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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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Pigtail Catheter vs Large Bore Chest Tube for Pneumothorax

RebelEM

875 patients from Africa, Asia, Europe, and North America RCTs or retrospective cohort studies Strengths Researchers followed PRISMA guidelines. Researchers used multiple reviewers to assess the eligibility of included studies and used arbitrators to settle disputes. They performed a comprehensive search of multiple large databases.

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

ACEP Now

Emergency physicians have become leaders in achieving cost efficiency in health care, predominantly through implementation of new processes and research findings, enabling us to achieve significant financial savings. However, such a view overlooks two critical facts. Stiell IG, et al. N Engl J Med. 2003;349:2510-8. Schonfeld D, et al.

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Diagnostics: The Shunt Series

Taming the SRU

He appears well and is triaged to an ESI 4. VP Shunt - Courtesy of Cancer Research UK via wikimedia - CC-4.0 - [link] Case courtesy of Paul Simkin, Radiopaedia.org, rID: 30453 Case courtesy of Dr Ruslan Asadov, Radiopaedia.org, rID: 8401. Case 4 3 year old unresponsive You are working as solo coverage in a critical access hospital.

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Journal Club - Tranexamic Acid in Trauma

Downeast Emergency Medicine

One also has to keep in mind that this study occurred at Level 1 trauma centers and may not be applicable in critical access hospitals or lower leveled trauma centers. The primary outcome was 30-day mortality with secondary outcomes of 1-year functional neurological outcome based on GCS as well as hospital length of stay.