Emergency Imaging of At-Risk Patients - E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323876625
Total Pages : 253 pages
Book Rating : 4.3/5 (238 download)

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Book Synopsis Emergency Imaging of At-Risk Patients - E-Book by : Michael N. Patlas

Download or read book Emergency Imaging of At-Risk Patients - E-Book written by Michael N. Patlas and published by Elsevier Health Sciences. This book was released on 2022-08-04 with total page 253 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Evidence-Based Emergency Imaging

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Author :
Publisher : Springer
ISBN 13 : 3319670662
Total Pages : 660 pages
Book Rating : 4.3/5 (196 download)

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Book Synopsis Evidence-Based Emergency Imaging by : Aine Kelly

Download or read book Evidence-Based Emergency Imaging written by Aine Kelly and published by Springer. This book was released on 2018-03-28 with total page 660 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Diagnostic Imaging for the Emergency Physician E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 1437735878
Total Pages : 688 pages
Book Rating : 4.4/5 (377 download)

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Book Synopsis Diagnostic Imaging for the Emergency Physician E-Book by : Joshua Broder

Download or read book Diagnostic Imaging for the Emergency Physician E-Book written by Joshua Broder and published by Elsevier Health Sciences. This book was released on 2011-06-04 with total page 688 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Atlas of Emergency Imaging from Head-to-Toe

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Author :
Publisher : Springer Nature
ISBN 13 : 3030921115
Total Pages : 838 pages
Book Rating : 4.0/5 (39 download)

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Book Synopsis Atlas of Emergency Imaging from Head-to-Toe by : Michael N. Patlas

Download or read book Atlas of Emergency Imaging from Head-to-Toe written by Michael N. Patlas and published by Springer Nature. This book was released on 2022-06-30 with total page 838 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Emergency Imaging: Case Review E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323511937
Total Pages : 320 pages
Book Rating : 4.3/5 (235 download)

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Book Synopsis Emergency Imaging: Case Review E-Book by : Jamlik-Omari Johnson

Download or read book Emergency Imaging: Case Review E-Book written by Jamlik-Omari Johnson and published by Elsevier Health Sciences. This book was released on 2019-04-24 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: Stay on top of the rapidly-changing area of emergency radiology with this new volume in the popular Case Review Series. This challenging subspecialty requires a range of knowledge and skills for rapid diagnosis of issues related to trauma and acute situations including cardiopulmonary emergencies, stroke, and fractures. Emergency Imaging offers highly illustrated, case-based preparation for board review to help residents and recertifying radiologists succeed on exams and provide state-of-the-art patient care. Presents 125 case studies organized by level of difficulty, with multiple-choice questions, answers, and rationales following the board review and recertification question format. Includes clinical information and diagnostic images highlighting important considerations for every case, with a recap of the procedure and explanations of key concepts. Features 400+ high-quality images spanning the full range of emergency findings from classic to less common. Covers the latest imaging technology and indications, including MDCT-angiography of vascular injury, CT and MRI of spine injuries and CNS emergencies, subtle and classic CT signs of bowel emergencies, cardiac angiography, and dual-energy CT.

Emergency Radiology: The Requisites E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323390080
Total Pages : 410 pages
Book Rating : 4.3/5 (233 download)

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Book Synopsis Emergency Radiology: The Requisites E-Book by : Jorge A Soto

Download or read book Emergency Radiology: The Requisites E-Book written by Jorge A Soto and published by Elsevier Health Sciences. This book was released on 2016-02-13 with total page 410 pages. Available in PDF, EPUB and Kindle. Book excerpt: Get the essential tools you need to make an accurate diagnosis in the emergency department! Part of the popular Requisites series, Emergency Radiology: The Requisites delivers the conceptual, factual, and interpretive information you need for effective clinical practice in emergency radiology, as well certification and recertification review. Master core knowledge the easy and affordable way with clear, concise text enhanced by at-a-glance illustrations, boxes, and tables – all revised and enhanced with digital content to bring you up to date with today’s state of the art knowledge. Presents emergent findings and differential diagnosis tables so that important content is identified clearly within the text. Divides the contents of the book into two sections — trauma and non-trauma — to mirror the way you practice. Organizes the material in structured, consistent chapter layouts for efficient and effective review. Provides clinical material on radiology procedures that define your role in managing a patient with an emergent condition. Prepare for written exams or clinical practice with critical information on CTA in the ED on coronary, aorta, brain, and visceral arteries, plus new protocols for trauma and non-traumatic injuries. Stay up to date on what’s new in the field with thoroughly revised content and new, high-quality images obtained with today’s best technology. Get optimal results from today’s most often-used approaches, including the increase in routine use of "panscan" for trauma patients. Gain a practical, visual understanding of emergency radiology thanks to more than 900 multi-modality images. Study and review in the most efficient way, with structured, consistent chapter layouts for time-saving and effective exam preparation.

Diagnostic Imaging

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Author :
Publisher :
ISBN 13 : 9781416049340
Total Pages : 0 pages
Book Rating : 4.0/5 (493 download)

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Book Synopsis Diagnostic Imaging by : R. Brooke Jeffrey

Download or read book Diagnostic Imaging written by R. Brooke Jeffrey and published by . This book was released on 2007 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Authored by some of the world's preeminent authorities in its field, this new book represents today's best single source of guidance on emergency imaging! It presents more details for each diagnosis . more representative images . more case data . and more current references than any other reference tool. At the same time, its user-friendly format lets you access all of this information remarkably quickly. It crosses both modality lines and anatomy lines in offering a comprehensive guide to imaging the Emergency patient. The radiologist as well as the ER team will come to depend on the text as an information - and image-rich source for addressing diagnostic dilemmas in the acute setting. Covers the top imaging diagnoses in emergency medicine, including both common and uncommon entities. Provides exquisitely reproduced imaging examples for every diagnosis-plus concise, bulleted summaries of terminology . imaging findings . key facts . differential diagnosis . pathology . clinical issues . a diagnostic checklist . and selected references. Includes an extensive image gallery for each entity, depicting common and variant cases. Offers a vivid, full-color design that makes the material easy to read. Displays a "thumbnail" visual differential diagnosis for each entity.

Emergency Radiology: The Requisites E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323076696
Total Pages : 416 pages
Book Rating : 4.3/5 (23 download)

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Book Synopsis Emergency Radiology: The Requisites E-Book by : Jorge A Soto

Download or read book Emergency Radiology: The Requisites E-Book written by Jorge A Soto and published by Elsevier Health Sciences. This book was released on 2009-06-02 with total page 416 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Requisites series you know and trust for studying and rotation preparation presents this essential text on emergency radiology! It provides the foundation and the heart of the information you need for the Board exam and every day clinical use. With key features like emergent findings tables and differential diagnoses tables plus 600 high-quality images, this book makes it easy to review important information. Experts on various body systems and modalities of emergency radiology bring you a concise reference that meets all of your study needs. Presents emergent findings and differential diagnosis tables so that important content is identified clearly within the text. Divides the contents of the book into two sections—trauma and non-trauma—to mirror the way you practice. Organizes the material in structured, consistent chapter layouts for efficient and effective preparation for the emergency radiology questions incorporated throughout the Board exam. Provides clinical material on radiology procedures that define your role in managing a patient with an emergent condition. Includes 600 multi-modality images to give you a visual understanding of this image-centered specialty.

Emergency Imaging

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Author :
Publisher : Thieme
ISBN 13 : 1604067438
Total Pages : 566 pages
Book Rating : 4.6/5 (4 download)

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Book Synopsis Emergency Imaging by : Alexander B. Baxter

Download or read book Emergency Imaging written by Alexander B. Baxter and published by Thieme. This book was released on 2015-07-01 with total page 566 pages. Available in PDF, EPUB and Kindle. Book excerpt: A practical guide to the radiology of trauma and emergency medicine A practical introductory reference on the clinical radiology of trauma and acute diseases, Emergency Radiology: A Practical Guide helps readers acquire the image interpretation skills necessary to care for patients with emergent conditions. The book is organized by anatomic region, and each of the eight sections has an introduction that includes an analytical approach and checklist, anatomy, imaging techniques, and important differential diagnoses. Key Features: More than 500 high-quality images Concise discussions of more than 230 important traumatic and emergent conditions A format optimized for self-study and review, with illustrations and explanatory text on facing pages Each section includes an approach, checklist, essential anatomy, study indications, imaging protocols, and differential diagnoses Tailored to the needs of senior medical students, radiology and emergency medicine residents, and clinicians who care for emergency patients, this book is an indispensable practical reference.

Emergency Radiology of the Head and Spine

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Author :
Publisher : Springer Nature
ISBN 13 : 3030910474
Total Pages : 527 pages
Book Rating : 4.0/5 (39 download)

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Book Synopsis Emergency Radiology of the Head and Spine by : Mariano Scaglione

Download or read book Emergency Radiology of the Head and Spine written by Mariano Scaglione and published by Springer Nature. This book was released on 2022-06-10 with total page 527 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides an up-to-date, systematic review of all facets of emergency radiology in patients with head and spine injuries. The aim is to equip readers with a detailed knowledge of the various radiological patterns that may be encountered, thereby facilitating prompt diagnosis under circumstances in which time is of crucial importance. The indications, value, and results of the various emergency imaging modalities, including interventional radiology, are described and illustrated in the full range of traumatic and nontraumatic head and spine emergencies. In addition, basic management principles and technological aspects are fully explained, and protocols tailored to the mechanism of injury are presented. Emergency Radiology of the Head and Spine will be of value to neuroradiologists, interventional neuroradiologists, neurosurgeons, emergency radiologists, emergency physicians, radiology residents, radiology technicians, and all physicians and surgeons who work in emergency care.

Oxford Handbook of Emergencies in Clinical Radiology

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Author :
Publisher : Oxford University Press, USA
ISBN 13 : 019923843X
Total Pages : 413 pages
Book Rating : 4.1/5 (992 download)

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Book Synopsis Oxford Handbook of Emergencies in Clinical Radiology by : Richard Graham

Download or read book Oxford Handbook of Emergencies in Clinical Radiology written by Richard Graham and published by Oxford University Press, USA. This book was released on 2009 with total page 413 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Emergency Radiology

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 1441995927
Total Pages : 715 pages
Book Rating : 4.4/5 (419 download)

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Book Synopsis Emergency Radiology by : Ajay Singh

Download or read book Emergency Radiology written by Ajay Singh and published by Springer Science & Business Media. This book was released on 2013-05-13 with total page 715 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the emergency and trauma setting, accurate and consistent interpretation of imaging studies are critical to the care of acutely ill and injured patients. Emergency Radiology: Imaging of Acute Pathologies is a comprehensive review of radiological diagnoses commonly encountered in the emergency room by radiologists, residents, and fellows. The book is organized by anatomical sections that present the primary ER imaging areas of the acute abdomen, pelvis, thorax, neck, head, brain and spine, and osseous structures. For each section, the common diagnoses are concisely described and are accompanied by relevant clinical facts and key teaching points that emphasize the importance of radiological interpretation in clinical patient management. The role of modalities such as plain radiography, CT, ultrasound, MR, and nuclear medicine imaging in managing emergency conditions is highlighted.

Essential Emergency Imaging

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Author :
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1451155069
Total Pages : 1020 pages
Book Rating : 4.4/5 (511 download)

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Book Synopsis Essential Emergency Imaging by : Resa E. Lewiss

Download or read book Essential Emergency Imaging written by Resa E. Lewiss and published by Lippincott Williams & Wilkins. This book was released on 2012-02-13 with total page 1020 pages. Available in PDF, EPUB and Kindle. Book excerpt: Part of the Essential Emergency Medicine Series, this book offers emergency department staff a one-stop shop for information about all aspects of imaging. With the demand for cost-effective treatment, and the plethora of imaging options, the emergency physician needs to know which test will provide the best information with the least impact on the patient. The authors present information in a systematic, user-friendly approach. Beginning with the suspected diagnosis, the clinician reviews a brief overview of the condition, usual findings, and possible lab tests. "Bedside Pearls" reflect usual findings; classic images with more pearls about the specific technique follow. Each chapter ends with the advantages and disadvantages of the various imaging modalities.

Emergency Imaging of Pregnant Patients

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Author :
Publisher : Springer Nature
ISBN 13 : 3030427226
Total Pages : 209 pages
Book Rating : 4.0/5 (34 download)

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Book Synopsis Emergency Imaging of Pregnant Patients by : Michael N. Patlas

Download or read book Emergency Imaging of Pregnant Patients written by Michael N. Patlas and published by Springer Nature. This book was released on 2020-05-06 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Textbook of Patient Safety and Clinical Risk Management

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Author :
Publisher : Springer Nature
ISBN 13 : 3030594033
Total Pages : 496 pages
Book Rating : 4.0/5 (35 download)

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Book Synopsis Textbook of Patient Safety and Clinical Risk Management by : Liam Donaldson

Download or read book Textbook of Patient Safety and Clinical Risk Management written by Liam Donaldson and published by Springer Nature. This book was released on 2020-12-14 with total page 496 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Risk Management in Emergency Medicine, An Issue of Emergency Medicine Clinics of North America

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323789501
Total Pages : 305 pages
Book Rating : 4.3/5 (237 download)

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Book Synopsis Risk Management in Emergency Medicine, An Issue of Emergency Medicine Clinics of North America by : Lauren M. Nentwich

Download or read book Risk Management in Emergency Medicine, An Issue of Emergency Medicine Clinics of North America written by Lauren M. Nentwich and published by Elsevier Health Sciences. This book was released on 2020-06-02 with total page 305 pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Emergency Medicine Clinics, guest edited by Drs. Lauren Nentwich and Jonathan Olshaker, focuses on Risk Management in Emergency Medicine. This is one of four issues each year selected by the series consulting editor, Dr. Amal Mattu. Articles in this issue include, but are not limited to: Surviving a Medical Malpractice Lawsuit, Communication and Documentation, Physician Well-Being, Emergency Department Operations I: EMS and Patient Arrival, Emergency Department Operations II: Patient Flow, Confidentiality & Capacity, Supervision of Resident Physicians & Advanced Practice Providers, Evaluation of the Psychiatric Patient, Physical and chemical restraints, High-Risk Pediatric Emergencies, The High-Risk Airway, High-Risk Chief Complaints I: Chest pain, High-Risk Chief Complaints II: Abdomen Pain and Extremity Injuries, High-Risk Chief Complaints III: Neurologic Emergencies, and Mitigating Clinical Risk through Simulation.

Errors in Emergency and Trauma Radiology

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Author :
Publisher : Springer
ISBN 13 : 3030055485
Total Pages : 245 pages
Book Rating : 4.0/5 (3 download)

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Book Synopsis Errors in Emergency and Trauma Radiology by : Michael N. Patlas

Download or read book Errors in Emergency and Trauma Radiology written by Michael N. Patlas and published by Springer. This book was released on 2019-03-13 with total page 245 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book describes and illustrates the gamut of errors that may arise during the performance and interpretation of imaging of both nontraumatic and traumatic emergencies, using a head-to-toe approach. The coverage encompasses mistakes related to suboptimal imaging protocols, failure to review a portion of the examination, satisfaction of search error, and misinterpretation of imaging findings. The book opens with an overview of an evidence-based approach to errors in imaging interpretation in patients in the emergency setting. Subsequent chapters describe errors in radiographic, US, multidetector CT, dual-energy CT, and MR imaging of common as well as less common acute conditions, including disorders in the pediatric population, and the unique mistakes in the imaging evaluation of pregnant patients. The book 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 general and trauma surgeons, and to trainees in all of these specialties.