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. 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

Stroke Urgent Care Critical Access Outcomes 52

RebelEM

DECEMBER 1, 2022

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.

Outcomes 52

Outcomes Hospitals Research Critical Access 52

ACEP Now

AUGUST 1, 2023

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.

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

Downeast Emergency Medicine

DECEMBER 1, 2021

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.[

Emergency Department 52

Emergency Department Documentation/Coding Leadership Hospitals 52

Downeast Emergency Medicine

APRIL 26, 2021

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.

Head Injuries 52

Head Injuries Administration Outcomes Seizures 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. After this experience, I realized some crucial factors that contributed to this patient’s outcome: (1) Know your resources.

Resuscitation 96

Resuscitation Ultrasounds Critical Access Documentation/Coding 96

Taming the SRU

MARCH 14, 2023

Case 4 3 year old unresponsive You are working as solo coverage in a critical access hospital. Estimated incidence of normal pressure hydrocephalus and shunt outcome in patients residing in assisted-living and extended-care facilities. Lancet Neurol. Marmarou, Young, Aygok. Neurosurg Focus. Marmarou et al.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52