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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. Background Duplex ultrasonography is the gold standard in the diagnosis of DVTs, with a sensitivity of 98% and specificity of 95% for a proximal DVT [1]. Ultrasound. 2020;28(1):23-29. Circulation. 2018;137(14):1505-1515.

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Pigtail Catheter vs Large Bore Chest Tube for Pneumothorax

RebelEM

Additionally, small-bore catheter placement is performed via the Seldinger technique;’ a skill possessed by all Emergency Physicians (Bauman 2018). 153,5 (2018): 1201-1212. Pigtail catheters are placed via guidewire with seldinger technique which is strikingly similar to central venous access and may increase procedural competency.

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ED Boarding

ACEP Now

In November 2018, CMS withdrew the measure. Accessed July 13, 2023. The Centers for Medicare and Medicaid Services (CMS) developed and maintained the measure. It was submitted in 2008 to the National Quality Forum (NQF), which convenes external groups to endorse measures. NQF re-endorsed the measure in 2014. CMS website.