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Ethics: Crisis Standards of Care Simulation

AENJ: Current Issue

Conflict within the ethical domain may be affected as well. A simulation-based learning (SBL) experience was designed as a critical access setting where CSC are in place and three diverse, medically complex patients in need of critical care present to the hospital where one critical care bed remains open.

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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.[ The Journal of Rural Health. Pubmed ] 3. Herring, et al.

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Emergency Medicine Deserves to “Re-Brand” Itself as a Cost Saver

ACEP Now

5 Patients with acute ischemic strokes, STEMIs, and trauma, as well as many other diagnoses, have their workup largely completed, and even sometimes definitive therapy executed, before they leave the emergency department, rather than requiring inpatient units. CDC website : Sexually Transmitted Disease Guidelines 2021. Postgrad Med.

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Pigtail Catheter vs Large Bore Chest Tube for Pneumothorax

RebelEM

Advantages of Pigtail Catheter More recent trials found that patients with traumatic pneumothorax and hemothorax managed with PC compared to LBCT experienced less pain ( Kulvatunyou 2021, Kulvatunyou 2014). Our Conclusion: We agree with the author’s conclusion.

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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….

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Journal Club - Tranexamic Acid in Trauma

Downeast Emergency Medicine

2021 Jan 1;32(1):37-43. One also has to keep in mind that this study occurred at Level 1 trauma centers and may not be applicable in critical access hospitals or lower leveled trauma centers. Rivas L, Estroff J, Sparks A, et al. Blood Coagul Fibrinolysis. Pubmed ] DOES PRESHOSPITAL TXA OFFER MORTALITY BENEFIT?

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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. A rural ED staffed by a well-trained EP is an essential resource in small communities that may be otherwise lacking in readily available healthcare resources.