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Radiologists in emergency department settings are uniquely positioned to identify and provide effective, appropriate care to vulnerable patient populations. Emergency Imaging of At-Risk Patients fills a void in the literature by illustrating challenges in emergency and trauma imaging of vulnerable patients using a head-to-toe approach. Drawing on the vast clinical experience of emergency and trauma radiologists from the largest academic medical centers across North America, this reference presents basic and advanced emergency imaging concepts, relevant case studies, current controversies and protocols, and subtle imaging findings that help guide clinicians to efficient and accurate diagnoses and treatments. - Provides a comprehensive, evidence-based approach to imaging of non-traumatic and traumatic emergencies in at-risk patients. - Covers acute brain, thoracic, abdominal, and musculoskeletal conditions, including the unique challenges of imaging pregnant, geriatric, bariatric, cancer, immunocompromised, and pediatric patients, as well as patients using recreational drugs. - Describes specific applications of ultrasound, MRI, radiography, and multidetector computed tomography (MDCT). - Reviews recent imaging-related clinical literature and appropriate criteria and guidelines. - A valuable tool for emergency and general radiologists, as well as pediatricians, obstetricians, gynecologists, orthopedic, trauma surgeons, and trainees in all specialties.
Diagnostic Imaging for the Emergency Physician, written and edited by a practicing emergency physician for emergency physicians, takes a step-by-step approach to the selection and interpretation of commonly ordered diagnostic imaging tests. Dr. Joshua Broder presents validated clinical decision rules, describes time-efficient approaches for the emergency physician to identify critical radiographic findings that impact clinical management and discusses hot topics such as radiation risks, oral and IV contrast in abdominal CT, MRI versus CT for occult hip injury, and more. Diagnostic Imaging for the Emergency Physician has been awarded a 2011 PROSE Award for Excellence for the best new publication in Clinical Medicine. - Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. - Choose the best test for each indication through clear explanations of the "how" and "why" behind emergency imaging. - Interpret head, spine, chest, and abdominal CT images using a detailed and efficient approach to time-sensitive emergency findings. - Stay on top of current developments in the field, including evidence-based analysis of tough controversies - such as indications for oral and IV contrast in abdominal CT and MRI versus CT for occult hip injury; high-risk pathology that can be missed by routine diagnostic imaging - including subarachnoid hemorrhage, bowel injury, mesenteric ischemia, and scaphoid fractures; radiation risks of diagnostic imaging - with practical summaries balancing the need for emergency diagnosis against long-terms risks; and more. - Optimize diagnosis through evidence-based guidelines that assist you in discussions with radiologists, coverage of the limits of "negative" or "normal" imaging studies for safe discharge, indications for contrast, and validated clinical decision rules that allow reduced use of diagnostic imaging. - Clearly recognize findings and anatomy on radiographs for all major diagnostic modalities used in emergency medicine from more than 1000 images. - Find information quickly and easily with streamlined content specific to emergency medicine written and edited by an emergency physician and organized by body system.
This essential handbook provides indispensable guidance for all those seeking or reporting investigations in radiology which arises in an emergency setting. It summarises the major problems faced on-call and provides advice on the most suitable radiological tests to request as well as suggesting an appropriate timescale for imaging. From a radiologist's perspective, it lists in concise format the protocol for each test and outlines the expected findings. Emergency radiology is a crucial component of emergency care as a whole. It is rare for a patient to undergo emergency surgery or treatment without prior imaging. Radiology is the new gate-keeper in clinical practice with an emergency CT scan of the head being performed in most UK hospitals every day. Radiology can confirm a diagnosis, sending a patient down a pathway of established therapy; confirm normality, leading to patient discharge; detect an unsuspected abnormality, suggesting an alternative action altogether; or be non-contributory. This concise, portable handbook supports emergency-setting radiology and helps the reader in this vital field.
Most ingested foreign bodies pass through the gastrointestinal tract without a problem. However, both ingested and inserted foreign bodies may cause bowel obstruction or perforation or lead to severe hemorrhage, abscess formation, or septicemia. Foreign body aspiration is common in children, especially those under 3 years of age, and in these cases chest radiography and CT are the main imaging modalities. This textbook provides a thorough overview of the critical role of diagnostic imaging in the assessment of patients with suspected foreign body ingestion, aspiration, or insertion. A wide range of scenarios are covered, from the common problem of foreign body ingestion or aspiration in children and mentally handicapped adults through to drug smuggling by body packing and gunshot wounds. Guidance is offered on diagnostic protocols, and the value of different imaging modalities in different situations is explained. Helpful management tips are also provided. This textbook will prove invaluable for residents in radiology, radiologists, and physicians who are involved on a daily basis, within an emergency department, in the management of patients with suspected ingestion, aspiration, or insertion of foreign bodies.​
This book is a highly visual guide to the radiographic and advanced imaging modalities - such as computed tomography and ultrasonography - that are frequently used by physicians during the treatment of emergency patients. Covering practices ranging from ultrasound at the point of care to the interpretation of CT scan results, this book contains over 2,200 images, each with detailed captions and line-art that highlight key findings. Within each section, particular attention is devoted to practical tricks of the trade and tips for avoiding common pitfalls. Overall, this book is a useful source for experienced clinicians, residents, mid-level providers, or medical students who want to maximize the diagnostic accuracy of each modality without losing valuable time.
A quick reference pocketbook on a huge range of emergencies for all clinicians working in emergency or acute care settings.
Written in an engaging, easy-to-read style, Clinical Radiology covers the topics most often included in introductory radiology courses and emphasizes clinical problem solving. The text offers guidelines for selecting imaging studies in specific clinical situations and takes a systematic approach to imaging interpretation, presenting a review of normal anatomy, technical and pathologic considerations, and diagnostic advice. The Fourth Edition includes: -NEW! Full-color design and illustrations -50 new images, updated to reflect the latest technology -Expanded coverage of neurotoxicity and radiation exposure -Additional "Diagnostic Pearls" included in every chapter
Implementing safety practices in healthcare saves lives and improves the quality of care: it is therefore vital to apply good clinical practices, such as the WHO surgical checklist, to adopt the most appropriate measures for the prevention of assistance-related risks, and to identify the potential ones using tools such as reporting & learning systems. The culture of safety in the care environment and of human factors influencing it should be developed from the beginning of medical studies and in the first years of professional practice, in order to have the maximum impact on clinicians' and nurses' behavior. Medical errors tend to vary with the level of proficiency and experience, and this must be taken into account in adverse events prevention. Human factors assume a decisive importance in resilient organizations, and an understanding of risk control and containment is fundamental for all medical and surgical specialties. This open access book offers recommendations and examples of how to improve patient safety by changing practices, introducing organizational and technological innovations, and creating effective, patient-centered, timely, efficient, and equitable care systems, in order to spread the quality and patient safety culture among the new generation of healthcare professionals, and is intended for residents and young professionals in different clinical specialties.
This book presents evidence-based criteria to systematically assess the appropriate use of medical imaging in the emergency department and other acute care settings. ​Over the last decade, there have been profound changes in the diagnostic testing and work-up of patients presenting to the emergency department with emergent symptoms. One of the most far-reaching changes has been the increased availability, speed, and accuracy of imaging due, in part, to technical improvements in imaging modalities such as CT, MR, and PET. Although the use of high-end imaging has plateaued in general, increased utilization continues in the ED. These patients are more acutely ill and there is additional pressure to make an accurate diagnosis as quickly as possible to facilitate prompt disposition or treatment. There is also strong evidence for the beneficial use of imaging in the emergency setting that results in improved patient outcomes. This book answers that need by providing protocols and guidelines for neuroradiological, cardiothoracic, abdominal and pelvic, musculoskeletal, and pediatric imaging are reviewed in terms of the available imaging modalities, diagnostic criteria, and treatment options. Distinguished by its unique focus on evidence-based emergency imaging in adults, children, and special populations, this book is a unique resource for radiologists, emergency medicine physicians, and physicians in other specialties who need to be informed about the most appropriate uses of diagnostic imaging in the emergency care setting.
This open access book offers an essential overview of brain, head and neck, and spine imaging. Over the last few years, there have been considerable advances in this area, driven by both clinical and technological developments. Written by leading international experts and teachers, the chapters are disease-oriented and cover all relevant imaging modalities, with a focus on magnetic resonance imaging and computed tomography. The book also includes a synopsis of pediatric imaging. IDKD books are rewritten (not merely updated) every four years, which means they offer a comprehensive review of the state-of-the-art in imaging. The book is clearly structured and features learning objectives, abstracts, subheadings, tables and take-home points, supported by design elements to help readers navigate the text. It will particularly appeal to general radiologists, radiology residents, and interventional radiologists who want to update their diagnostic expertise, as well as clinicians from other specialties who are interested in imaging for their patient care.