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July 20, 2026

Beyond plumbing: the multidisciplinary ultrasound assessment of shock and hypotension in the emergency department

The management of shock is a time-critical challenge in emergency medicine and critical care. Point-of-care ultrasound (POCUS) has revolutionised this paradigm, offering rapid, non-invasive bedside assessments. Recognising its diagnostic power, the Royal College of Emergency Medicine formally mandates ‘ultrasound-assisted shock assessment’ as a core competency. However, shock is a profound systemic derangement requiring more than […]

Dr Nick Mani, Dr Gokul Sagar Bailur

POCUS UK

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May 12, 2026

Clinical supervision: a case study of implementation within an x-ray department in a trauma centre

Supervision has been given a central place within the NHS Long-term Workforce Plan (2023) which states that the subject should be a core responsibility for maintaining high quality patient care alongside continuous development and protected time for training. Clinical supervision is included within standard 4.8 of the Health and Care Professions Council standards of proficiency […]

Josh Waters, John Williams, Adam Prout

University Hospitals Plymouth NHS Trust

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January 13, 2026

Small bowel obstruction – towards higher calibre care

Small bowel obstruction (SBO) remains a critical emergency with high morbidity and mortality, often exacerbated by delays in diagnosis and treatment. National audits, including NCEPOD’s Delay in Transit and NASBO, highlight that timely imaging is pivotal in improving outcomes. CT with intravenous contrast is strongly recommended as the definitive diagnostic tool, outperforming plain abdominal radiographs, […]

Dr Teodros Truneh, Dr James Stephenson

University College London Hospitals NHS Foundation Trust

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May 27, 2025

An audit to evaluate the quality of plain film mortise radiographs of the ankle joint in the ED against the recognised gold standard

Ankle injuries are one of the most prevalent musculoskeletal injuries presenting at A&E and correct identification is crucial due to the complex fragility of the joint. Plain film x-ray remains a primary diagnostic option for patients presenting with ankle trauma, with the mortise view being predominantly used, as the fibular fossa is clearly visible with […]

Karen Saynor, Imogen Diggens

Broomfield Hospital, University of Suffolk

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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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February 12, 2025

An experiment in simulation training for diagnostic radiology on-call at Severn Deanery

Pressures on radiology training are continually mounting, with increasing numbers of trainees, already busy departments and increasing restrictions on study budgets. Simulation training is widely used in medical training and aims to replicate realistic scenarios with real-world challenges in a safe space and with direct support to enhance the educational benefit to those involved. This […]

Dr George Theobald, Dr Maredudd Harris, Dr Hend Komber, Dr Carina Brolund-Napier

Severn Deanery

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June 12, 2024

Important pickups in trauma imaging

Early whole body trauma CT is indicated in initial assessment of blunt trauma patients with concern about possible significant injury. The primary goal of trauma imaging is to identify life-threatening conditions rapidly and accurately, in order to guide the appropriate management of patients. This article reviews clinically important CT findings that are important not to […]