The Skeptics' Guide to EM

JUNE 5, 2021

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. Garreth Debiegun is an emergency physician at Maine Medical Center in Portland, ME and clinical assistant professor with Tufts University School of Medicine.

Urgent Care 52

Urgent Care Stroke Critical Access Outcomes 52

ACEP Now

JULY 7, 2024

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. I have learned more from my failures than my successes. Each has its own challenges and lessons.

Resuscitation 98

Resuscitation Risk Management Hospitals Critical Access 98

ACEP Now

AUGUST 22, 2023

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.

Emergency Department 98

Emergency Department Academics Critical Access Research 98

ACEP Now

OCTOBER 9, 2024

ED ACCREDITATION ACEP’s ED Accreditation Program will include Level 1, Level 2, Level 3 and Rural Emergency or Critical Access Hospital accreditation. In 2022, only 25 percent of the patients needing OUD treatment received it, according to the report. There are five sets of domains.

Emergency Department 52

Emergency Department Geriatric Emergencies Critical Access Ultrasounds 52

ACEP Now

NOVEMBER 7, 2023

In addition to 7 commendation resolutions and 12 memorial resolutions, the following non-bylaws resolutions were adopted: 19- Scientific Assembly Vendor Transparency (as amended) 20- Emergency Medicine Research Mentorship Network (as substituted) 21- Mitigation of Competition for Procedures Between Emergency Medicine Resident Physicians and Other Learners (..)

Academics 52

Academics Critical Access Emergency Department Pediatrics 52

ACEP Now

MARCH 12, 2024

Drivers and crews spend months at a time on the road and they travel through rural areas, where only critical access hospitals may be nearby. But the job goes beyond the obvious care provided after a wreck. Dr. Stanton has managed everything from muscle aches to injuries, norovirus outbreaks, and even crew member cardiac arrest.

Critical Access 52

Critical Access Hospitals Wellness 52

EMDocs

JUNE 22, 2023

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. In the Spring of my senior year, I was moonlighting at one of the University’s satellite locations. It was an ordinary night, and I was asleep in the on-call room.

Resuscitation 98

Resuscitation Ultrasounds Critical Access Radiology 98

AENJ: Current Issue

DECEMBER 31, 2023

A simulation-based learning (SBL) experience was designed as a critical access setting where CSC are in place and three diverse, medically complex patients in need of critical care present to the hospital where one critical care bed remains open. Incorporating a CSC simulation looked to address this knowledge gap.

Critical Access 40

Critical Access Hospitals Wellness EKG/ECG 40

The Skeptics' Guide to EM

OCTOBER 10, 2021

After graduation they began working at a high-volume, high-acuity critical access hospital. She and her husband Neil met at medical school. They both matched to the same emergency medicine (EM) program. After a few years they moved back to New York.

Academics 40

Academics Critical Access EMS Hospitals 40

The Skeptics' Guide to EM

OCTOBER 15, 2022

This year we reviewed ten recent publications, provided some critical appraisal of the studies and then discussed if the evidence would be applied differently in a rural or critical access hospital compared to a tertiary or urban centre. You can download a copy of our slides at this LINK.

Critical Access 40

Critical Access Hospitals 40

EMDocs

DECEMBER 4, 2023

However, duplex ultrasonography may not be readily available at all times in rural or critical access facilities. Background Duplex ultrasonography is the gold standard in the diagnosis of DVTs, with a sensitivity of 98% and specificity of 95% for a proximal DVT [1].

Ultrasounds 86

Ultrasounds Documentation/Coding Wellness EMS 86

RebelEM

DECEMBER 1, 2022

Pigtail catheters are placed via guidewire with seldinger technique which is strikingly similar to central venous access and may increase procedural competency. Similarly, pigtail catheter placement may be accessible to more clinicians, which is ultimately better for patient care, especially those at critical access hospitals.

Outcomes 52

Outcomes Hospitals Research Critical Access 52

ACEP Now

JULY 6, 2023

Gaddis is a “PGY-37” who has stepped away from full-time employment after a 32-year full-time career in academic emergency medicine, and now works a limited number of shifts in a rural Critical Access hospital in Missouri.

Head Injuries 52

Head Injuries Emergency Department Research Pediatrics 52

EMDocs

JUNE 9, 2025

However, community EDs and critical access hospitals may only have access to telemedicine neurology consults or may have no immediate access to neurology at all. His wife reports that they were eating breakfast when the patient started having difficulty using his right arm. National Institutes of Health Stroke Scale.

Stroke 69

Stroke Critical Access Telemedicine EMS 69

ACEP Now

SEPTEMBER 3, 2024

25 Wesley Barnett had heard disturbing stories about the firm staffing his hometown critical-access ED as he was nearing the end of residency at the University of Kentucky, so he founded an independent physician group to try to take back the contract.

Hospitals 113

Hospitals Radiology Radiology Emergency Department 113

ACEP Now

AUGUST 1, 2023

Accessed July 13, 2023. CMS website. link] Published August 13, 2021.

Military 98

Military Emergency Department Hospitals Leadership 98

Downeast Emergency Medicine

DECEMBER 1, 2021

Rosenberg and colleagues took a qualitative approach when investigating barriers and facilitators to successful implementation of ED-initiated buprenorphine programs in critical access hospital EDs across Maine.

Emergency Department 52

Emergency Department Documentation/Coding Leadership Administration 52

Taming the SRU

MARCH 14, 2023

Case 4 3 year old unresponsive You are working as solo coverage in a critical access hospital. Consultation with neurosurgery is essential as these patients need source control in addition to standard antimicrobial therapy for meningitis or encephalitis.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

Downeast Emergency Medicine

APRIL 26, 2021

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. Limitations of this study were that there were overall low injury severity scores and transfusion requirements which introduces a potential bias.

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

EB Medicine

FEBRUARY 18, 2025

Simulation for Critical Access Neurocritical Care: Saving Brain Hours from Tertiary Care : A customizable simulation designed for you and your team to practice managing patients with brain injury.

EMS 59

EMS Academics Critical Access Emergency Department 59

ACEP Now

FEBRUARY 11, 2025

The NEDI-USA database includes basic ED characteristics such as annual visit volume, critical access hospital (CAH) status, rural location, and freestanding ED status. The 2022 survey (administered in 2023 to all EDs open during 2022) included the physician question.

Critical Access 52

Critical Access Research Hospitals Leadership 52

ACEP Now

MARCH 10, 2025

Youre working the night shift in a rural critical access hospital in the Midwest when a 36-year-old, 31-week primigravida patient with no known prior medical history presents with a mild headache. Initial vitals show a blood pressure (BP) of 170/115 mm Hg, which remains elevated 15 minutes later.

OB/GYN 52

OB/GYN Seizures Stroke Hospitals 52

Advanced Emergency Nursing from AENJ

SEPTEMBER 13, 2015

In rural Critical Access Hospitals, or austere conditions, you may be all that is available. She’s there because your hospital is under-resourced, has injury or illness not thought related to gravidity, is too “sick” to make it to OB Labor/Delivery, or you’re trying to get OR to open.

Airway Management 40

Airway Management Resuscitation Critical Access Emergency Nursing 40