Patients receiving non-ionic contrast about 3% of them will have a reaction, the vast majority of reactions are mild and require no treatment,(1),(2) However about 1 in 1600 (0.06%) of patients receiving contrast will need treatment for the reaction. In a study done in Australia knowledge among doctors was assessed regarding management of contrast reactions and the results showed only 53% were capable of answering the questionnaire(3) which is way below the standards advised by Royal college of Radiology(RCR) of 100%. Our study therefore aimed...

We conducted an audit from 15th November 2017 to 30th November2017 in Darlington Memorial Hospital where we gave 23 doctors who underwent ALS training a 25 questions questionnaire regarding management of contrast reaction to solve, the questionnaire was sourced from the Royal college of radiology UK official website (4) questions were mainly focused on dosages ofmedications (adrenaline, corticosteroid, antihistamines) involved in management of contrast reaction, intravenous volume expansion, cardio‐pulmonary resuscitation and scenario basedmanagement. All the doctors were monitored while filling in the questionnaire to make...

Results: Baseline Audit: Results (Figure 1) showed that none of the doctors were able to score a hundred percent and the average score obtained was 16.34(65.36%) with the lowest score recorded to be 12(48%) and highest score of 21(84%) scored twice , Candidates were mainly struggling to answer questions in relation to vagal reactions and bronchoconstriction. Dosage of the medication in different scenarios apart from anaphylaxis and Cardiac arrest was also answered correctly occasionally. Re-Audit: Our mean score (Figure 2) out of 25 showed a...

Contrast reaction management even though a significantly low risk event(1) still poses a major threat and a severe life-threatening reaction occurs in about 1 in 2500 patients (0.04%)(5). The purpose of this study was to assess and improve the knowledge of doctors regarding different ways a contrast reaction can present and what treatment modalities can be used in different scenarios, our audit has shown that doctors knowledge in relation to contrast reaction management was significantly poor which can mainly be put down to the fact...

1. Ali Ahmed janjua, SHO medicine Darlington memorial Hospital, Darlington E-mail: [email protected] 2. Elizabeth Loney, Consultant Radiology Darlington memorial Hospital Darlington E-mail : [email protected] Darlington Memorial Hospital, Hollyhurst Road, Darlington, DL36Hx Phone : 00441325 380100

1.Bush WH and Lasser EC. In: Pollack HM, McClellan BL (Eds.). Clinical Urography (2nd Ed.). Philadelphia, PA: WB Saunders Co.; 2000:43-66. 2.homsen HS, Morcos SK, Contrast Media Safety Committee of the European Society of Urogenital Radiology. Management of acute adverse reactions to contrast media. Eur Radiol. 2004;14:476-481. Also: www.esur.org/ESUR_Guidelines_New.6.0.html. 3. Bartlett, Murray J., and Michael Bynevelt. "Acute contrast reaction management by radiologists: a local audit study." Australaian radiology 47.4 (2003): 363-367. 4.https://www.rcr.ac.uk/sites/default/files/audit_template/management_of_mild_and_severe_ contrast_medium_questionnaire.docx 5.Bush, William H., and Arthur J. Segal. "Recognition and treatment of acute...