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Implications of iodinated contrast media extravasation in the Emergency Department

The American Journal of Emergency Medicine Nov 12, 2017

Sonis JD, et al. - This study was designed to delineate the management, outcomes, and Emergency Department (ED) length of stay (LOS) following iodinated contrast media extravasation events in the ED. For contrast extravasation events in the ED without concerning symptoms (progressive pain/swelling, altered tissue perfusion, sensory changes, or blistering/ulceration), close observation and supportive care seemed sufficient. In the absence of these symptoms, routine surgical consultation seemed unnecessary (concordant with the current American College of Radiology guidelines) and could be associated with longer ED LOS without impacting management.
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