Papers of August

Here’s a look at some of the papers that caught our eye this month.

We cover a paper looking at the significance of findings with the history, physical exam and imaging in subarachnoid haemorrhage to inform your work up. We look at another paper focussing on total body versus selective CT scanning in trauma and lastly a paper looking at the validation of the DECAF score to predict mortality in COPD exacerbations.

We’ve also got the e book ‘ABC of Emergency Radiology’ to give away on iTunes thanks to our new sponsors ADPRAC.

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ABC Emergency Radiology

All you need to do is answer the following question;

With regards to this August 2016 Papers podcast and REACT-2, which of the following is correct;

A. The use of selective CT scanning in major trauma leads to a dramatic decrease in radiation

B. The use of selective CT scanning in major trauma leads to a decrease in time to diagnosis

C. The use of selective CT scanning in major trauma leads to a decrease in cost per in patient episode

D. The safety of selective CT scanning vs whole body CT scanning was equivocal

Send your answer via email to with your name, answer and iTunes email address, entries close on the 15th August and we’ll announce the winner in September’s podcast. 



Immediate total-body CT scanning versus conventional imaging and selective CT scanning in patients with severe trauma (REACT-2): a randomised controlled trial. Sierink JC. Lancet. 2016 Jun 28

Spontaneous Subarachnoid Hemorrhage: A Systematic Review and Meta-Analysis Describing the Diagnostic Accuracy of History, Physical Exam, Imaging, and Lumbar Puncture with an Exploration of Test Thresholds. Carpenter CR. Acad Emerg Med. 2016 Jun 16.

Validation of the DECAF score to predict hospital mortality in acute exacerbations of COPD. Echevarria C. Thorax. 2016 Feb


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