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

The Skeptics' Guide to EM

He also works at an urgent care and a rural critical access hospital. He also works at an urgent care and a rural critical access hospital. At work Garreth imagines himself as a student of evidence-based medicine trying to provide the best care based on the best evidence. References: * Suzuki et al.

Stroke 52
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Cetirizine Vs Diphenhydramine For the Treatment of Acute Urticaria in the ED

RebelEM

Health care professional involved in patient management and outcome assessment was completely blinded. PMID: 32653333 What They Did Multi-center, double-blind, randomized, phase 3 clinical trial with a parallel-group, active-controlled, non-inferiority design. Patients were randomized in a 1:1 ratio.

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Medical Malpractice Insights: A Rare Presentation – Groin pain? Nec fasc? Diabetes? Appendicitis?

EMDocs

Delay in administration of antibiotics. Our care was appropriate, timely and within the standard of care. A delay in antibiotics administration was unfortunate but no one can say on a “more probable than not” basis that earlier treatment would have changed the outcome. Initial focus only on thigh problem.

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SGEM#402: Call Me – On the Telemental Health Line

The Skeptics' Guide to EM

Case: You are moonlighting at the Veterans Administration emergency department (ED) and are caring for an Iraq veteran complaining of post-traumatic stress disorder (PTSD) and severe anxiety. Clinical Question: What is the effect of TMH, versus in-person consult, on 30-day outcomes and processes of care during the visit?