Radiology Archives - EMOttawa Blog

Shouldering the load: Shoulder dislocations in the ED

by Zach MacDonald, Lucy Karp | Dec 9, 2021 | Featured, Grand Round Summaries, Orthopedics, Orthopedics, Radiology, Trauma, Ultrasound

Shoulder dislocations are the most common large joint dislocation encountered by emergency physicians. Given their incidence in the emergency department, managing shoulder dislocations efficiently is key to departmental flow.` Recently, Dowson et al.1 utilized a...

CNS Compartment Syndrome: Cerebral Venous Thrombosis

by Evelyn Tran, Alie Wudwud | Feb 18, 2021 | Featured, Grand Round Summaries, Radiology

Cerebral venous thrombosis (CVT) is a thrombotic disease of the cerebral veins and major dural sinuses. It is a rare kind of venous thromboembolism and can also be thought of as a type of stroke. CVT accounts for 0.5-1% of stroke cases. The annual incidence is 0.2 –...

Subarachnoid Hemorrhage in the ED- What a Headache!

by Michael Hale, Kate O'Connell | Nov 5, 2020 | Featured, Grand Round Summaries, Neurosurgery, Radiology

The diagnosis of subarachnoid hemorrhage (SAH) carries with it remarkable morbidity and mortality. Case fatality rates approach 50% 1,2 Of those who survive, half will experience chronic disability and a significant reduction in health-related quality of...

Increased Sensitivity of Focused Cardiac Ultrasound for Pulmonary Embolism in Emergency Department Patients With Abnormal Vital Signs

by Hans Rosenberg | Jul 6, 2020 | cardiac arrest, Critical Care, Journal Club, Radiology, Resuscitation, Ultrasound

Methodology: 2.5/5 Usefulness: 3/5 Daley JI, et al. Acad Emerg Med 26 (11), 1211-1220 Nov 2019 Questions and methods: In patients with abnormal vital signs, what is the sensitivity of FOCUS for the diagnosis of PE? Prospective, multicenter, observational...

Minor Blunt Thoracic Trauma in the Emergency Department: Sensitivity and Specificity of Chest Ultralow-Dose Computed Tomography Compared With Conventional Radiography

by Hans Rosenberg | Sep 30, 2019 | Journal Club, Radiology, Trauma

Methodology: 2/5 Usefulness: 2.5/5 Macri F, Greffier J, Khasanova E, Claret PG, Bastide S, Larbi A, Bobbia X, Pereira FR, de la Coussaye JE, Beregi JP. Ann Emerg Med. 2019 Jun;73(6):665-670. Question and Methods: This 160-patient pilot study prospectively compared...

Diagnosis and Management of Acute Renal Colic: An Evidence Based Update

by Jeff Landerville, Robert Suttie | Mar 1, 2018 | Featured, Grand Round Summaries, Radiology, Urology

Renal colic is an diagnostic entity emergency providers see almost every shift, often cited as the “worst pain imaginable”. Here, Dr. Landreville takes use through an evidence based update so that we can provide the best possible care to these patients....

Effect of Abdominal Ultrasound on Clinical Care, Outcomes, and Resource Use Among Children With Blunt Torso Trauma: A Randomized Controlled Trial

by Hans Rosenberg | Oct 30, 2017 | Full Article, Journal Club, Radiology, Trauma

Journal Club Summary Reference: Holmes JF, et al. JAMA. 2017 Jun 13;317(22):2290-2296 Editorial: Abdominal Ultrasound for Pediatric Blunt Trauma: FAST Is Not Always Better. Reference: Kessler DO. JAMA. 2017 Jun 13;317(22):2283-2285. Methodology Score: 4/5 Usefulness...

Abdominal X-Rays: What’s the Point?

by emottawa | Aug 14, 2015 | Grand Round Summaries, Radiology

Undifferentiated abdominal pain; three words that give every Emergency Physician (EP) the shivers. Plain abdominal X-Ray’s (AXR) are a commonly ordered test in the Emergency Department (ED). Does the AXR play any role in the diagnostic workup of constipation? As CT...