mssmem.com

I forget…what did that email say? oh yeah, its at mssmem.com

Self-Protocol ER-CT

PROGRESS!!! There are now 6 choices for ED CT protocols, (plus “other”). If your patient fits a protocol, choose it.  You do NOT need to call the radiologist if you choose one of these protocols. Choose a protocol ONLY if your patient actually matches a protocol- do not fit everyone into a protocol just because it’s there.

There are now 6 choices for ED CT protocols, (plus “other”).  If your patient fits a protocol, choose it.  You DO NOT need to call the radiologist if you choose one of these protocols.  Choose a protocol ONLY if your patient actually matches a protocol – do not fit everyone into a protocol just because it’s there.  If you do not match one of these protocols, choose other, and call the radiologist.

Remember, DO NOT use the protocol unless your patient fits.
If your patient does not fit a protocol, choose other and call the radiologist.

Here are the protocols…

Appendicitis Protocol
Clinical indication:  acute, atraumatic right lower quadrant pain.
Scan Technique:  abdomen and pelvis with IV, oral and rectal contrast, 3 mm slice thickness with coronal reformations.

Diverticulitis Protocol:
Clinical indication: acute, atraumatic left lower quadrant pain.
Scan technique:  abdomen and pelvis with IV, oral and rectal contrast.

Pancreatitis Protocol:
Clinical indication:  clinical and biochemical evidence for acute pancreatitis.
Scan technique:    IV and oral contrast given as follows – C minus abdomen with 3mm slice thickness. C+ abdomen at 40 sec (3 mm slice thickness). C+ abdomen and pelvis at 70 sec (5 mm slice thickness).

Bowel Obstruction Protocol:
Clinical Indication:  clinical signs and radiographic evidence for either small or large bowel obstruction.
Scan technique:  abdomen and pelvis with IV and oral contrast.  One hour additional delay after oral contrast is finished. One cup of oral contrast on CT table.

Renal Stone  Protocol:
Clinical indication:  flank pain suspicious for urinary obstruction.
Scan technique:  non-contrast abdomen and pelvis with 3 mm slice thickness, patient scanned in prone position.

Pulmonary Embolism Protocol:
Clinical indication:  signs and symptoms of pulmonary embolism, positive D dimer in patients with no risk factors.
Scan technique:  chest CT with IV contrast.
Oral contrast dilution:  Gastrografin (0.8% iodine) 30 ml in 1 liter of water.

Please note that the radiologist (x 47928) or radiology resident (beeper#1490) should consulted for all complex cases, or for patients who do not strictly fit into the above clinical indications.
Scot & Kevin

Written by reuben

May 24th, 2010 at 8:23 pm

Posted in Radiology

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