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Emergency Radiology

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https://www.readbyqxmd.com/read/29922895/benefits-of-the-tranexamic-acid-in-head-trauma-with-no-extracranial-bleeding-a-prospective-follow-up-of-180-patients
#1
Olfa Chakroun-Walha, Amal Samet, Mouna Jerbi, Abdennour Nasri, Aziza Talbi, Hassen Kanoun, Basma Souissi, Kamilia Chtara, Mounir Bouaziz, Hichem Ksibi, Noureddine Rekik
INTRODUCTION: Tranexamic acid (TXA) is one of the debated therapies in the management of traumatic brain injury (TBI). We conducted this study to evaluate the benefits of TXA in TBI on the mortality and its safety in these patients. METHODS: This was a prospective randomized open-label trial including all patients, aged at 18 years or older, hospitalized in the emergency room during a 13-month period, for TBI. After the realization of the body CT scan, the patients were included if they had intracranial bleeding, and were then randomized according to their medical file number to receive or not the TXA...
June 19, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/29920412/unusual-site-for-primary-arterio-enteric-fistula-resulting-in-massive-upper-gastrointestinal-bleeding-a-case-report-on-presentation-and-management
#2
Anthony Pio Dimech, Matthew Sammut, Kelvin Cortis, Nebosja Petrovic
INTRODUCTION: Communications between an artery and the bowel are termed arterio-enteric fistulae. These are uncommon and mainly involve the aorta and duodenum. They can cause fatal haemorrhage. A primary aorto-enteric fistula has several aetiologies, one of which is post-radiotherapy. CASE REPORT: 75-year old gentleman presented with acute upper gastrointestinal bleeding and haemorrhagic shock. He had a past history of right colonic cancer treated by resection and radiotherapy...
June 4, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29915768/presentation-of-an-unusual-metallic-foreign-body-in-a-child
#3
Ravikiran Vernekar, Maninder Singh Setia
Ingestion of foreign object is a common problem with children. These foreign bodies (FBs) can be in the respiratory tract of the aerodigestive tract. A 14-month-old male child presented to the emergency department of our hospital at 6.30 pm with irritability and continuous crying. On radiology, we found that the metallic body in the shape of a cycle was lodged in the upper esophagus. We decided to remove the FB endoscopically using an esophagoscope. We used meticulous and gentle manipulation around the edge of the metallic FB and did over a sufficient amount of time so as to dislodge the body from the impacted esophageal mucosa without causing any trauma or bleeding from the adjacent site...
January 2018: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29913751/parenteral-opioids-in-emergency-medicine-a-systematic-review-of-efficacy-and-safety
#4
Leila Niemi-Murola, Jani Unkuri, Katri Hamunen
Introduction and aim Pain is a frequent symptom in emergency patients and opioids are commonly used to treat it at emergency departments and at pre-hospital settings. The aim of this systematic review is to examine the efficacy and safety of parenteral opioids used for acute pain in emergency medicine. Method Qualitative review of randomized controlled trials (RCTs) on parenteral opioids for acute pain in adult emergency patients. Main outcome measures were: type and dose of the opioid, analgesic efficacy as compared to either placebo or another opioid and adverse effects...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29913680/mechanisms-of-visceral-pain-in-health-and-functional-gastrointestinal-disorders
#5
REVIEW
Adam D Farmer, Qasim Aziz
Background and aims Chronic visceral pain is common both in patients with identifiable organic disease and also in those without any structural, biochemical or immunological abnormality such as in the functional gastrointestinal disorders (FGIDs). We aim to provide a contemporaneous summary of pathways involved in visceral nociception and how a variety of mechanisms may influence an individual's experience of visceral pain. Methods In this narrative review, we have brought together evidence through a detailed search of Medline in addition to using our experience and exposure to recent research developments from ourselves and other research groups...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29908990/development-and-validation-of-response-markers-to-predict-survival-and-pleurodesis-success-in-patients-with-malignant-pleural-effusion-promise-a-multicohort-analysis
#6
Ioannis Psallidas, Nikolaos I Kanellakis, Stephen Gerry, Marie Laëtitia Thézénas, Philip D Charles, Anastasia Samsonova, Herbert B Schiller, Roman Fischer, Rachelle Asciak, Robert J Hallifax, Rachel Mercer, Melissa Dobson, Tao Dong, Ian D Pavord, Gary S Collins, Benedikt M Kessler, Harvey I Pass, Nick Maskell, Georgios T Stathopoulos, Najib M Rahman
BACKGROUND: The prevalence of malignant pleural effusion is increasing worldwide, but prognostic biomarkers to plan treatment and to understand the underlying mechanisms of disease progression remain unidentified. The PROMISE study was designed with the objectives to discover, validate, and prospectively assess biomarkers of survival and pleurodesis response in malignant pleural effusion and build a score that predicts survival. METHODS: In this multicohort study, we used five separate and independent datasets from randomised controlled trials to investigate potential biomarkers of survival and pleurodesis...
June 13, 2018: Lancet Oncology
https://www.readbyqxmd.com/read/29907338/artificial-intelligence-in-radiation-oncology-a-specialty-wide-disruptive-transformation
#7
REVIEW
Reid F Thompson, Gilmer Valdes, Clifton D Fuller, Colin M Carpenter, Olivier Morin, Sanjay Aneja, William D Lindsay, Hugo J W L Aerts, Barbara Agrimson, Curtiland Deville, Seth A Rosenthal, James B Yu, Charles R Thomas
Artificial intelligence (AI) is emerging as a technology with the power to transform established industries, and with applications from automated manufacturing to advertising and facial recognition to fully autonomous transportation. Advances in each of these domains have led some to call AI the "fourth" industrial revolution [1]. In healthcare, AI is emerging as both a productive and disruptive force across many disciplines. This is perhaps most evident in Diagnostic Radiology and Pathology, specialties largely built around the processing and complex interpretation of medical images, where the role of AI is increasingly seen as both a boon and a threat...
June 12, 2018: Radiotherapy and Oncology: Journal of the European Society for Therapeutic Radiology and Oncology
https://www.readbyqxmd.com/read/29904437/-mycoplasma-pneumoniae-a-potentially-severe-infection
#8
REVIEW
Bharat Bajantri, Sindhaghatta Venkatram, Gilda Diaz-Fuentes
Mycoplasma pneumoniae infections remain one of the most common etiologies of community-acquired pneumonia (CAP). The clinical presentation and manifestations vary widely and can affect all organs of the body. Diagnosis is challenging because there are no constant findings in physical exams or laboratory or radiological assessments that indicate Mycoplasma pneumoniae pneumonia, and specific diagnostic tools are not readily available. Extrapulmonary manifestations and severe pulmonary manifestations can lead to long-term sequelae...
July 2018: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/29903565/emerging-imaging-technologies-in-dentomaxillofacial-radiology
#9
EDITORIAL
Rujuta A Katkar, Hassem Geha
No abstract text is available yet for this article.
July 2018: Dental Clinics of North America
https://www.readbyqxmd.com/read/29903011/a-discrete-event-simulation-approach-for-reserving-capacity-for-emergency-patients-in-the-radiology-department
#10
Li Luo, Yumeng Zhang, Fang Qing, Hongwei Ding, Yingkang Shi, Huili Guo
BACKGROUND: Many hospitals in China experience large volumes of emergency department (ED) radiology patients, thereby lengthening the wait times for non-emergency radiology patients. We examine whether an emergency reservation policy which deals with stochastic arrivals of ED patients can shorten wait times, and what effect it has on patient and hospital related metrics. METHODS: In this study, operations research models are used to develop an emergency reservation policy...
June 15, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29901457/cystic-intestinal-pneumatosis-of-the-small-gut-etiopathogenesis-and-review-of-literature
#11
Luca Napolitano, Mathew Waku, Gustavo Maggi, Franco Ciarelli
Cystic intestinal pneumatosis (CIP) is the presence of gas bubbles inside the wall of the intestine. In literature it has been reported to be associated with a variety of clinical conditions such as: superior mesenteric ischemia, intestinal perforation, bowel necrosis, infections which can cause mucosal alterations and therefore increasing its permeability, necrotizing enterocolitis in babies, trauma, intestinal obstruction, autoimmune and pulmonary pathologies. Its presence is usually documented by radiological techniques such as abdominal X-ray, CT scan and endoscopy and are usually characterized by the typical pattern of gas bubbles in the wall of the intestine...
March 19, 2018: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/29901282/evaluation-of-the-agreement-between-focused-assessment-with-sonography-for-trauma-afast-tfast-and-computed-tomography-in-dogs-and-cats-with-recent-trauma
#12
Andrea M Walters, Mauria A O'Brien, Laura E Selmic, Sue Hartman, Maureen McMichael, Robert T O'Brien
OBJECTIVE: To determine the agreement between focused assessment with sonography for trauma (FAST) exams and computed tomography (CT) for the detection of pleural and peritoneal fluid and pneumothorax in animals that have sustained recent trauma. DESIGN: Prospective study. SETTING: University Teaching Hospital. ANIMALS: Thirteen dogs and 2 cats were enrolled into the study, with 10 having sustained blunt force trauma and 5 penetrating trauma...
June 14, 2018: Journal of Veterinary Emergency and Critical Care
https://www.readbyqxmd.com/read/29898830/is-there-need-for-technical-investigations-in-order-to-predict-potential-length-of-hospital-stay-of-oral-infections
#13
Maximiliaan Smeets, Bert Gemels, Lisanne Groeneveldt, Constantinus Politis
OBJECTIVE: Oral and maxillofacial infections are generally treated by primary dental or medical caregivers. Nevertheless, because these infections are known to have life-threatening complications, there is a need of clear indicators for emergency services medical staff, particularly in determining when morbidity can be expected and when in-hospital treatment is required. This retrospective study aimed to identify variables that were observable at admission, which could indicate high complication rates, long hospital stays, and/or a need for tracheostomy...
June 10, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29898606/ct-colonography-implementation-indications-and-technical-performance-a-follow-up-national-survey
#14
Fredrik Thorén, Åse A Johnsson, John Brandberg, Mikael Hellström
Background Computed tomography colonography (CTC) is an accepted complement or alternative to optical colonoscopy (OC) but its implementation is incompletely analyzed, and technical performance varies between centers. Purpose To evaluate implementation, indications, and technical performance of CTC in Sweden and to evaluate compliance to international guidelines. Material and Methods A structured, self-assessed questionnaire regarding implementation and technical performance of CTC was sent to all eligible radiology departments in Sweden...
January 1, 2018: Acta Radiologica
https://www.readbyqxmd.com/read/29894345/misadventures-of-a-pigtail-case-report-of-accidental-insertion-of-a-chest-tube-into-the-left-atrium-during-interventional-radiology-guided-placement
#15
Seema P Deshpande, Jonathan H Chow, Patrick Odonkor, Bartley Griffith, Shamus R Carr
Chest tube thoracostomy is a commonly performed procedure in the emergency department, operating room, and intensive care unit. We report an extremely rare case of accidental insertion of a chest tube into the left atrium via the right pulmonary vein during an interventional radiology-guided placement of the catheter. To our knowledge, such a case has not been reported to date. The anesthetic and surgical management of this injury are discussed.
June 11, 2018: A&A practice
https://www.readbyqxmd.com/read/29894328/a-novel-method-for-quick-assessment-of-internal-and-external-radiation-exposure-in-the-aftermath-of-a-large-radiological-incident
#16
Geoffrey Korir, P Andrew Karam
In the event of a significant radiological release in a major urban area where a large number of people reside, it is inevitable that radiological screening and dose assessment must be conducted. Lives may be saved if an emergency response plan and radiological screening method are established for use in such cases. Thousands to tens of thousands of people might present themselves with some levels of external contamination and/or the potential for internal contamination. Each of these individuals will require varying degrees of radiological screening, and those with a high likelihood of internal and/or external contamination will require radiological assessment to determine the need for medical attention and decontamination...
June 11, 2018: Health Physics
https://www.readbyqxmd.com/read/29893777/particulate-wear-debris-osteolysis-acute-urinary-retention-and-delirium-as-late-complications-of-hip-arthroplasty
#17
Carmen Benitez, Javier Pérez-Jara, Luis Garcia-Paino, Teresa Montenegro, Encarnacion Martin, Arturo Vilches-Moraga
Intrapelvic mass formation as a result of particulate wear debris induced osteolysis is a recognised late complication of cementless total hip arthroplasty. Clinical presentation typically involves hip and/or leg pain resulting in functional impairment, and obstructive urinary symptoms developing 3-20 years after surgery. An acute confusional state has never been described in this scenario. We report the case of an 86-year-old gentleman with a diagnosis of dementia brought to our emergency department with an acute confusional state...
June 8, 2018: Age and Ageing
https://www.readbyqxmd.com/read/29893714/sudoqu-a-new-dose-assessment-methodology-for-radiological-surface-contamination
#18
Teun van Dillen, Arjan van Dijk
A new methodology has been developed for the assessment of the annual effective dose resulting from removable and fixed radiological surface contamination. It is entitled SUDOQU (SUrface DOse QUantification) and it can for instance be used to derive criteria for surface contamination related to the import of non-food consumer goods, containers and conveyances, e.g., limiting values and operational screening levels. SUDOQU imposes mass (activity)-balance equations based on radioactive decay, removal and deposition processes in indoor and outdoor environments...
June 12, 2018: Journal of Radiological Protection: Official Journal of the Society for Radiological Protection
https://www.readbyqxmd.com/read/29886717/updates-on-prevention-of-hemorrhagic-and-lacunar-strokes
#19
Hsin-Hsi Tsai, Jong S Kim, Eric Jouvent, M Edip Gurol
Intracerebral hemorrhage (ICH) and lacunar infarction (LI) are the major acute clinical manifestations of cerebral small vessel diseases (cSVDs). Hypertensive small vessel disease, cerebral amyloid angiopathy, and hereditary causes, such as Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL), constitute the three common cSVD categories. Diagnosing the underlying vascular pathology in these patients is important because the risk and types of recurrent strokes show significant differences...
May 2018: Journal of Stroke
https://www.readbyqxmd.com/read/29885735/grow-the-pie-interdepartmental-cooperation-as-a-method-for-achieving-operational-efficiency-in-an-emergency-department
#20
Jesse A Guittard, Gabe Wardi, Edward M Castillo, Blake J Stock, Shannon Heuberger, Christian A Tomaszewski
BACKGROUND: Despite sufficient literature analyzing macroscopic and microscopic methods of addressing emergency department (ED) operations, there is a paucity of studies that analyze methods between these extremes. OBJECTIVE: We conducted a quasi-experimental study incorporating a pre/post-intervention comparison to determine whether interdepartmental cooperation is effective at improving ED operations by combining microscopic and macroscopic concepts. METHODS: We performed an analysis of operational and financial data from a cooperative investment in imaging transport personnel between the emergency and radiology departments...
June 6, 2018: Journal of Emergency Medicine
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