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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. The primary outcome was good neurologic function defined as a modified Rankin Scale (mRS) score of 0-2 at 90 days. References: * Suzuki et al.

Stroke 52
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ED Boarding

ACEP Now

Hospital crowding and ED boarding have been longstanding and persistent crises for more than two decades, yet have progressively worsened over the COVID-19 pandemic.2 Even more so, nurses left practice or migrated to non-hospital settings. Here’s what the government can do to impact the hospital crowding and ED boarding crisis.

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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. Air is Air?

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

ACEP Now

Our Indiana ACEP colleagues have helped us all as emergency physicians in championing the passage of state legislation mandating a physician leading a hospital’s emergency department to be physically present in that hospital.

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Journal Club - Emergency Department Initiated Buprenorphine for Opioid Use Disorder

Downeast Emergency Medicine

The primary outcome was enrollment in and receiving addiction treatment at 30-days post-randomization. Additional outcomes included self-reported days of illicit opioid use, urine testing for illicit opioids, HIV risk, and use of addiction treatment services. Annals of Emergency Medicine. 2021; 78(3): 434-442.[ ROSENBERG ET AL.

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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.

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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. Did I mention that we only had one unit of blood in the hospital for emergent release? It was an ordinary night, and I was asleep in the on-call room.