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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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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. What’s clear from the emerging data: our experience as clinicians as well as our patients’ is that the system is unraveling. Accessed July 13, 2023. The Centers for Medicare and Medicaid Services (CMS) developed and maintained the measure. NQF re-endorsed the measure in 2014.