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Diagnostic » CT

			Skull fracture and intra-cranial injury in children
			Post concussional syndrome and minor head injury
			Does a normal CT scan rule out a subarachnoid hemorrhage
			Tangential views or computed tomography in suspected depressed skull fracture
			Penetrating neck injury in zone 2
			Ultrasound or computed tomography in paediatric blunt abdominal trauma
			Ultrasound does not rule out injury in paediatric blunt abdominal trauma
			KUB and US vs Spiral CT in first 24 HRS of Renal Colic, which is more cost effective
			CT head before lumbar puncture in suspected meningitis
			Should we CT patients with asymptomatic haematuria
			CT pulmonary angiogram compared with ventilation-perfusion scan for the diagnosis of pulmonary embolism in patients with cardiorespiratory disease
			CXR or CT in Blunt chest trauma?
			Do anticoagulated patients who sustain a minor head injury require a CT scan to rule out intra-cranial injury?
			Accuracy of a chest x-ray in diagnosing dissecting thoracic aneurysm.
			Accuracy of CT pulmonary angiogram in the diagnosis of of pulmonary embolism.
			Use of imaging techniques in asymptomatic cocaine body packers
			Diagnostic utility of CT scan in patients presenting with a first fit
			CT brain scan and transient ischaemic attack
			Computerized Tomography for Small Bowel Obstruction
			Major complications with low molecular weight and unfractionated heparin in patients investigated for thromboembolism.
			CT Angiography for detection of Subarachnoid Haemorrhage
			CT vs USS in the diagnosis of acute appendicitis
			Ultrasound versus computed tomography as the primary screening method in the evaluation of blunt abdominal trauma in the stable adult patient
			Whole-body CT In trauma patients
			Observation is recommended even following a normal CT brain in warfarinised head injuries
			Is physical exam and laboratory data sufficient to exclude intrabdominal injury (IAI) in the pediatric trauma patient?
			Chloral hydrate or midazolam: which is better for sedating children for painless diagnostic imaging?

Diagnostic » MRI

			Early MRI in acute knee haemarthrosis not supported by published evidence
			Magnetic resonance imaging versus bone scintigraphy in the diagnosis of plain X ray occult scaphoid fractures
			Timing of antibiotic administration in community-acquired pneumonia
			Use of imaging techniques in asymptomatic cocaine body packers
			Is Magnetic Resonance Imaging useful for suspected appendicitis in pregnant patients

Diagnostic » General

			Investigating microscopic haematuria in blunt abdominal trauma
			The gag reflex is a poor discriminator for the need for intubation
			Diagnostic needle aspiration in olecranon bursitis may be indicated to define the underlying cause.
			Cervical spine radiography in alert asymptomatic blunt trauma patients
			White cell count and diagnosing appendicitis in children
			Ultrasonography or diagnostic Peritoneal lavage in abdominal trauma
			Serial x-rays in battery ingestion
			Anterior abdominal stab wounds: Choice of investigation in the stable patient
			Tangential views or computed tomography in suspected depressed skull fracture
			Syncope and a normal ECG - the likelihood of a cardiac arrythmia
			Intranasal naloxone in suspected opioid overdose
			Combining clinical probability and ventilation-perfusion scan for diagnosis of pulmonary embolism
			Timing of antibiotic administration in community-acquired pneumonia
			Headache in paediatric head injury
			Detection of pneumoperitoneum on an erect chest X-ray
			Ultrasound does not rule out injury in paediatric blunt abdominal trauma
			Diagnostic utility of ECG for diagnosing pulmonary embolism
			Interference of medical monitoring equipment by mobile phones
			Role of plain abdominal radiograph in the diagnosis of intussusception
			KUB and US vs Spiral CT in first 24 HRS of Renal Colic, which is more cost effective
			What is the most reliable method to diagnose pyelonephritis in children?
			Conservative mangement of asymptomatic cocaine body packers
			Outpatient investigation of pulmonary embolism
			Urine dipstick as rule out of urinary caculi
			Abdominal radiography in 'Body Packers'.
			CXR or CT in Blunt chest trauma?
			Are follow up chest X-rays helpful in the management of children recovering from pneumonia?
			Need for cervical spine imaging for alert children after trauma
			Detection of Acute Aortic Dissection with D-Dimer
			What is the use of the glass test?
			Normal Temerature in the elderly
			Plain radiography is not indicated as 1st choice imaging modality in children with non-traumatic back pain
			The clinical utility of soluble CD40 ligand as a cardiac marker in the Emergency Department
			Whole blood choline as a cardiac marker for use in the Emergency Department
			N-terminal-pro-BNP may have more potential than BNP as a marker of acute coronary syndromes
			Are meningeal irritation signs reliable in diagnosing meningitis in children?
			Digital rectal exams in children who present with constipation
			How useful are bowel sounds?
			RIFLE criteria versus Acute Kidney Injury Network (AKIN) criteria for prognosis of acute renal failure
			Does the ‘Seatbelt Sign’ predict intra-abdominal injury after motor vehicle trauma in children?

Diagnostic » USS

			Abdominal ultrasound in the diagnosis of childhood appendicitis
			Can we use bedside Ultrasound to differentiate between COPD and Pulmonary edema?
			Ultrasound scanning in the diagnosis of acute appendicitis in pregnancy
			Ultrasonography or diagnostic Peritoneal lavage in abdominal trauma
			SimpliRed and diagnosis of deep venous thrombosis
			Ultrasound in the diagnosis of testicular torsion
			Does ultrasound-guided central line insertion reduce complications and time to placement in elective patients undergoing cardiac surgery
			Ultrasound or computed tomography in paediatric blunt abdominal trauma
			Ultrasound does not rule out injury in paediatric blunt abdominal trauma
			ED Bedside Ultrasound guided volume assessment with IVC diameter
			KUB and US vs Spiral CT in first 24 HRS of Renal Colic, which is more cost effective
			What is the most reliable method to diagnose pyelonephritis in children?
			Accuracy of a chest x-ray in diagnosing dissecting thoracic aneurysm.
			Differences in abdominal US between emergency physicians and radiologists at detecting hemoperitoneum?
			Use of imaging techniques in asymptomatic cocaine body packers
			The role of compression in ankle sprain injuries in children
			High spatial resolution Sonography in diagnosis of suspected fracture of Scaphoid
			Can epiaortic ultrasound reduce the incidence of intraoperative stroke during cardiac surgery?
			Neonatal cranial ultrasound as a predictor of longterm neurodevelopmental outcome in a preterm or low birth weight infants
			Can urinary myoglobin assay be used to assess the risk of developing acute renal failure in patients with rhabdomylosis
			Transabdominal or Transvaginal Ultrasound?
			CT vs USS in the diagnosis of acute appendicitis
			Ultrasound VS IVP in detecting renal stones
			Ultrasound versus computed tomography as the primary screening method in the evaluation of blunt abdominal trauma in the stable adult patient
			Can the nature and extent of orbital trauma be optimally assessed with Ultrasound Imaging in the Emergency Department?
			The use of ultrasound for diagnosing paediatric wrist fractures
			Using ultrasound to detect peritoneal fluid in a pregnant patient with abdominal trauma
			Is ultrasound or chest x-ray best for the diagnosis of pneumothorax in the emergency department?
			Emergency Physician bedside ultrasound for the diagnosis of cholelithiasis
			Can ultrasound diagnose scaphoid fractures?
			Bedside echocardiography for prognosis of emergency department cardiac arrest?
			Central line insertion in deranged clotting
			Is Doppler ultrasound superior to upper gastrointestinal contrast study for the diagnosis of malrotation?
			The effectiveness of therapeutic ultrasound in the treatment of acute sciatica.

Generic appraisals

Puskas JD, Williams, Duke PG et al.: Off-pump coronary artery bypass grafting provides complete revascularization with reduced myocardial injury,transfusion requirements, and length of stay: a single blind RCT; Randomised control trial
Kirkpatrick AW: Hand-held Thoracic Sonography for Detecting Post-Traumatic Pneumothoraces: the Extended Focused Assessment with Sonography for Trauma (EFAST); Diagnosis
levitan RM: Limitations of difficult airway prediction in patients intubated in the emergency department.; Cohort
Baker R.C, Tiller T., Bausher J. et al: Severity of Disease correlated with fever reduction in febrile infants; Cohort

Diagnostic » Vascular

			Does a normal CT scan rule out a subarachnoid hemorrhage
			SimpliRed and diagnosis of deep venous thrombosis
			CT Angiography for detection of Subarachnoid Haemorrhage
			C reactive protein in the differential diagnosis of heart failure and chest infection
			Serum lactate as a marker for mortality in patients presenting to the emergency department with trauma
			Is the WCC of the joint aspirate sufficiently sensitive/specific to rule in/out septic arthritis?
			Heart fatty acid binding protein for rapid diagnosis of acute myocardial infarction in the Emergency Department

Diagnostic » X-Ray

			Children with a history of coin ingestion should have oesophageal impaction ruled out radiologically
			Lateral neck x-rays are not indicated in the emergency department management of suspected fish bone impaction.
			Pelvic radiography is not always indicated in severe blunt trauma if the patient has no pelvic symptoms and is GCS 15
			Prophylactic gastroprotection in all adult orthopaedic trauma patients receiving low molecular weight heparin and non-steroidal anti-inflammatory analgesia?
			Radiological diagnosis of mandibular fracture
			Are routine chest x-rays helpful in the management of febrile neutropenia?
			Role of plain abdominal radiograph in the diagnosis of intussusception
			Swimmers view or supine oblique views to visualise the cervicothoracic junction
			Abdominal radiography in 'Body Packers'.
			CXR or CT in Blunt chest trauma?
			Which facial views for facial trauma?
			Chest X Ray, rib fracture and exclusion pneumothorax
			Are follow up chest X-rays helpful in the management of children recovering from pneumonia?
			Need for cervical spine imaging for alert children after trauma
			Cervical spine imaging in children under 9 after trauma
			The sensitivity of a normal chest radiograph in ruling out aortic dissection
			Diagnostic utility of chest xray for investigation of pulmonary embolism
			Use of imaging techniques in asymptomatic cocaine body packers
			High spatial resolution Sonography in diagnosis of suspected fracture of Scaphoid
			Role of flexion/extension radiography in paediatric neck injuries
			Role of flexion/extension radiography in neck injuries in adults
			Elbow extension as a 'rule-out' tool for significant injury in adults
			Elbow extension as a 'rule-out' tool for significant injury in children
			In children presenting to the Emergency Department what is the specificity of rib fractures for non-accidental injury?
			Major complications with low molecular weight and unfractionated heparin in patients investigated for thromboembolism.
			The use of ultrasound for diagnosing paediatric wrist fractures
			Is ultrasound or chest x-ray best for the diagnosis of pneumothorax in the emergency department?
			Predicting the need for knee radiography in the emergency department: Ottawa or Pittsburgh rule?
			Are Skeletal Surveys Useful in the Evaluation for Physical Abuse in Children

Diagnostic » Other

			Oucher or CHEOPS for pain assessment in children
			Is there a role for the use of radical lymph node dissection in the surgical management of resectable non-small cell lung cancer?
			The first ECG has a low sensitivity for myocardial infarction in patients with chest pain
			Normal partial pressure oxygen in room air as a rule-out for pulmonary embolism
			Diagnostic utility of arterial blood gases for investigation of pulmonary embolus
			Magnetic resonance imaging versus bone scintigraphy in the diagnosis of plain X ray occult scaphoid fractures
			Hand held metal detectors are sensitive enough to rule out oesophageal coins
			Interference of medical monitoring equipment by mobile phones
			Lumbar puncture after febrile convulsion
			Role of combined cardiac enzyme assay in chest pain or suspected myocardial infarction with non-diagnostic ECG
			CT pulmonary angiogram compared with ventilation-perfusion scan for the diagnosis of pulmonary embolism in patients with cardiorespiratory disease
			Use of imaging techniques in asymptomatic cocaine body packers
			Is routine EEG helpful in the management of complex febrile seizures?
			Major complications with low molecular weight and unfractionated heparin in patients investigated for thromboembolism.
			Current evidence does not support the use of a negative D-dimer to rule out suspected pulmonary embolism in pregnancy.
			Transcutaneous Bilirubinometry in Jaundiced Newborns
			Ottawa Knee Rule in children
			Sensitivity of haematuria at detecting urinary calculi
			Ultrasound VS IVP in detecting renal stones
			Is positive dipstick alone enough to identify the cause as infective in patients with dysuria and haematuria?
			Is tympanic or oral thermometry more accurate in febrile children?
			Provocation discography for the diagnosis of discogenic chronic low back pain
			P-selectin in the triage of suspected cardiac chest pain
			Thrombospondin as an early marker of acute coronary syndromes
			D-dimer for the emergent exclusion of acute coronary syndromes
			Rapid Influenza Testing Of Febrile children in the Emergency Department
			Is there a role for serum procalcitonin in the differentiation between septic and non-septic arthritis?
			Caffeine in the prophylaxis of post lumbar puncture headache.
			Use of intravenous omeprazole in gastrointestinal patients before endoscopy
			Pericardial fluid adenosine deaminase in the diagnosis of tuberculous pericardial effusion.
			Clinical tests for Scaphoid fractures
			Which is the best clinical test for diagnosing a full thickness rotator cuff tear?
			Use of bedside echocardiography for the diagnosis of pulmonary embolism in the Emergency Department
			Should Fragile X be tested for in boys with a diagnosis of autistic spectrum disorder?
			Urethral catheter or suprapubic aspiration to reduce contamination of urine samples in young children?
			Are troponin levels indicated for the routine management of SVT?
			Petechia in the well child
			Caffeine in the treatment of post lumbar puncture headache
			Is capillary refill time a useful marker of haemodynamic status in neonates?
			BinaxNOW Malaria rapid diagnostic test in returning travelers?
			Positioning of compartment pressure monitors in lower limb fractures
			Is cerebral function monitoring as accurate as conventional EEG in the detection of neonatal seizures?
			How common is co-existing meningitis in infants with urinary tract infection?

Diagnostic » ECG

			Does ST segment monitoring predict MI/mortality in the near future.
			Pre-Hospital ECG. Effect on door to needle time and overall pain to needle time
			Serial CK-MB plus serial electrocardiography for early rule out of myocardial infarction
			Cardiac Monitoring in Taser Victims

Diagnostic » ABG

			Serum Lactate as a marker for mortality in patients presenting to the ED with infection.
			Capillary blood gases as an alternative to arterial puncture in acute asthma
			Capillary blood gases as an alternative to arterial puncture in shock
			Capillary blood gases as an alternative to arterial puncture in diabetic ketoacidosis
			Anion gap is a screening tool for elevated lactate with risk of sepsis

BETs and CAs in this Category

Generic appraisals