ED IMAGING GUIDELINES & PRACTICE TOOLS

ACR Manual on Contrast Media: https://www.acr.org/Clinical-Resources/Contrast-Manual Contains updated information on the use of IV contrast (iodinated and Gadolinium) in a range of populations, including adults, pediatric patients, pregnant and breastfeeding women, and renal insufficiency. Addresses contrast allergies, infiltration and safe injection.
ACR Practice ToolKit: https://www.acr.org/Practice-Management-Quality-Informatics/Practice-Toolkit Contains information on radiation safety for patients and providers (brochure, reference card) and links to Adult and Pediatric Radiation Safety videos.
Image Wisely: imagewisely.org Contains additional information on radiation safety, such as the radiation dose of various procedures.
American College of Surgeons Trauma Quality Improvement Program Best Practices Guidelines: https://www.facs.org/tqipbestpractices Contains imaging guidelines for the work-up of child, elder and intimate partner abuse.
ACR Appropriateness Criteria for common ED presentations/select populations
- Pulmonary Embolism (eg: CTPA or nuclear scintigraphy in pregnant patients): https://acsearch.acr.org/docs/69404/Narrative/
- Rib Fractures: https://acsearch.acr.org/docs/69450/Narrative/
- Spinal Trauma: https://acsearch.acr.org/docs/69359/Narrative/
- Right lower quadrant pain: https://acsearch.acr.org/docs/69357/Narrative/