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March 18, 2025

Comparing Bastion protocols with single bolus multi-phase protocols in trauma patients receiving whole body CT

Major trauma typically causes serious harm to a person, often involving catastrophic haemorrhages and complex fractures, and is the leading cause of death in people under the age of 45. While penetrating trauma requires faster intervention, blunt force trauma is most commonly associated with diagnostic imaging. Major trauma causes life-threatening injuries, with 15,000 deaths annually. […]

Mia Waddington, Nancy Sims

University of Exeter; University of Suffolk

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February 13, 2025

Emergency knee radiographs

Acute knee injury is very common. Plain films are commonly requested and most bony injuries are fairly obvious. However, the changes may be subtle and small bony avulsions may be a clue to more serious injury. Many knee injuries involve soft tissue structures and, where significant, may require MRI for investigation. To access the full […]

Dr Nicholas Ridley

Great Western Hospital

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May 15, 2024

Enhancing fracture detection in the emergency department with AI: Wigan experience

AI has already changed much of the world as we know it, from automating systems to improving the decisions we make and the ways we go about making them. Yet perhaps the most impactful and personal ways AI is changing our world are within the field of healthcare, where it is being used to diagnose, […]

Dr Asim Habib, Dr Muhammad Saleem Nasir, Dr Muzamil Chaudhary

Royal Albert Edward Infirmary

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June 14, 2023

The role of interventional radiology in the acute phase

If you are reading this article, then you are probably old enough to remember when the internet wasn’t as widely available. Remember plugging in the cable that allowed you to use the internet via the phone socket? Remember the weird dial tone when you were being connected? In reality, we are only talking about 20 […]

Dr Mohammed Rashid Akhtar

St Bart's and the Royal London Hospitals

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August 11, 2021

GI tract perforation – an imaging overview

Perforation (from the Latin perforare – to pierce through) is a serious consequence of gastrointestinal disease compromising gastrointestinal tract (GIT) wall integrity. It can occur anywhere along the GIT and typically manifests as localised or generalised abdominal pain and signs of sepsis. However, acute abdominal pain can produce ambiguous clinical findings with a multitude of […]

Dr Helena Boryslawskyj, Dr Claire Ryan, Dr Damian Tolan

St James's University Teaching Hospital

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August 11, 2021

Imaging of facial and neck trauma

Facial fractures are commonly encountered in UK emergency departments and, while blunt and penetrating trauma to the neck is less common, it accounts for an important minority of cases. Patients are typically initially evaluated using the Advanced Trauma Life Support (ATLS) protocol to identify life-threatening injuries that require urgent management. Clinical assessment is subsequently complemented […]

Dr George Bitar, Dr Philip Touska

The Royal Marsden NHS Foundation Trust, Guy's and St Thomas' NHS Foundation Trust

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August 11, 2021

CT findings of mass casualty events

Mass casualty events (MCE) are events that overwhelm a healthcare system with the number of patients and/or the severity of their injuries, usually within a very short time frame. They can have natural causes (such as earthquakes), or be accidental (eg train crash) or deliberate (eg terrorist attack) disasters. By their nature they are unpredictable […]

Dr Elizabeth Dick

Imperial College Healthcare NHS Trust

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November 11, 2020

The rise and rise of emergency department point-of-care ultrasound

Over the past 30 years point-of-care ultrasound (POCUS) has proven to be a significant disruptive technology and we stand on the precipice of a paradigm shift in the practice of medicine. With individual handheld units (HHU) costing no more than laptops some American universities have equipped their students with individual machines to integrate POCUS into […]