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Red Leg in the Heartland of America: A Rural Physician’s Approach to the Patient with a Potential DVT

EMDocs

However, duplex ultrasonography may not be readily available at all times in rural or critical access facilities. The Wells’ Criteria for DVT can help risk stratify [2,3]. If the patient’s Wells score is ≤ 0, DVT is nearly clinically excluded and no further immediate lab or ultrasound is necessary.

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Journal Club - Emergency Department Initiated Buprenorphine for Opioid Use Disorder

Downeast Emergency Medicine

2015; 313(16):1636-1644.[ Rosenberg and colleagues took a qualitative approach when investigating barriers and facilitators to successful implementation of ED-initiated buprenorphine programs in critical access hospital EDs across Maine. Articles reviewed 1. D’Onofrio, et al. Rosenberg, et al.

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Diagnostics: The Shunt Series

Taming the SRU

He appears well and is triaged to an ESI 4. Case 4 3 year old unresponsive You are working as solo coverage in a critical access hospital. She was doing well, but recently has had the “stomach flu” with a couple weeks of abdominal pain, nausea and vomiting. More on this below as we work through a few cases….