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Journal Club - Emergency Department Initiated Buprenorphine for Opioid Use Disorder

Downeast Emergency Medicine

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. The interviews were conducted and recorded via Zoom and the recordings were then transcribed verbatim for analysis.

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Red Leg in the Heartland of America: A Rural Physician’s Approach to the Patient with a Potential DVT

EMDocs

However, duplex ultrasonography may not be readily available at all times in rural or critical access facilities. Document a risk and benefit discussion with the patient regarding empiric anticoagulation, perhaps even including the HAS-BLED score in the documentation [10]. mg/kg for 24 hours.

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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. I have been a part of many traumatic codes and resuscitations during my training, but I knew this one would probably be my most difficult one. She was calm.

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2023 ACEP Elections Preview: Meet the President-Elect and Council Officer Candidates

ACEP Now

Colleagues at the University of Mississippi Medical Center have developed a robust telehealth network with over 25 critical access hospitals in that state. One of the major areas of focus must be on the distribution of emergency physicians with opportunities within residency to have substantive rural and critical access experience.

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

ACEP Now

Brian Zink captured a wonderful initial vision statement for our specialty with the title of his book, “Anyone, Anything, Anytime,” which documented the history of our specialty. “A New Spin” is the personal perspective of the author and does not represent an official position of ACEP Now or ACEP. In 2023 we must move beyond that title.

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Journal Club - Tranexamic Acid in Trauma

Downeast Emergency Medicine

Trauma patients between the ages of 18-90 years had to have either had one documented episode of hypotension (defined as a systolic BP <90 mmHg) or tachycardia (>100 beats/minute) to be included in the study.