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The facility does not have ultrasound (US) availability at the time of the patient’s presentation, as the sonographer comes to the hospital only 2 days a week. However, duplex ultrasonography may not be readily available at all times in rural or criticalaccess facilities. The patient is concerned about a potential DVT.
As usual, I was the only physician staffing this rural criticalaccess hospital with limited resources which sits 61 miles away from our state’s only Level 1 trauma center. I have been a part of many traumatic codes and resuscitations during my training, but I knew this one would probably be my most difficult one. She was calm.
Trauma patients between the ages of 18-90 years had to have either had one documented episode of hypotension (defined as a systolic BP <90 mmHg) or tachycardia (>100 beats/minute) to be included in the study. If the trauma center performed screening ultrasounds to evaluate for asymptomatic DVTs, they were not included in this study.
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