One Night in the ED 17+

As an emergency physician I (attempt) to read CT scans all day, and have been doing so ever since PACS technology arrived. Most of what I know has been gleaned from years of comparing my readings with the final radiologist interpretations. This app may be one of the best educational tools for ED docs to learn abdominopelvic CT interpretation. It has certainly enhanced my skills at reading CTs, and I recommend it to my colleagues as well. There is plenty of material here presented in a progressive manner which builds on previously taught principles. Each CT case allows the user to scroll through the entire axial scan as if using a PACS. The related discussions then contain hyperlinks back to the pertinent image findings. Some suggestions for future improvements.. --the ability to highlight areas of discussion or to take notes while reading, so you can go back to review certain facts. --the ability to zoom the images, since they are sometimes very small on the ipad screen. --a comment section or forum for each case where users can discuss the case or ask questions --proofreading since there are quite a few typos. Congratulations on a great job to the developers-- easily one of my favorite medical apps!

This is an outstanding teaching tool for medical students, residents, and even MDs who want to improve their ability to read CTs on emergency cases. Highly recommended not only for the ease of use, but the excellent teaching content. The quality of the images is superb, the selection of cases is excellent (65 cases at this point), and is a great example of what the ipad can do to improve teaching in medicine. Deserves much wider viewing and use. This was obviously created by someone who loves teaching and has lots of experience and great cases to share. Highly recommended for general surgeons, radiologists, and ED docs. Kudos to Dr. Cornfeld. My only suggestion would be to add a search function in case you wanted to go back to a specific case to show others.

This app is decent. Although I am merely a patient (with Fibromuscular Dysplasia), I usually know well in advance of the radiologist report if I have dissected or progressed with narrowing, beading or another aneurysm. I try never to forget to get a copy of my latest scan before leaving the testing facility. It is easy for an untrained radiologist (or uninformed physician) to categorize FMD beading as 'artifact'. This disease is MUCH MORE COMMON than you think, especially where carotid and vertebral are concerned. Its often too late for many patients by the time they reach the ER. With this in mind, Stroke and carotid dissection can be common presentation of this underlying and misunderstood disease. This is especially true for middle aged women. FMD is not solely a renal issue! Would love to see those scans and discussions added to this app. Additionally, I feel it would be beneficial to add information and arrows indicating trauma area on the actual scan graphics, prior to the discussion. Otherwise, I think you're headed in the right direction. Thank you.