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Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
2 topics, 14 min.
9 topics, 31 min.
Introduction: Chest Pain
4 m.Case 1 - Pneumothorax on Chest X-ray
3 m.Case 2 - Pneumothorax without Tension
3 m.Case 3 - Pneumothorax with Tension
2 m.Case 4 - Pneumothorax on Chest CT
6 m.Pneumothorax - Summary
3 m.Case 5 - Pericardial Effusion
10 m.Pericardial Effusion - Summary
4 m.Chest Pain Lesson Reinforcement Quiz
11 topics, 54 min.
Introduction: Shortness of Breath
2 m.Case 1 - Pulmonary Embolism - Approach to CT Pulmonary Angiography
8 m.Case 2 - Pulmonary Embolism
6 m.Pulmonary Embolism - Summary
4 m.Case 3 - Pulmonary Edema
3 m.Case 4 - Suspected Pulmonary Edema with CT for Differential
7 m.Case 5 - Importance of Search Pattern in Cases with Multiple Findings
8 m.Case 6 - History of Asthma
7 m.Case 7 - Lymphoma
8 m.Case 8 - Malignancy
6 m.Shortness of Breath Reinforcement Quiz
7 topics, 27 min.
6 topics, 23 min.
9 topics, 36 min.
Introduction: Lines & Tubes
2 m.Case 1 - Orogastric Tubes
14 m.Introduction: Foreign Bodies
2 m.Case 2 - Foreign Body
3 m.Case 3 - Esophageal Foreign Body
4 m.Case 4 - Esophageal Perforation
10 m.Case 5 - Edge of Film - Myocardial Infarction Incidental
3 m.Myocardial infarction - Summary
4 m.Miscellaneous Reinforcement Quiz
0:00
Oftentimes, you'll get radiographs or imaging looking for
0:04
line and tube placement, which is very common in the ED.
0:07
So common lines
0:08
you're going to see are endotracheal tubes, enteric tubes,
0:12
chest tubes, PICC lines, tracheostomy tubes,
0:15
Central Venous Catheters.
0:17
Usually, these are initially evaluated by radiographs,
0:21
and it's usually as a single portable radiograph
0:23
is being done.
0:24
However, sometimes the lateral is very helpful for actual
0:27
placement in the anterior-posterior plane
0:30
which you're not necessarily going to appreciate
0:32
just on a single PA view or an AP view.
0:35
Oftentimes, a chest CT may reveal,
0:39
again, much more specific placement
0:41
if the patient is imaged for other reasons, but you always
0:44
want to make sure that you're looking for the line
0:46
and tube placement, both on the CT,
0:48
and try to make an estimate as best you can
0:50
on the radiograph.
0:51
So, keep in mind that when you're looking at the
0:54
endotracheal tube depth, that changes with head position.
0:57
So when possible, keep in mind where the head is, and you
1:00
can look for the soft tissue shadows,
1:02
whether or not they're flexed or extended because that is
1:04
going to move the endotracheal tube position
1:07
and you want to be able to interpret that in context.
Interactive Transcript
0:00
Oftentimes, you'll get radiographs or imaging looking for
0:04
line and tube placement, which is very common in the ED.
0:07
So common lines
0:08
you're going to see are endotracheal tubes, enteric tubes,
0:12
chest tubes, PICC lines, tracheostomy tubes,
0:15
Central Venous Catheters.
0:17
Usually, these are initially evaluated by radiographs,
0:21
and it's usually as a single portable radiograph
0:23
is being done.
0:24
However, sometimes the lateral is very helpful for actual
0:27
placement in the anterior-posterior plane
0:30
which you're not necessarily going to appreciate
0:32
just on a single PA view or an AP view.
0:35
Oftentimes, a chest CT may reveal,
0:39
again, much more specific placement
0:41
if the patient is imaged for other reasons, but you always
0:44
want to make sure that you're looking for the line
0:46
and tube placement, both on the CT,
0:48
and try to make an estimate as best you can
0:50
on the radiograph.
0:51
So, keep in mind that when you're looking at the
0:54
endotracheal tube depth, that changes with head position.
0:57
So when possible, keep in mind where the head is, and you
1:00
can look for the soft tissue shadows,
1:02
whether or not they're flexed or extended because that is
1:04
going to move the endotracheal tube position
1:07
and you want to be able to interpret that in context.
Report
Faculty
Jamlik-Omari Johnson, MD, FASER
Chair, Department of Radiology
University of Southern California
Tags
Trauma
Pleural
Neoplastic
Lungs
Iatrogenic
Emergency
Chest
CT
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