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SGEM#333: Do you gotta be starting something – like tPA before EVT?

The Skeptics' Guide to EM

He also works at an urgent care and a rural critical access hospital. He also works at an urgent care and a rural critical access hospital. Effect of Mechanical Thrombectomy Without vs With Intravenous Thrombolysis on Functional Outcome Among Patients With Acute Ischemic Stroke: The SKIP Randomized Clinical Trial.

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Meet the Emergency Physicians Running for Congress

ACEP Now

Some groups and practices have explored the option, understand what they’re getting into and have concluded that that they’re going to work together to get better outcomes under a unionized model. It may not be for everybody. It has clearly made sense for those groups. It’s not a decision to be taken lightly.

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10 Tips for New Attending Emergency Physicians

ACEP Now

My current practice is a hybrid of academic and community sites, and I have worked in myriad community hospitals from busy ones to single coverage critical access hospitals. If you have a difficult outcome, it is helpful to know what risk management support you have at your hospital. Each has its own challenges and lessons.

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The Private Equity Wave in Health Care

ACEP Now

These stakeholders are similarly shielded in court when adverse patient outcomes, such as negligent deaths, occur under their management or when the bought-out companies are challenged for anticompetitive business practices overseen by the PE firm. Borsa A, Bejarano G, Ellen M, et al. 2023;382:e075244. Kannan S, Bruch JD, Song Z.

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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. After this experience, I realized some crucial factors that contributed to this patient’s outcome: (1) Know your resources.

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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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Journal Club - Tranexamic Acid in Trauma

Downeast Emergency Medicine

4] We also know that severe TBI is commonly associated with the development of intracranial hemorrhage where the presence and volume of blood are associated with increased mortality and poor outcomes.[5] Association between prehospital tranexamic acid administration and outcomes of severe traumatic brain injury. JAMA Neurol.