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SAEM Clinical Images Series: Seeing Double

ALiEM

She initially presented to urgent care with a chief complaint of chest heaviness and concern that her blood pressure was too high, but was sent to the emergency department for further cardiac and neurological evaluation after her urgent care provider noticed abnormal eye movement. There were no oligoclonal bands.

Stroke 67
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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.

Stroke 52
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Running Injuries

Northwestern EM Blog

Although most of these injuries would not be considered emergent, correct diagnosis and referral of these patients is important to keep them active and decrease their likelihood of suffering the heart attacks, strokes, and chronic pain we see daily.

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PRINCIPLE Investigators Study Inhaled Budesonide for COVID-19

PulmCCM

Finally, a relatively small [n = 146] randomized, controlled trial in outpatients with no more than 7 days of COVID-19-related symptoms measured the effect of inhaled budesonide on urgent care utilization and symptom duration.

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The Latest in Critical Care, 9/28/23 (Issue #15)

PulmCCM

with Covid-19 randomized to 800 μg of inhaled budesonide twice daily had significantly fewer urgent care visits, and faster resolution of symptoms. In the new era of thrombectomy for ischemic strokes with large vessel occlusion, however, some early data suggested lower blood pressure targets might be advisable.

COPD 95
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Getting Treatment With Delta Fears

Medical Law

Emergency rooms remain open to care for communities, and some health situations cannot wait. Telemedicine care means fewer patients in hospitals and emergency rooms. In non-urgent care situations, take advantage of telemedicine opportunities when available. Broken bones. Severe bleeding. Major head injuries. Chest pain.

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A Plan to Refocus Primary Care

Sensible Medicine

As an example, the recent guidelines for the primary prevention of stroke features diet and exercise recommendations as part of their “Life’s Essential 8” as well as a call to screen for social determinants of health in all patients. Sick patients can no longer see their primary care doctor.