Radiology

A guide to the Royal College of Radiologists’ 2014 recommendations on imaging injured children. Natalie May explains why paediatric injury patterns and radiation concerns require a distinct approach, then works through the report’s advice by body region and the role of clinical assessment in deciding whether to image.

A 2014 podcast introduction on trauma team leadership and the challenge of moving patients from ED arrival to CT within 30 minutes. The post places that goal alongside UK trauma standards of the time and includes a trauma transfer checklist to support the discussion.

A contemporary review of NICE’s January 2014 head-injury guideline, CG176. The post explores what changed for emergency clinicians, including CT decisions in adults and children, anticoagulation, cervical spine imaging and discharge information, while discussing the evidence and uncertainties behind the recommendations.

Can one CT scan reliably investigate coronary artery disease, pulmonary embolism and aortic dissection in patients with chest pain? This 2013 review of triple rule-out CT examines diagnostic accuracy, patient selection and reference standards, asking whether the evidence establishes a meaningful benefit for emergency patients.

A 2013 journal club explores an Australian observational study of childhood CT exposure and subsequent cancer diagnoses. It puts relative risk headlines into perspective and considers how clinicians balance the immediate benefits of diagnosis against possible harms that may emerge much later.

Can bedside ultrasound identify the cause of undifferentiated hypotension? This 2013 journal club examines a 108-patient diagnostic study, questioning how agreement with a final diagnosis relates to clinical judgement, potential bias and better patient outcomes.