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xivForeword

nograms and nuclear-medicine studies are still commonly evaluated by the on-call resident. Using sonography’s various modes can be particularly time consuming to perform and challenging to interpret.

Quite clearly, the relatively young sub-specialty of emergency radiology requires diagnostic competence across many mo-dalities and covers a broad range of trau-matic and nontraumatic pathology. In addition, there are steadily increasing requirements for prompt interpretation of imaging studies to address rapidly pro-gressive and immediately life-threatening illnesses. Greater demands to perform fast and accurate triage, decrease expenses and waiting times, and maintain open beds in the ED require ever-faster study interpre-tation. There is not much time for reflect-ing upon one’s report.

In writing Emergency Imaging: A Practi-cal Guide, Dr. Alexander Baxter, assistant professor of radiology at New York Univer-sity, had the radiology resident, preparing to cover the ED, in mind. The book he has written encompasses a wide variety of pa-thologies that are likely to be seen in the ED, emphasizing fundamental approaches to interpretation and providing well-estab-lished, useful information about a particu-lar condition. Dr. Baxter has a true passion for teaching and is exceptionally good at it. His knowledge of emergency radiol-ogy is extensive, given his long clinical and academic experience at a busy emergency-trauma center. He is a master at both how to teach eectively and what to teach to give the medical student, radiology resi-dent, and more seasoned radiologist what they need to build or reinforce their basic understanding of the subject and to create a foundation for more advanced learning.

The book attains this goal with a smooth-flowing, consistent literary style. Each chapter starts with a general review of pertinent anatomy, a checklist of struc-

tures to focus on in an initial survey, study indications, protocols (mainly CT), special details of anatomy, clinical presentations, imaging correlation, and—for some enti-ties—basic treatment. The book succinctly covers considerable ground, describes the important items one must recognize in or-der to construct a reasonable dierential diagnosis, and provides excellent images that clearly illustrate the diagnosis under consideration.

Emergency Imaging: A Practical Guide fills a vital niche in preparing trainees for their entry into the demanding environ-ment of emergency imaging and provides a solid foundation for acquiring more de-tailed knowledge and a deeper understand-ing of the subject. This book also serves as a refresher course for more experienced radiologists to renew their acquaintance with less commonly encountered emer-gency conditions and to pick up current in-formation pertinent to the field. This book would also be very useful to emergency medicine residents and intrepid medical students. The authorship of Emergency Im-aging: A Practical Guideis a one-man show and so required tremendous time and fo-cus. Dr. Baxter is to be congratulated for recognizing the need for this book and for his dedication to teaching. His book is the ideal starting point for learning emergency radiology. It will help residents swim con-fidently before jumping into the deep—possibly shark-infested—waters of the ER reading room.

Stuart E. Mirvis, MD, FACR

Professor of Radiology Department of Radiology and

Nuclear Medicine University of Maryland

School of Medicine Past President of the American Society of Emergency Radiology

Baltimore, Maryland