Remove Critical Access Remove EMS Remove Outcomes
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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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Pigtail Catheter vs Large Bore Chest Tube for Pneumothorax

RebelEM

Heterogeneity was 0% for the primary outcome, and overall heterogeneity was low for secondary outcomes, which increases external validity. While clinically relevant and heavily debated, the primary outcome is disease-oriented and not patient-oriented. Investigators assessed publication bias depicted as a funnel plot.

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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. Lancet Neurol. Marmarou, Young, Aygok.

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2023 ACEP Elections Preview: Meet the President-Elect and Council Officer Candidates

ACEP Now

Factoring such, an order to transfer the patient immediately by ground or air EMS is the only actual support per se these non-physicians receive. Colleagues at the University of Mississippi Medical Center have developed a robust telehealth network with over 25 critical access hospitals in that state.

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ED Boarding

ACEP Now

For example, EMS personnel, certified nursing assistants, and medical assistants could reduce the nursing work burden for tasks such as drawing blood, hanging simple fluids, placing IVs, and other tasks. ED crowding and boarding are causing patient experiences and outcomes to worsen. Accessed July 13, 2023. ACEP website.