Emergency Medicine Source Type: research
How low can we go? Strategies and recommendations to combat the iodinated contrast shortage
AbstractAfter GE Healthcare, one of the major producers of iodinated contrast dye, was forced to close their Shanghai factory due to a recent COVID-19 outbreak, iodinated contrast media shortages have rocked healthcare systems to their core. Clinicians nationwide are now caught between the desire to provide patients with optimal care and the need to conserve the minimal remaining supplies of iodinated contrast media. While GE Healthcare has reopened their factory and other sources of contrast agents have become available, experts report that levels may not return to normal through June 2022. Thankfully and ironically, radi...
Source: Emergency Radiology - October 1, 2022 Category: Emergency Medicine Source Type: research
Post-mortem computed tomography assessment of medical support device position following fatal trauma: a single-center experience
ConclusionMalpositioned supportive medical devices are commonly identified on post-mortem computed tomography trauma decedents, seen in 69.0% of the cohort, including nearly one quarter with malpositioned mechanical airways. Post-mortem CT can serve as a useful adjunct in the quality improvement process by providing data for education of trauma and emergency physicians and first responders. (Source: Emergency Radiology)
Source: Emergency Radiology - October 1, 2022 Category: Emergency Medicine Source Type: research
Diagnostic yield of CT angiography performed for suspected cervical artery dissection in the emergency department
ConclusionAlthough the yield of CTAs for clinically suspected CeAD is low, the paucity of reliable clinical predictors, high risk of morbidity, availability in ED, and comparable performance to MRA/FSI justifies its widespread utilization for initial diagnosis of CeAD. (Source: Emergency Radiology)
Source: Emergency Radiology - October 1, 2022 Category: Emergency Medicine Source Type: research
Detecting total hip arthroplasty dislocations using deep learning: clinical and Internet validation
ConclusionCNNs can be trained to recognize THA dislocation with high diagnostic performance, which supports their potential use for triage in the emergency department. Importantly, our CNNs generalized well to external data from two sources, further supporting their potential clinical utility. (Source: Emergency Radiology)
Source: Emergency Radiology - October 1, 2022 Category: Emergency Medicine Source Type: research
