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

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. 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.

Resuscitation 98

Resuscitation Ultrasounds Critical Access Radiology 98

EMDocs

DECEMBER 4, 2023

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.

Ultrasounds 90

Ultrasounds Documentation/Coding Wellness EMS 90

RebelEM

DECEMBER 1, 2022

The weighting from spontaneous pneumothorax was nearly 55% for drainage duration, 77% for complication rates, 96% for hospital length of stay, and 100% for recurrence rates. 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

The Skeptics' Guide to EM

OCTOBER 10, 2021

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.

Academics 40

Academics Critical Access EMS Hospitals 40

ACEP Now

JULY 6, 2023

Emergency medicine (EM) has evolved over time and has long passed a crossroads where previously unachievable capabilities should be celebrated and shared. Warfarin pills are inexpensive, but the associated hospital care is not. Warfarin is a drug highly prone to drug-drug and drug-food interactions.

Head Injuries 52

Head Injuries Emergency Department Research Pediatrics 52

Taming the SRU

MARCH 14, 2023

After a several week NICU stay for prematurity, the infant has been generally healthy and this is his first trip back to the hospital since discharge. Case 2 19 year old seizure A 19-year-old male is brought into your emergency department via EMS for witnessed seizure-like activity. He has a weak cry and you notice bulging fontanelles.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52