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We've been using focused MRI during the day when Peds Rad is available, and we don't feel sedation is necessary. Unfortunately, we've been unable to get adult Rad to read Peds appy MRI's in a timely fashion.
The use has been a major patient satisfier. 
Niel
Rutgers

Sent from my iPhone

> On Jun 29, 2017, at 2:19 PM, Maureen McCollough <[log in to unmask]> wrote:
> 
> One place I work has been using MRI on kids since 2012 for r/o appy when
> the utz is equivocal and the doc is still worried.  >3yrs old.  sedation
> usually not needed.  limited scan to just RLQ.  few minutes MRI time.
> works well.  avoids CT.  :)
> 
> Maureen
> 
> On Thu, Jun 29, 2017 at 9:54 AM, trzim29 <
> [log in to unmask]> wrote:
> 
>> I get the data on the MRI...But do you have open MRI?Are you not running
>> into issues with getting kids into the MRI machine?Are you sedating these
>> kids?Trying to rap my hands around this one.We have been utilizing non oral
>> contrast ct for quite some time and I cant remember one bad outcome.With
>> saying that, I maybe have done 1 or 2 abdominal CT scans in the past year
>> or two looking for appendicitis and thatcus is only if there is something
>> atypical on the history...History and physical exam with a tincture of wbc
>> and crp for me.Equivocal gets placed in obs or gets timed follow up with
>> pcp or back in the er in some atypical cases.US, I do, but honestly,
>> thinking more and more it is a waste...sort of...
>> Todd Z
>> 
>> 
>> Sent from my Verizon, Samsung Galaxy smartphone
>> -------- Original message --------From: Niel Miele <[log in to unmask]>
>> Date: 6/29/17  7:25 AM  (GMT-06:00) To: [log in to unmask]
>> Subject: Re: not using oral contrast
>> Easy answer. Emergent MRI approved. :-)
>> Niel
>> Rutgers
>> 
>> Sent from my iPhone
>> 
>>>> On Jun 28, 2017, at 5:23 PM, Mayer, Thom <[log in to unmask]>
>>> wrote:
>>> 
>>> Friends,
>>> 
>>> Don't you wonder what these radiologists would do if it was their kid?
>>> 
>>> Just a thought...
>>> 
>>> Best
>>> 
>>> Thom
>>> Thom Mayer MD
>>> 
>>> Sent from my iPhone
>>> 
>>>> On Jun 28, 2017, at 9:33 PM, Rick Place <[log in to unmask]> wrote:
>>>> 
>>>> We have not been able to completely convince the radiologists to abandon
>>>> oral contract here. Partially.
>>>> 
>>>> We can on males who are above a certain BMI. The feeling is that skinny
>>>> people don't have much adipose tissue and stranding might not be seen.
>>>> 
>>>> They are reluctant to abandon this in kids.
>>>> 
>>>> There is solid adult data supporting this. Is there strong literature
>>>> supporting expanding this change to pediatrics?
>>>> 
>>>> Rick
>>>> Fairfax
>>>> 
>>>> On Wed, Jun 28, 2017 at 2:04 PM, Maureen McCollough <
>>>> [log in to unmask]> wrote:
>>>> 
>>>>> Hi all,
>>>>> I am having difficulty getting oral contrast removed from pediatric
>>>>> patients needing abd/pelvic CT scans in the ED.  I know many
>> institutions
>>>>> have abandoned it for ED patients both adult and kids.  I work at one
>> place
>>>>> and am associated with another place that both have abandoned oral
>>>>> contrast, and another one that hasn't yet.
>>>>> 
>>>>> I am wondering if folks who have protocols that no longer include oral
>>>>> contrast, address this issue, etc could send them to me off-line.
>>>>> 
>>>>> thanks!!
>>>>> Maureen McCollough
>>>>> 
>>>>> For more information, send mail to [log in to unmask] with
>> the
>>>>> message: info PED-EM-L
>>>>> The URL for the PED-EM-L Web Page is:
>>>>>               http://listserv.brown.edu/ped-em-l.html
>>>> 
>>>> For more information, send mail to [log in to unmask] with
>> the message: info PED-EM-L
>>>> The URL for the PED-EM-L Web Page is:
>>>>               http://listserv.brown.edu/ped-em-l.html
>>> 
>>> For more information, send mail to [log in to unmask] with the
>> message: info PED-EM-L
>>> The URL for the PED-EM-L Web Page is:
>>>                http://listserv.brown.edu/ped-em-l.html
>> 
>> For more information, send mail to [log in to unmask] with the
>> message: info PED-EM-L
>> The URL for the PED-EM-L Web Page is:
>>                 http://listserv.brown.edu/ped-em-l.html
>> 
>> 
>> For more information, send mail to [log in to unmask] with the
>> message: info PED-EM-L
>> The URL for the PED-EM-L Web Page is:
>>                 http://listserv.brown.edu/ped-em-l.html
> 
> For more information, send mail to [log in to unmask] with the message: info PED-EM-L
> The URL for the PED-EM-L Web Page is:
>                 http://listserv.brown.edu/ped-em-l.html

For more information, send mail to [log in to unmask] with the message: info PED-EM-L
The URL for the PED-EM-L Web Page is:
                 http://listserv.brown.edu/ped-em-l.html