Contrast Reaction: Now What Do I Do?

There are few clinical situations in most radiology practices or departments that require immediate medical intervention from a radiologist. The management of an adverse contrast reaction is one such situation. Some radiologists feel ill- prepared as "first responders" managing the first few critical minutes of life-threatening reactions until the rapid response team can arrive and take over caring for the patient.

This online course will present 14 clinical scenarios across two modules to better prepare radiologists in identifying and managing severe contrast reactions until the necessary clinical help arrives. 

Earn credit at your own pace through June 28, 2021 and continue to access your videos until June 29, 2028. See below for learning outcomes and a list of modules and individual lectures.


Online Course

This course package offers 4 CME and SA-CME Credits following completion of an online test.

ARRS Member price: $295
ARRS In-Training Member price: FREE
Nonmember price: $545

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Video content for this Online Course will be available to view until June 29, 2028, which is ten years following the issuance date of this course. ARRS reserves the right to remove video content before the end of the ten year period. Video content that contradicts current science or misleads the viewer based on changes to accepted clinical practice may be removed on a case-by-case basis.

Learning Outcomes and Lectures

After completing this course, the learner should:

  • be prepared and confident in the management of contrast media reactions, and in particular, the management of severe life-threatening contrast reactions
  • describe the methods of evaluation and treatment of various contrast media reactions and the clinical indications for and doses of medication used
  • discuss and review standard and acceptable alternative methods and doses of medications used in the prophylaxis of severe contrast media reactions in at-risk individuals

 Part 1

  • Clinical Scenarios/Overview—M. Parker, MD
  • Scenario I: Mild Physiologic Reaction to Contrast Media—K. Beckett, MD
  • Scenario II: Contrast–Induced Bronchospasm—K, Beckett, MD
  • Scenario III: Contrast-Induced Laryngeal Edema —J. Pahade, MD
  • Scenario IV: Contrast-Induced Hypotension w/ Bradycardia—J. Pahade, MD
  • Scenario V: Contrast-Induced Anaphylactoid Reaction—G. Salazar, MD
  • Scenario VI: Pre-Medicated Patients/Shellfish Allergies—M. Sakala, MD

 Part 2

  • Scenario 1: Contrast-Induced Neurotoxicity—M. Parker , MD
  • Scenario 2: Lung Edema—G. Salazar , MD
  • Scenario 3: Hypoglycemia—J. Pahade, MD
  • Scenario 4: Infiltrations: Minor—K. Beckett , MD
  • Scenario 5: Infiltrations: Major—K. Beckett, MD
  • Scenario 6: Escalating Reaction—G. Salazar , MD
  • Scenario 7: Management Errors—J. Pahade , MD
  • Scenario 8 Premedication: Elective—M. Sakala, MD


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View the sample recording below

The American Roentgen Ray Society (ARRS) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education activities for physicians.

The ARRS designates this enduring material for a maximum of 4.00 AMA PRA Category 1 Credit(s)™  and 4.00 American Board of Radiology, MOC Part II, Self-Assessment CME (SA-CME) credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

View the ARRS Return Policy.