Evidence-based practice: best imaging practice in musculoskeletal disorders

Area of Science:

• Emergency Medicine
• Musculoskeletal Imaging
• Clinical Decision-Making

Background:

• Musculoskeletal disorders are a frequent reason for emergency department (ED) visits in the US.
• Accurate triage and imaging selection are crucial for effective patient management.
• Inappropriate imaging contributes to increased healthcare costs and radiation exposure.

Purpose of the Study:

• To review evidence-based literature on musculoskeletal imaging in the ED.
• To provide guidance for nurses and nurse practitioners on imaging decision rules.
• To discuss common musculoskeletal disorders encountered in emergency settings.

Main Methods:

• Systematic review of current evidence-based literature.
• Analysis of epidemiological data for common musculoskeletal disorders.
• Discussion of diagnostic imaging modalities and their appropriate use.

Main Results:

• Guidelines for imaging selection can optimize resource utilization.
• Appropriate imaging reduces unnecessary costs and patient radiation exposure.
• Improved understanding enhances patient throughput in emergency departments.

Conclusions:

• Evidence-based imaging decision rules are essential for emergency department nurses and practitioners.
• Knowledge of these rules supports cost reduction and minimizes radiation risks.
• This review provides a foundation for managing common ED musculoskeletal complaints.