Web musings come from abundant surgical sources this time. Enjoy the readings and always support the original content providers.
- Always check what you ordered - the Trauma Pro reminds us that philosophy is similar in restaurants and hospitals
- Surgical or medical jaundice or something-else - another illuniating video by EM tutorials
- CT in stab wounds - do you really need to?
- Sciatica therapy - maybe a rethink what you thought is essential examination?
- Haematuria management - A brief rundown of bloody urine in the ED
- Fluid responsiveness - ED Lyceum gives us some collective knoweldge on this ongoing fluids debate
- Contrast induced nephropathy - EDTCC gives us a great run-down on this controversial topic. Certainly there has been a tendency to err on the side of caution by radiologists but is there any REAL evidence for what we do?
What we do in our practice is that we look into all the factors (some latent) when deciding who needs a scan with contrast:
- GFR - more so than creatinine
- Pathology in question - can it be observed rather than immediate diagnosis now?
- Renal disease?
- Non contrast scan - you will be surprised at its utility
Feel free to comment or ask your friendly radiologists to if they have an opinion.