The practice of emergency radiology throughout Europe: a survey from the European Society of Emergency Radiology on volu
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EMERGENCY RADIOLOGY
The practice of emergency radiology throughout Europe: a survey from the European Society of Emergency Radiology on volume, staffing, equipment, and scheduling Mariano Scaglione 1,2,3 & Raffaella Basilico 4 & Andrea Delli Pizzi 4 & Francesca Iacobellis 5 & Elizabeth Dick 6 & Stefan Wirth 7 & Ulrich Linsenmaier 8 & Cem Calli 9 & Ferco H. Berger 10 & Koenraad H. Nieboer 11 & Ana Blanco Barrio 12 & Maureen Dumba 6 & Roberto Grassi 13 & Katarzyna Katulska 14 & Gerd Schueller 15 & Micheal N. Patlas 16 & Andrea Laghi 17 & Mario Muto 18 & Refky Nicola 19 & Marc Zins 20 & Vittorio Miele 21 & Richard Hartley 1,2 & Douglas S Katz 22 & Lorenzo Derchi 23,24 Received: 7 July 2020 / Revised: 2 October 2020 / Accepted: 15 October 2020 # European Society of Radiology 2020
Abstract Objectives To obtain information from radiology departments throughout Europe regarding the practice of emergency radiology Methods A survey which comprised of 24 questions was developed and made available online. The questionnaire was sent to 1097 chairs of radiology departments throughout Europe using the ESR database. All data were collected and analyzed using IBM SPSS Statistics software, version 20 (IBM). Results A total of 1097 radiologists were asked to participate, 109 responded to our survey. The response rate was 10%. From our survey, 71.6% of the hospitals had more than 500 beds. Ninety-eight percent of hospitals have an active teaching affiliation. In large trauma centers, emergency radiology was considered a dedicated section. Fifty-three percent of institutions have dedicated emergency radiology sections. Less than 30% had all imaging modalities available. Seventy-nine percent of institutions have 24/ 7 coverage by staff radiologists. Emergency radiologists interpret cross-sectional body imaging, US scans, and basic CT/MRI neuroimaging in more than 50% of responding institutions. Cardiac imaging examinations/procedures are usually performed by cardiologist in 53% of institutions, while non-cardiac vascular procedures are largely performed and interpreted by interventional radiologists. Most people consider the European Diploma in Emergency Radiology an essential tool to advance the education and the dissemination of information within the specialty of emergency radiology. Conclusion Emergency radiologists have an active role in the emergency medical team. Indeed, based upon our survey, they have to interact with emergency physicians and surgeons in the management of critically ill patients. A broad skillset from ultrasonography and basic neuroimaging is required. Key Points • At most major trauma centers in Europe, emergency imaging is currently performed by all radiologists in specific units who are designated in the emergency department. • Radiologists in the emergency section at present have a broad skillset, which includes cross-sectional body imaging, ultrasonography, and basic neuroimaging of the brain and spine. • A dedicated curriculum that certifies a subspecialty in emergency radiology with a diploma offered
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