Scholars@Duke
Joshua Seth Broder

Joshua Seth Broder

Professor of Emergency Medicine
Emergency Medicine
joshua.broder@duke.edu
Box 3096 Med Ctr, Durham, NC 27710
2301 Erwin Rd., Duke N. 2nd FL Emerg. Dept., Suite 2600, Room 2606, Durham, NC 27710

Selected Publications

Accuracy and Feasibility of Three-Dimensional Ultrasound Testing in Eye Clinic and Emergency Department Patients with Vision Complaints.

Journal Article J Emerg Med · February 2024 BACKGROUND: Ocular emergencies comprise 2-3% of emergency department (ED) visits, with retinal detachment requiring emergency surgery. Two-dimensional ultrasound is a rapid bedside tool but is highly operator dependent. OBJECTIVE: We determined three-dimen ... Full text Link to item Cite

Depression and anxiety screening in emergency department patients with recurrent abdominal pain: An evidence synthesis for a clinical practice guideline.

Journal Article Acad Emerg Med · May 2022 BACKGROUND: Recurrent abdominal pain in the emergency department (ED) might represent an opportunity for screening of depression and/or anxiety. METHODS: We systematically searched five databases for studies evaluating the effect of screening for depressio ... Full text Link to item Cite

Repeat computed tomography in recurrent abdominal pain: An evidence synthesis for guidelines for reasonable and appropriate care in the emergency department.

Journal Article Acad Emerg Med · May 2022 OBJECTIVE: Computed tomography (CT) imaging is frequently obtained for recurrent abdominal pain after a prior emergency department (ED) evaluation. We evaluate the utility of repeat CT imaging following an indeterminate index CT in low-risk abdominal pain ... Full text Link to item Cite

Guidelines for Reasonable and Appropriate Care in the Emergency Department 2 (GRACE-2): Low-risk, recurrent abdominal pain in the emergency department.

Journal Article Acad Emerg Med · May 2022 This second Guideline for Reasonable and Appropriate Care in the Emergency Department (GRACE-2) from the Society for Academic Emergency Medicine is on the topic "low-risk, recurrent abdominal pain in the emergency department." The multidisciplinary guideli ... Full text Link to item Cite

A prospective blinded comparison of second trimester fetal measurements by expert and novice readers using low-cost novice-acquired 3D volumetric ultrasound.

Journal Article J Matern Fetal Neonatal Med · June 2021 RATIONALE AND OBJECTIVES: Two-dimensional (2D) ultrasound (US) is operator dependent, requiring operator skill and experience to selectively identify and record planes of interest for subsequent interpretation. This limits the utility of US in settings in ... Full text Link to item Cite

ACR Appropriateness Criteria® Head Trauma: 2021 Update.

Journal Article J Am Coll Radiol · May 2021 Head trauma (ie, head injury) is a significant public health concern and is a leading cause of morbidity and mortality in children and young adults. Neuroimaging plays an important role in the management of head and brain injury, which can be separated int ... Full text Link to item Cite

Infant With Abdominal Fullness.

Journal Article Ann Emerg Med · May 2020 Full text Open Access Link to item Cite

ACR Appropriateness Criteria® Seizures and Epilepsy.

Journal Article J Am Coll Radiol · May 2020 Seizures and epilepsy are a set of conditions that can be challenging to diagnose, treat, and manage. This document summarizes recommendations for imaging in different clinical scenarios for a patient presenting with seizures and epilepsy. MRI of the brain ... Full text Link to item Cite

Pigtail Catheter Insertion Error: Root Cause Analysis and Recommendations for Patient Safety.

Journal Article J Emerg Med · March 2020 BACKGROUND: Small-caliber chest tubes are used to treat pneumothorax and pleural fluid collections. Although commonly considered a less invasive alternative to large-caliber thoracostomy tubes, small-caliber tubes have a high complication rate. Emergency p ... Full text Link to item Cite

Duplicated or Ectopic Renal Collecting System in Two Adult Emergency Department Patients.

Journal Article J Emerg Med · February 2020 BACKGROUND: Duplicated renal collecting system is a urological anomaly often found in pediatric patients. It is less commonly diagnosed in adulthood, particularly in a pregnant patient. Many point-of-care ultrasonography users may not be aware of this diag ... Full text Open Access Link to item Cite

ACR Appropriateness Criteria® Acute Mental Status Change, Delirium, and New Onset Psychosis.

Journal Article J Am Coll Radiol · May 2019 Acute changes in mental status represent a broad collection of symptoms used to describe disorders in mentation and level of arousal, including the more narrowly defined diagnoses of delirium and psychosis. A wide range of precipitating factors may be resp ... Full text Link to item Cite

ACR Appropriateness Criteria® Suspected Spine Trauma.

Journal Article J Am Coll Radiol · May 2019 Injuries to the cervical and thoracolumbar spine are commonly encountered in trauma patients presenting for treatment. Cervical spine injuries occur in 3% to 4% and thoracolumbar fractures in 4% to 7% of blunt trauma patients presenting to the emergency de ... Full text Link to item Cite

An Overview of the Allopathic Match.

Journal Article J Emerg Med · April 2019 The number of allopathic emergency medicine (EM) programs has been progressively increasing over the years. In 2018, allopathic EM postgraduate year-1 spots, compared with 2012, increased by around 60% to reach 2278 positions. EM is considered a competitiv ... Full text Link to item Cite

Versatile Low-Cost Volumetric 3-D Ultrasound Platform for Existing Clinical 2-D Systems.

Journal Article IEEE Trans Med Imaging · October 2018 Ultrasound imaging has indications across many areas of medicine, but the need for training and the variability in skill and acquired image quality among 2-D ultrasound users have limited its wider adoption and utilization. Low-cost volumetric ultrasound w ... Full text Link to item Cite

Toxic megacolon due to severe Clostridium difficile colitis

Journal Article Visual Journal of Emergency Medicine · October 1, 2018 Full text Cite

Spontaneous spinal epidural hematoma (SSEH): A rare cause of spinal cord compression

Journal Article Visual Journal of Emergency Medicine · July 1, 2018 Full text Open Access Cite

Transvenous pacemaker placement: left lateral decubitus position and wireless digital radiography.

Journal Article Am J Emerg Med · March 2018 A patient presented with symptomatic third degree atrioventricular block requiring emergency transvenous pacemaker placement. During the procedure, wireless digital radiographs tracked the position of the pacemaker electrode, which repeatedly missed the ta ... Full text Link to item Cite

Viridans streptococci Intracranial Abscess Masquerading as Metastatic Disease

Journal Article Journal of Education and Teaching in Emergency Medicine · January 15, 2018 Link to item Cite

Low-cost Volumetric Ultrasound by Augmentation of 2D Systems: Design and Prototype.

Journal Article Ultrason Imaging · January 2018 Conventional two-dimensional (2D) ultrasound imaging is a powerful diagnostic tool in the hands of an experienced user, yet 2D ultrasound remains clinically underutilized and inherently incomplete, with output being very operator dependent. Volumetric ultr ... Full text Link to item Cite

Bedside ultrasound used to diagnose infective endocarditis in undifferentiated shock

Journal Article Visual Journal of Emergency Medicine · January 1, 2018 Full text Cite

Notice of Removal: Low-cost 3D ultrasound with any probe: A sensor-based approach

Conference IEEE International Ultrasonics Symposium, IUS · October 31, 2017 Volumetric 3D ultrasound captures a region of interest more completely than cross-sectional 2D imaging, but 3D implementation has been limited. Mechanical wobbler and matrix-array probes can do 3D imaging, but these probes tend to be bulky and/or expensive ... Full text Cite

Notice of Removal: Low cost 3D Doppler ultrasound: Preliminary in vivo results

Conference IEEE International Ultrasonics Symposium, IUS · October 31, 2017 Conventional 2D Doppler ultrasound is a valuable screening tool for early detection of cardiovascular disease, including aneurysm of the abdominal aorta (AA) and stenosis of the carotid artery (CA). However, vascular ultrasound screening rates remain low a ... Full text Cite

Practices and attitudes towards radiation risk disclosure for computed tomography: survey of emergency medicine residency program directors.

Journal Article Emerg Radiol · October 2017 PURPOSE: The purposes of this study were to evaluate the frequency with which emergency physicians involved in residency leadership disclose potential malignancy risks from computed tomography (CT), assess comfort with these discussions, and evaluate facto ... Full text Link to item Cite

A three year-old male with abdominal pain

Journal Article Visual Journal of Emergency Medicine · October 1, 2017 Full text Cite

394 Brain Imaging Using a Novel Three-Dimensional Ultrasound System

Conference Annals of Emergency Medicine · October 2017 Full text Cite

Boy With Fever and Cough.

Journal Article Ann Emerg Med · September 2017 Full text Link to item Cite

Shared Decision Making to Improve the Emergency Care of Older Adults: A Research Agenda.

Journal Article Acad Emerg Med · December 2016 Older emergency department patients have high rates of serious illness and injury, are at high risk for side effects and adverse events from treatments and diagnostic tests, and in many cases, have nuanced goals of care in which pursuing the most aggressiv ... Full text Link to item Cite

Who explicitly requests the ordering of computed tomography for emergency department patients? A multicenter prospective study.

Journal Article Emerg Radiol · June 2016 Emergency department (ED) computed tomography (CT) use has increased substantially in recent years, resulting in increased radiation exposure for patients. Few studies have assessed which parties contribute to CT ordering in the ED. The objective of this s ... Full text Link to item Cite

ACR Appropriateness Criteria Head Trauma.

Journal Article J Am Coll Radiol · June 2016 Neuroimaging plays an important role in the management of head trauma. Several guidelines have been published for identifying which patients can avoid neuroimaging. Noncontrast head CT is the most appropriate initial examination in patients with minor or m ... Full text Link to item Cite

Heimlich valve orientation error leading to radiographic tension pneumothorax: analysis of an error and a call for education, device redesign and regulatory action.

Journal Article Emerg Med J · April 2016 Medical errors are commonly multifactorial, with adverse clinical consequences often requiring the simultaneous failure of a series of protective layers, termed the Swiss Cheese model. Remedying and preventing future medical errors requires a series of ste ... Full text Link to item Cite

Versatile, Reusable, and Inexpensive Ultrasound Phantom Procedural Trainers.

Journal Article J Ultrasound Med · April 2016 We have constructed simple and inexpensive models for ultrasound-guided procedural training using synthetic ballistic gelatin. These models are durable, leak resistant, and able to be shaped to fit a variety of simulation scenarios to teach procedures. The ... Full text Link to item Cite

Man With Sharp Periumbilical Pain.

Journal Article Ann Emerg Med · April 2016 Full text Link to item Cite

Comparative Effectiveness Research: Alternatives to "Traditional" Computed Tomography Use in the Acute Care Setting.

Conference Acad Emerg Med · December 2015 Computed tomography (CT) scanning is an essential diagnostic tool and has revolutionized care of patients in the acute care setting. However, there is widespread agreement that overutilization of CT, where benefits do not exceed possible costs or harms, is ... Full text Link to item Cite

Predictors of a Top Performer During Emergency Medicine Residency.

Journal Article J Emerg Med · October 2015 BACKGROUND: Emergency Medicine (EM) residency program directors and faculty spend significant time and effort creating a residency rank list. To date, however, there have been few studies to assist program directors in determining which pre-residency varia ... Full text Link to item Cite

Cost-effective, Reusable, Leak-resistant Ultrasound-guided Vascular Access Trainer.

Journal Article J Emerg Med · September 2015 BACKGROUND: Ultrasound guidance for insertion of a peripheral venous catheter is becoming common practice in many emergency departments in the difficult-to-access patient, and simulation has become an important tool for health care practitioners to learn t ... Full text Link to item Cite

Content and style of radiation risk communication for pediatric patients.

Journal Article J Am Coll Radiol · March 2014 Featured Publication The diagnostic benefits of medical imaging, including CT, must be weighed against the risks of ionizing radiation and communicated effectively to patients. Health care providers requesting and performing these examinations have a shared responsibility for ... Full text Link to item Cite

Improving the application of imaging clinical decision support tools: making the complex simple.

Journal Article J Am Coll Radiol · March 2014 Featured Publication With the promotion and incentivization of electronic health records and computerized order entry by CMS, there is a unique opportunity to catalyze the use of evidence-based guidelines with the inclusion of clinical decision support (CDS) tools. Imaging CDS ... Full text Link to item Cite

With "big data" comes big responsibility: outreach to North Carolina Medicaid patients with 10 or more computed tomography scans in 12 months.

Journal Article N C Med J · 2014 BACKGROUND: Patients are being exposed to increasing levels of ionizing radiation, much of it from computed tomography (CT) scans. METHODS: Adults without a cancer diagnosis who received 10 or more CT scans in 2010 were identified from North Carolina Medic ... Link to item Cite

Acute aortic emergencies--part 2: aortic dissections.

Journal Article Adv Emerg Nurs J · 2013 Featured Publication Patients with aortic disease are some of the highest acuity patients that emergency clinicians encounter. Dissection is the most common aortic catastrophe and involves separation of the aortic layers in a longitudinal fashion leading to diminished perfusio ... Full text Link to item Cite

The Computer as a Teaching Tool

Chapter · September 23, 2012 Featured Publication Full text Cite

Acute aortic emergencies--part 1: aortic aneurysms.

Journal Article Adv Emerg Nurs J · 2012 Featured Publication This article is a 2-part series about patients with aortic emergencies. Patients with acute aortic disease who present to the emergency department represent some of the highest acuity patients that emergency clinicians will ever encounter in acute care set ... Full text Link to item Cite

Diagnostic imaging for the emergency physician: Expert consult - online and print

Book · July 7, 2011 Diagnostic Imaging for the Emergency Physician, written and edited by a practicing emergency physician for emergency physicians, takes a step-by-step approach to the selection and interpretation of commonly ordered diagnostic imaging tests. Dr. Joshua Brod ... Full text Cite

Imaging the head and brain

Chapter · July 7, 2011 Full text Cite

Imaging the extremities

Chapter · July 7, 2011 Full text Cite

Imaging chest trauma

Chapter · July 7, 2011 Full text Cite

Imaging the face

Chapter · July 7, 2011 Full text Cite

Preface

Book · July 7, 2011 Full text Cite

Imaging Abdominal Vascular Catastrophes

Chapter · 2011 Featured Publication Full text Cite

Imaging Chest Trauma

Chapter · 2011 Featured Publication Full text Cite

Imaging of Nontraumatic Abdominal Conditions

Chapter · 2011 Featured Publication Full text Cite

Cardiac Computed Tomography

Chapter · 2011 Featured Publication Full text Cite

Diagnostic Imaging for the Emergency Physician

Book · 2011 Featured Publication Diagnostic Imaging for the Emergency Physician, written and edited by a practicing emergency physician for emergency physicians, takes a step-by-step approach to the selection and interpretation of commonly ordered diagnostic imaging tests. Dr. Joshua Brod ... Cite

Imaging the Head and Brain

Chapter · 2011 Featured Publication Full text Cite

Imaging the Extremities

Chapter · 2011 Featured Publication Full text Cite

Preface

Chapter · 2011 Featured Publication Full text Cite

Imaging the Genitourinary Tract

Chapter · 2011 Featured Publication Full text Cite

Imaging Soft Tissues of the Neck

Chapter · 2011 Featured Publication Full text Cite

Online Chapter 8 Cardiac Computed Tomography

Chapter · 2011 Featured Publication Full text Cite

Imaging the Face

Chapter · 2011 Featured Publication Full text Cite

Imaging of the Pelvis and Hip

Chapter · 2011 Featured Publication Full text Cite

Imaging Abdominal and Flank Trauma

Chapter · 2011 Featured Publication Full text Cite

Imaging the Chest: The Chest Radiograph

Chapter · 2011 Featured Publication Full text Cite

Head computed tomography interpretation in trauma: a primer.

Journal Article Psychiatr Clin North Am · December 2010 Featured Publication Noncontrast computed tomography (CT) provides important diagnostic information for patients with traumatic brain injury. A systematic approach to image interpretation optimizes detection of pathologic air, fractures, hemorrhagic lesions, brain parenchymal ... Full text Link to item Cite

Prospective double-blinded study of abdominal-pelvic computed tomography guided by the region of tenderness: estimation of detection of acute pathology and radiation exposure reduction.

Journal Article Ann Emerg Med · August 2010 Featured Publication STUDY OBJECTIVE: Computed tomography (CT) is increasingly used for emergency department (ED) patients with abdominal tenderness. CT-related radiation contributes to 2% of US cancers. We hypothesized that in the ED patient with nontraumatic abdominal tender ... Full text Link to item Cite

Emergency Department Contrast Practices for Abdominal/Pelvic CT: A National Survey

Conference ANNALS OF EMERGENCY MEDICINE · 2010 Featured Publication Full text Cite

The Computer as a Teaching Tool

Chapter · March 4, 2009 Featured Publication Full text Cite

CT utilization: the emergency department perspective.

Journal Article Pediatr Radiol · November 2008 Featured Publication CT scan utilization in the pediatric emergency department (ED) has dramatically increased in recent years. This likely reflects the improved diagnostic capability of CT, as well as its wider availability. However, the utility of CT is tempered by the high ... Full text Link to item Cite

Evaluation and Management of the Patient with Neck Pain

Chapter · January 14, 2008 Featured Publication Full text Cite

Increasing utilization of computed tomography in the pediatric emergency department, 2000-2006.

Journal Article Emerg Radiol · September 2007 Featured Publication The objective of this study is to characterize changes in computed tomography (CT) utilization in the pediatric emergency department (ED) over a 6-year period. CT scans ordered on pediatric (ages 0 to 17 years) ED patients from July 2000 to July 2006 were ... Full text Link to item Cite

Cumulative CT exposures in emergency department patients evaluated for suspected renal colic.

Journal Article J Emerg Med · August 2007 Featured Publication Computed tomography (CT) is the diagnostic standard in Emergency Department evaluation of suspected renal colic but delivers substantial radiation. We determined the frequency of CT scan in suspected renal colic, diagnosis and outcome, and cumulative CT sc ... Full text Link to item Cite

Back pain in the elderly.

Journal Article Clin Geriatr Med · May 2007 Featured Publication Back pain in the elderly is a complex chief complaint, because numerous life-threatening or disabling conditions may present with signs and symptoms similar to those of more benign disease processes. An understanding of the limitations of physical examinat ... Full text Link to item Cite

Abdominal vascular emergencies: A unified approach

Journal Article Emergency Medicine · 2007 Featured Publication The presentation may be vague, but one thing is clear: diagnosis and treatment must be swift or the patient will probably die. The author explores the evidence basis for the history and physical examination and presents a diagnostic algorithm that applies ... Cite

Increasing utilization of computed tomography in the adult emergency department, 2000-2005.

Journal Article Emerg Radiol · October 2006 Featured Publication This study aims to characterize changes in computed tomography (CT) utilization in the adult emergency department (ED) over a 5-year period. CT scans ordered on adult ED patients from July 2000 to July 2005 were analyzed in five groups: head, cervical spin ... Full text Link to item Cite

Injuries from the 2002 North Carolina ice storm, and strategies for prevention.

Journal Article Injury · January 2005 Featured Publication CONTEXT: In 2002, an ice storm interrupted power to 1.3 million households in North Carolina, USA. Previous reports described storm injuries in regions with frequent winter weather. [Blindauer KM, Rubin C, Morse DL, McGeehin M. The 1996 New York blizzard: ... Full text Link to item Cite

Low risk of infection in selected human bites treated without antibiotics.

Journal Article Am J Emerg Med · January 2004 Featured Publication To assess the need for antibiotics in low-risk human bite wounds, a prospective, double-blind, placebo-controlled study involving 127 patients presenting with low-risk human bite wounds over 2 years to a 40,000 visit per year major academic ED was performe ... Full text Link to item Cite

Malaria: a rising incidence in the United States.

Journal Article J Emerg Med · July 2002 Featured Publication Malaria is frequently a deadly disease, particularly in tropical countries of the world where this protozoan infection is endemic. While physicians in tropical countries are familiar with the presentation, those who do not practice in endemic regions of th ... Full text Link to item Cite