Imaging of Emergencies

Code:

OPT4_06

Acronym:

IU

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2024/2025 - 1S (of 30-09-2024 to 10-01-2025)

Active?	Yes
Responsible unit:	Medical Teaching
Course/CS Responsible:	Integrated Masters Degree in Medicine

Cycles of Study/Courses

Acronym	No. of Students	Study Plan	Curricular Years	Credits UCN	Credits ECTS	Contact hours	Total Time
MIM	27	Official Study Plan	4	-	3	30	81

Teaching language

Portuguese

Objectives

- To describe the diverse imaging modalities and techniques employed in the Emergency Department, highlighting their advantages and disadvantages.

- To understand the workflow chain of digital images in the context of the Emergency Department, including their acquisition, processing, reading and reporting.

- To become familiar with the potential risks and benefits of the intravenous contrast media.

- To understand the adequacy of imaging examinations for the different scenarios of medical and surgical emergencies.

- To describe the imaging algorithms for traumatic and non-traumatic emergencies.

- To recognize the main imaging findings of the most common emergencies frequently observed in the Emergency Department.

- To understand the importance of correlating the imaging findings with clinical and laboratory data.

Learning outcomes and competences

Achievement of the Objectives defined for the Curricular Unit

Working method

Presencial

Program

- Imaging techniques and protocols most frequently used in the Emergency Department.

- Risks and benefits of different imaging examinations in diverse scenarios of emergencies, namely those associated with radiation dose, use of iodinated contrast, imaging pediatric or pregnant patients.

- Imaging of emergencies:

  -- Non-traumatic and traumatic neurological emergencies

  -- Injuries of the musculoskeletal system

  -- Interpretation of chest X-ray at the Emergency Department (I)

  -- Interpretation of chest X-ray at the Emergency Department (II)

   -- Thoracic trauma

   -- Thoracic vascular emergencies: acute aortic syndrome, aneurysms, pulmonary thromboembolism.

   -- Abdominal and pelvic trauma

   -- Acute abdomen I

   -- Acute abdomen II

   -- Pediatric Emergencies

Mandatory literature

Heiken JP, Katz DS, Menu Y; Emergency Radiology of the Abdomen and Pelvis: Imaging of the Non-traumatic and Traumatic Acute Abdomen. In: Hodler J1, Kubik-Huch RA2, von Schulthess GK3, editors.
.; Diseases of the Abdomen and Pelvis 2018-2021: Diagnostic Imaging - IDKD Book. Cham (CH): Springer; 2018. Chapter 13.

Teaching methods and learning activities

Theoretical lectures and theoretical-practical and practical classes, with analysis and interpretation of clinical cases from the Emergency Department. Writing of a clinical case will be encouraged for publication, namely in EuroRad, the European Society of Radiology case reports database.

Evaluation Type

Distributed evaluation without final exam

Assessment Components

Designation	Weight (%)
Participação presencial	50,00
Trabalho escrito	50,00
Total:	100,00

Amount of time allocated to each course unit

Designation	Time (hours)
Estudo autónomo	55,00
Frequência das aulas	26,00
Total:	81,00

Eligibility for exams

As a condition to obtain practical frequency, it is necessary to attend the legal number of classes (3/4 of the classes taught).

Calculation formula of final grade

The final evaluation will include continuous assessment of performance by a teacher (50% of the final evaluation) and writing of a case report for publication (50% of the final evaluation). There will be registration of attendance. Approval will be obtained with a minimum grade of 9.5 out of 20.

Special assessment (TE, DA, ...)

Oral Examination

Classification improvement

Oral Examination

Observations

eBook for Undergraduate Education in Radiology https://www.myesr.org/undergraduate-education-radiology/ebook-undergraduate-education-radiology   Heiken JP, Katz DS, Menu Y. Emergency Radiology of the Abdomen and Pelvis: Imaging of the Non-traumatic and Traumatic Acute Abdomen. In: Hodler J1, Kubik-Huch RA2, von Schulthess GK3, editors. Diseases of the Abdomen and Pelvis 2018-2021: Diagnostic Imaging - IDKD Book. Cham (CH): Springer; 2018. Chapter 13.   Kim G, Natcheva H. Imaging of Cardiovascular Thoracic Emergencies: Acute Aortic Syndrome and Pulmonary Embolism. Radiol Clin North Am. 2019 Jul;57(4):787-794. doi: 10.1016/j.rcl.2019.02.012.   Weatherspoon K, Gilbertie W, Catanzano T. Emergency Computed Tomography Angiogram of the Chest, Abdomen, and Pelvis. Semin Ultrasound CT MR. 2017 Aug;38(4):370-383. doi: 10.1053/j.sult.2017.02.004.   Joshi G, Crawford KA, Hanna TN et al. US of Right Upper Quadrant Pain in the Emergency Department: Diagnosing beyond Gallbladder and Biliary Disease. RadioGraphics 2018 https://doi.org/10.1148/rg.2018170149   Kamalian S, Avery L, Lev MH et al. Nontraumatic Head and Neck Emergencies. RadioGraphics 2019. https://doi.org/10.1148/rg.2019190159   Fred A. Mettler Jr. Essentials of Radiology, 2014.   Soto J, Lucey BC. Emergency Radiology: the requisites. Elsevier, 2016.