ACEP Now

MARCH 12, 2024

Drivers and crews spend months at a time on the road and they travel through rural areas, where only critical access hospitals may be nearby. But the job goes beyond the obvious care provided after a wreck. Dr. Stanton has managed everything from muscle aches to injuries, norovirus outbreaks, and even crew member cardiac arrest.

Critical Access 52

Critical Access Hospitals Wellness 52

ACEP Now

NOVEMBER 7, 2023

In addition to 7 commendation resolutions and 12 memorial resolutions, the following non-bylaws resolutions were adopted: 19- Scientific Assembly Vendor Transparency (as amended) 20- Emergency Medicine Research Mentorship Network (as substituted) 21- Mitigation of Competition for Procedures Between Emergency Medicine Resident Physicians and Other Learners (..)

Academics 52

Academics Critical Access Emergency Department Pediatrics 52

The Skeptics' Guide to EM

JUNE 5, 2021

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. Garreth Debiegun is an emergency physician at Maine Medical Center in Portland, ME and clinical assistant professor with Tufts University School of Medicine.

Stroke 52

Stroke Urgent Care Critical Access Outcomes 52

ACEP Now

JULY 7, 2024

My current practice is a hybrid of academic and community sites, and I have worked in myriad community hospitals from busy ones to single coverage critical access hospitals. I have learned more from my failures than my successes. Each has its own challenges and lessons.

Resuscitation 98

Resuscitation Risk Management Hospitals Critical Access 98

ACEP Now

AUGUST 22, 2023

In an environment in which patients may have their entire work-up in the waiting room, or attend a critical access hospital staffed by non-emergency physicians, or lack the financial support to follow up with an appropriate specialist, a pragmatic approach to care is required.

Emergency Department 98

Emergency Department Academics Critical Access Research 98

The Skeptics' Guide to EM

OCTOBER 10, 2021

After graduation they began working at a high-volume, high-acuity critical access hospital. She and her husband Neil met at medical school. They both matched to the same emergency medicine (EM) program. After a few years they moved back to New York.

Academics 40

Academics Critical Access EMS Hospitals 40

EMDocs

JUNE 22, 2023

As usual, I was the only physician staffing this rural critical access hospital with limited resources which sits 61 miles away from our state’s only Level 1 trauma center. In the Spring of my senior year, I was moonlighting at one of the University’s satellite locations. It was an ordinary night, and I was asleep in the on-call room.

Resuscitation 96

Resuscitation Ultrasounds Critical Access Documentation/Coding 96

RebelEM

DECEMBER 1, 2022

Pigtail catheters are placed via guidewire with seldinger technique which is strikingly similar to central venous access and may increase procedural competency. Similarly, pigtail catheter placement may be accessible to more clinicians, which is ultimately better for patient care, especially those at critical access hospitals.

Outcomes 52

Outcomes Hospitals Research Critical Access 52

EMDocs

DECEMBER 4, 2023

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].

Ultrasounds 71

Ultrasounds Documentation/Coding Wellness EMS 71

Downeast Emergency Medicine

DECEMBER 1, 2021

Rosenberg and colleagues took a qualitative approach when investigating barriers and facilitators to successful implementation of ED-initiated buprenorphine programs in critical access hospital EDs across Maine.

Emergency Department 52

Emergency Department Documentation/Coding Leadership Administration 52

ACEP Now

JULY 6, 2023

Gaddis is a “PGY-37” who has stepped away from full-time employment after a 32-year full-time career in academic emergency medicine, and now works a limited number of shifts in a rural Critical Access hospital in Missouri.

Head Injuries 52

Head Injuries Emergency Department Research Pediatrics 52

Taming the SRU

MARCH 14, 2023

Case 4 3 year old unresponsive You are working as solo coverage in a critical access hospital. Consultation with neurosurgery is essential as these patients need source control in addition to standard antimicrobial therapy for meningitis or encephalitis.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

ACEP Now

SEPTEMBER 3, 2024

25 Wesley Barnett had heard disturbing stories about the firm staffing his hometown critical-access ED as he was nearing the end of residency at the University of Kentucky, so he founded an independent physician group to try to take back the contract.

Hospitals 69

Hospitals Radiology Radiology Administration 69

ACEP Now

AUGUST 1, 2023

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.

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

Downeast Emergency Medicine

APRIL 26, 2021

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. Limitations of this study were that there were overall low injury severity scores and transfusion requirements which introduces a potential bias.

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

The Skeptics' Guide to EM

OCTOBER 15, 2022

This year we reviewed ten recent publications, provided some critical appraisal of the studies and then discussed if the evidence would be applied differently in a rural or critical access hospital compared to a tertiary or urban centre. You can download a copy of our slides at this LINK.

Critical Access 40

Critical Access Hospitals 40

ACEP Now

AUGUST 1, 2023

Accessed July 13, 2023. CMS website. link] Published August 13, 2021.

Hospitals 98

Hospitals Military Emergency Department Leadership 98

Advanced Emergency Nursing from AENJ

SEPTEMBER 13, 2015

In rural Critical Access Hospitals, or austere conditions, you may be all that is available. She’s there because your hospital is under-resourced, has injury or illness not thought related to gravidity, is too “sick” to make it to OB Labor/Delivery, or you’re trying to get OR to open.

Airway Management 40

Airway Management Resuscitation Critical Access Emergency Nursing 40