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SGEM#333: Do you gotta be starting something – like tPA before EVT?

The Skeptics' Guide to EM

Date: May 25th, 2021 Guest Skeptic: Dr. Garreth Debiegun is an emergency physician at Maine Medical Center in Portland, ME and clinical assistant professor with Tufts University School of Medicine. He also works at an urgent care and a rural critical access hospital. JAMA 2021 * Zi et al.

Stroke 52
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Journal Club - Emergency Department Initiated Buprenorphine for Opioid Use Disorder

Downeast Emergency Medicine

Background Recent data from the National Center for Health Statistics reveal that in the 12-month period ending in April 2021, more than 100,000 Americans died of an overdose, a staggering increase of nearly 30% the prior year. 2021; 4(7): e2117128.[ 2021; 78(3): 434-442.[ 2021; 78(3): 434-442.[ Pubmed ] 3. Hawk, et al.

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Pigtail Catheter vs Large Bore Chest Tube for Pneumothorax

RebelEM

Heterogeneity was 0% for the primary outcome, and overall heterogeneity was low for secondary outcomes, which increases external validity. While clinically relevant and heavily debated, the primary outcome is disease-oriented and not patient-oriented. Investigators assessed publication bias depicted as a funnel plot.

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2023 ACEP Elections Preview: Meet the President-Elect and Council Officer Candidates

ACEP Now

Colleagues at the University of Mississippi Medical Center have developed a robust telehealth network with over 25 critical access hospitals in that state. One of the major areas of focus must be on the distribution of emergency physicians with opportunities within residency to have substantive rural and critical access experience.

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Journal Club - Tranexamic Acid in Trauma

Downeast Emergency Medicine

4] We also know that severe TBI is commonly associated with the development of intracranial hemorrhage where the presence and volume of blood are associated with increased mortality and poor outcomes.[5] Association between prehospital tranexamic acid administration and outcomes of severe traumatic brain injury. 2021 Jan 1;32(1):37-43.

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Diagnostics: The Shunt Series

Taming the SRU

Case 4 3 year old unresponsive You are working as solo coverage in a critical access hospital. Estimated incidence of normal pressure hydrocephalus and shunt outcome in patients residing in assisted-living and extended-care facilities. Lancet Neurol. Marmarou, Young, Aygok. Neurosurg Focus. Marmarou et al. Pediatr Emerg Care.

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The Private Equity Wave in Health Care

ACEP Now

These stakeholders are similarly shielded in court when adverse patient outcomes, such as negligent deaths, occur under their management or when the bought-out companies are challenged for anticompetitive business practices overseen by the PE firm. Published May 31, 2021. Accessed August 25, 2024. References Pomorski C.