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Gradually Circling Around the GRACE Project’s “Reasonable Practice”

ACEP Now

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.

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Red Leg in the Heartland of America: A Rural Physician’s Approach to the Patient with a Potential DVT

EMDocs

Johnson, MD ( Community EM, Salina Regional Health Center) // Reviewed by: Joshua Lowe, MD (EM Attending Physician, USAF); Marina Boushra, MD (Cleveland Clinic Foundation, EM-CCM); Brit Long, MD (@long_brit) Case A 40-year-old woman presents to a rural emergency department (ED) with left leg pain and swelling for the past 5 days.

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Perspectives – Aortic Laceration in a Rural Mississippi ED: A resident’s response

EMDocs

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. Early contact with Medcom ensured that they would be able to activate one of the most effective and competent air EMS teams in the state – AirCare.

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SGEM Xtra: From EBM to FBM – Gender Equity in the House of Medicine

The Skeptics' Guide to EM

They both matched to the same emergency medicine (EM) program. After graduation they began working at a high-volume, high-acuity critical access hospital. Datta shares her personal journey from medical school to attending physician and discusses the challenges she faced along the way.

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Pigtail Catheter vs Large Bore Chest Tube for Pneumothorax

RebelEM

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.

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

ACEP Now

Emergency medicine (EM) has evolved over time and has long passed a crossroads where previously unachievable capabilities should be celebrated and shared.

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Diagnostics: The Shunt Series

Taming the SRU

Case 2 19 year old seizure A 19-year-old male is brought into your emergency department via EMS for witnessed seizure-like activity. Case 4 3 year old unresponsive You are working as solo coverage in a critical access hospital. The seizure abated with rectal diazepam given by the squad.