Evidence Based Emergency Imaging

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 book for emergency physicians and fellows training in emergency medicine provides evidence-based information on what diagnostic tests to ask for and when and how to use particular decision rules. The new edition builds on the success of the current book by modifying the presentation of the evidence, increasing the coverage, and updating the current information throughout.

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.

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.

This reference work provides a comprehensive and modern approach to the imaging of numerous non-traumatic and traumatic emergency conditions affecting the human body. It reviews the latest imaging techniques, related clinical literature, and appropriateness criteria/guidelines, while also discussing current controversies in the imaging of acutely ill patients. The first chapters outline an evidence-based approach to imaging interpretation for patients with acute non-traumatic and traumatic conditions, explain the role of Artificial Intelligence in emergency radiology, and offer guidance on when to consult an interventional radiologist in vascular as well as non-vascular emergencies. The next chapters describe specific applications of Ultrasound, Magnetic Resonance Imaging, radiography, Multi-Detector Computed Tomography (MDCT), and Dual-Energy Computed Tomography for the imaging of common and less common acute brain, spine, thoracic, abdominal, pelvic and musculoskeletal conditions, including the unique challenges of imaging pregnant, bariatric and pediatric patients. Written by a group of leading North American and European Emergency and Trauma Radiology experts, this book will be of value to emergency and general radiologists, to emergency department physicians and related personnel, to obstetricians and gynecologists, to general and trauma surgeons, as well as trainees in all of these specialties.

This book presents a comprehensive and modern approach to the imaging of nontraumatic and traumatic emergencies in pregnant patients. Readers will find a careful review of the relevant imaging-related clinical literature, explanation of imaging appropriateness criteria and guidelines, and enlightening discussion of current controversies in the emergency imaging of obstetric patients. The opening chapter discusses general principles of emergency imaging during pregnancy and offers an overview of an evidence-based approach to imaging interpretation. The remainder of the book describes specific applications of ultrasound, MRI, radiography, and MDCT for the imaging of common as well as less common acute brain, spine, thoracic, abdominal, and pelvic conditions during pregnancy. Clear guidance is offered on the unique challenges that may be encountered during such imaging. Emergency Imaging of Pregnant Patients is written by a group of leading North American and European emergency and trauma radiology experts. It will be of value to emergency and general radiologists, to emergency department physicians and related personnel, to obstetricians and gynecologists, to general and trauma surgeons, and to trainees in all of these specialties.

EVIDENCE-BASED EMERGENCY CARE DIAGNOSTIC TESTING AND CLINICAL DECISION RULES THIRD EDITION Improve and streamline the diagnostic decision-making process in emergency care The newly revised third edition of Evidence-Based Emergency Care: Diagnostic Testing and Clinical Decision Rules offers an updated review of the evidence and expert discussion of relevant issues in diagnostic testing in the everyday practice of emergency medicine. This book also provides a detailed overview of the science of diagnostic testing and reviews the process behind the development of clinical decision rules. The focus is asking and answering practical questions using original research studies, while commenting on the best available evidence for relevant clinical topics. Readers will also find: Comprehensive explorations of COVID-19, telemedicine, trauma, cardiology, infectious disease, and surgical and abdominal complaints Practical discussions of urology, neurology, hematology, ophthalmology, pulmonology, rheumatology, and geriatric medicine Exploration of practice and policy considerations of testing in an era of limited resources The book is perfect for emergency medicine physicians, nurses, and other allied health professionals. Readers of Evidence-Based Emergency Care: Diagnostic Testing and Clinical Decision Rules, Third Edition will also earn a place in the libraries of administrators and managers in healthcare settings seeking to optimize the use of scarce resources while maintaining the highest standards of care.

Emergency physicians assess and manage a wide variety of problems from patients presenting with a diversity of severities, ranging from mild to severe and life-threatening. They are expected to maintain their competency and expertise in areas where there is rapid knowledge change. Evidence-based Emergency Medicine is the first book of its kind in emergency medicine to tackle the problems practicing physicians encounter in the emergency setting using an evidence-based approach. It summarizes the published evidence available for the diagnosis and treatment of common emergency health care problems in adults. Each chapter contextualizes a topic area using a clinical vignette and generates a series of key clinically important diagnostic and treatment questions. By completing detailed reviews of diagnostic and treatment research, using evidence from systematic reviews, RCTs, and prospective observational studies, the authors provide conclusions and practical recommendations. Focusing primarily on diagnosis in areas where evidence for treatment is well accepted (e.g. DVTs), and treatment in other diseases where diagnosis is not complex (e.g. asthma), this text is written by leading emergency physicians at the forefront of evidence-based medicine. Evidence-based Emergency Medicine is ideal for emergency physicians and trainees, emergency department staff, and family physicians specialising in the acute care of medical and injured patients.