Head Scratcher of a Head CT?

Hey there guys and gals and welcome back to my channel! If you’re like me and TERRIBLE at reading your own imaging studies, settle in for a quick 20 minute run down for all those CT heads everybody be ordering without a second though. But before we get into it, don’t forget to like andRead more

Pacemakers Review Pt. 1

The pursuit of mastery over cardiovascular emergencies demands a rough familiarity with implanted devices which includes why they get implanted in the first place (indications), how they work, how they malfunction, and how they affect the EKG., among other features. Today we’ll we’ll start with the basics of implanted pacemakers including indications, anatomy, and radiography.Read more

A ‘normal’ chest Xray

What do you see when you take a look at this Chest radiograph? It isn’t immediately noticeable (and was read as normal), and is a good reminder of why you should always check your own films, and why a systematic read is important.  If all you were looking for was “r/o PNA/PTX” you could easilyRead more

Thunderclap headache, but negative CT: now what?

A 45 year old male comes into the ED with a sudden, severe headache. It started while he was at work yesterday and was the worst of his life. It started feeling a little better, but hasn’t totally gone away and his wife made him come to get checked out. There are enough concerning featuresRead more

Renal Colic & the CT scan: flip your patient prone!

A CT abd/pelvis without contrast is one of our go-to studies when evaluating for nephrolithiasis in a patient with acute flank pain. And it’s a really good one too–a recent meta-analysis of CT for suspected renal stone showed a sensitivity of 97% and a specificity of 95%. Pretty, pretty excellent. But have you ever wonderRead more

52 in 52: A Clinical Predictive Tool for Intra-Abdominal Trauma in Pediatric Patients

Title: Validation of a prediction rule for the identification of children with intra-abdominal injuries after blunt torso trauma Article Citation: Holmes JF, Mao A, Awasthi S, McGahan JP, et al. Validation of a prediction rule for the identification of children with intra-abdominal injuries after blunt torso trauma. Ann Emerg Med. 2009 Oct;54(4):528-33. PMID: 19250706 WhatRead more

Does intravenous contrast actually cause acute kidney injury?

Clinicians often consider alternate imaging modalities over contrast studies due to concern of acute kidney injury. In many situations, intravenous contrast can significantly improve the utility of a study. So, is contrast-induced nephropathy real? How often does acute kidney injury occur after a contrast study?   A recent study (Hinson et al. 2016) did aRead more

Subarachnoid Hemorrhage Revisited

Does that young, well appearing patient with the “worst headache of their life” really need that lumbar puncture (LP)? It’s an issue that’s constantly weighing over physicians’ heads when evaluating a patient with headache in the emergency department. The thought of potentially missing a sentinel bleed from an aneurysm or AVM is something that keepsRead more

Did the Patient Finish Their Oral Contrast?

  CT scans are cited as a frequent source of delay to disposition of our patients in the emergency department. A contributing factor to this delay is the time it takes one to drink their oral contrast and to allow this contrast to travel throughout the intestines. The truth is, very few people actually needRead more

Blood Can Be Very Bad- Systematic Approach to Brain Ct

Post by @FTeranmd Using a systematic approach when reading a brain CT will make you a better doctor Because you only see what you’re looking for. Don’t believe? watch: A simplified and systematic approach to the evaluation of non-contrast brain CT for the Emergency PhysycianRead more