When doc­tors should ad­mit they don’t know

The Miracle - - Front Page -

On Nov, 8th, 2017 Van­cou­ver Gen­eral Hos­pi­tal, Univer­sity of Bri­tish Columbia along with the Bri­tish Columbia Ra­di­ol­ogy So­ci­ety (BCRS), Cana­dian As­so­ci­a­tion of Ra­di­ol­o­gists (CAR), Amer­i­can So­ci­ety of Emer­gency Ra­di­ol­ogy, Euro­pean So­ci­ety of Ra­di­ol­ogy (ESR), the Ra­di­o­log­i­cal So­ci­ety of North Amer­ica (RSNA) and the Amer­i­can Col­lege of Ra­di­ol­ogy (ACR) cel­e­brated the sixth In­ter­na­tional Day of Ra­di­ol­ogy (IDoR 2017) with ra­di­o­log­i­cal so­ci­eties all over the world. The In­ter­na­tional Day of Ra­di­ol­ogy is an an­nual event held with the aim of build­ing greater aware­ness of the value that ra­di­ol­ogy adds to the high stan­dard of pa­tient care, and im­prov­ing un­der­stand­ing of the vi­tal role ra­di­ol­o­gists play in the health­care con­tin­uum. Med­i­cal imag­ing is one of the most ex­cit­ing and pro­gres­sive dis­ci­plines in health­care and a field of great ac­tiv­ity in terms of tech­no­log­i­cal and bi­o­log­i­cal ad­vances. X-rays, CT scans, MRI scans, ul­tra­sound and nu­mer­ous other med­i­cal imag­ing tech­nolo­gies, as well as the eye-catch­ing im­ages as­so­ci­ated with them, are known to many peo­ple, but the ex­act pur­pose and value of th­ese ser­vices is not widely un­der­stood. Novem­ber 8, the day that Wil­helm Con­rad Rönt­gen dis­cov­ered the ex­is­tence of x-rays in 1895, was there­fore cho­sen as a day of ac­tion and aware­ness. We as­pire to alert the world to the stun­ning med­i­cal, sci­en­tific and even artis­tic pos­si­bil­i­ties of med­i­cal imag­ing, the es­sen­tial role of the ra­di­ol­o­gist as a part of the health­care team in count­less med­i­cal sce­nar­ios, and the high ed­u­ca­tional and pro­fes­sional stan­dards re­quired of all staff work­ing in med­i­cal imag­ing. Emer­gency Ra­di­ol­ogy (ER) has been cho­sen as the main theme of this day, to high­light the es­sen­tial role that ra­di­ol­o­gists play in emer­gency room, in­creas­ing the qual­ity of care and treat­ment of pa­tients in need of ur­gent care. ER is a sub-spe­cial­ity within med­i­cal imag­ing which con­tin­ues to gain sig­nif­i­cance glob­ally. Emer­gen­cies con­sti­tute a sub­stan­tial por­tion of ra­di­o­log­i­cal cases and re­quire ef­fi­cient and ef­fec­tive han­dling with cor­rect di­ag­noses and de­ci­sions in a timely man­ner. In the ma­jor­ity of hos­pi­tals to­day ra­di­ol­o­gists are in­te­gral mem­bers of the emer­gency unit and are in charge of se­quenc­ing, pri­ori­ti­sa­tion and man­age­ment of imag­ing ser­vices. Wher­ever this is the case, the out­come is im­pres­sive; not only is trauma imag­ing im­proved, with re­sult­ing lower mor­bid­ity and mor­tal­ity, but all emer­gency pa­tients ben­e­fit from the closer re­la­tion­ship be­tween ra­di­ol­o­gists and the acute care ser­vices (Emer­gency depart­ment, Trauma team, Stroke team). ER is well es­tab­lished at Van­cou­ver Gen­eral Hos­pi­tal, Univer­sity of Bri­tish Columbia, with our depart­ment is a pi­o­neer­ing site in the de­vel­op­ment and ad­vance­ment of the spe­cialty. The ER depart­ment is the first 24/7/365 ra­di­ol­ogy ser­vice in Canada and one of only a hand­ful of sites in the world to of­fer this ser­vice. This has a sig­nif­i­cant im­pact on pa­tient care, with all pa­tients be­ing pro­vided with rapid and equal ac­cess to med­i­cal imag­ing re­gard­less of the time they present to the ER, min­imis­ing the de­lay to di­ag­no­sis, treat­ment or dis­charge. The depart­ment also fa­cil­i­tates ac­cess to imag­ing for pa­tients across the prov­ince 24/7, with this rapid de­liv­ery of imag­ing and di­rected care con­tribut­ing to sav­ing the lives and im­proved pa­tient turn around time thus al­le­viat- ing ED crowd­ing and pres­sure on hos­pi­tal care. VGH serves one of the busiest Level 1 trauma ac­cred­ited ED in North Amer­ica. Our ER ser­vice pro­vides imag­ing ex­cel­lence in trauma, acute care, car­diac care and stroke imag­ing. The ER team at VGH con­tin­ues to pub­lish an ex­ten­sive vol­ume of orig­i­nal re­search in all dis­ci­plines. The ra­di­ol­ogy staff and fel­lows con­tinue to make im­pact­ful con­tri­bu­tions at in­ter­na­tional con­fer­ences. The ER fel­low­ship at UBC/VGH is the largest pro­gram of its kind in the world with fel­lows hail­ing from coun­tries all over the world in­clud­ing In­dia, Pak­istan, Eng­land, Ire­land, Saudi Ara­bia, United Ara­bic Emi­rates, Ire­land, Aus­tralia, Bahrain, the Nether­lands. The goal of the Emer­gency and Trauma Fel­low­ship is to pro­vide trainees with a broad based ex­pe­ri­ence in Trauma and Acute Care Imag­ing. Past trainees of ER VGH have repli­cated the VGH ER model with great suc­cess all over the world. ER at VGH is pa­tient and in­no­va­tion cen­tred and has pi­o­neered CT imag­ing pro­to­cols such as the Rapid Imag­ing Pro­to­col In Trauma (RIPIT), the use of car­diac CT in the eval­u­a­tion of acute ch­est pain and the use of pelvic MRI in as­sess­ment for acute ap­pen­dici­tis. Imag­ing in­for­mat­ics in­no­va­tions in ER in­clude vis­ual con­trol so­lu­tions for or­der man­age­ment, tech­nol­o­gist over­sight, re­sults track­ing and award-win­ning real-time ra­di­a­tion dose mon­i­tor­ing so­lu­tion. The Emer­gency Ra­di­ol­ogy Staff team at VGH com­prises:

Dr. Sav­vas Ni­co­laou, Dr. Luck Louis, Dr. Pa­trick McLaugh­lin, Dr. Faisal Khosa http://emer­gen­cyra­di­ol­ogy.ca/meet-the-team/ To find out more about the UBC/VGH ER please visit http://emer­gen­cyra­di­ol­ogy.ca.

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