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While secrecy surrounds the operations of many PE-owned groups, Envision serves as a case study. Stinson said, “There have been [PE] facilities where I worked where a third to a half of the staff are all new residents. Usually, they’ll get two or three every now and then, but if everybody is fresh, who’s teaching who?”
Ultimately, definitive management is in the operating room with revision or replacement of the VP shunt. Case 4 3 year old unresponsive You are working as solo coverage in a criticalaccess hospital. Unfortunately, maneuvers to relieve a proximal occlusion in the emergency department are limited.
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