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

EMDocs

The facility does not have ultrasound (US) availability at the time of the patient’s presentation, as the sonographer comes to the hospital only 2 days a week. However, duplex ultrasonography may not be readily available at all times in rural or critical access facilities. Ultrasound. What findings make a DVT more likely?

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Gradually Circling Around the GRACE Project’s “Reasonable Practice”

ACEP Now

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.

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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. Have you done an ultrasound yet?” This guy is an ultrasound guru. It was an ordinary night, and I was asleep in the on-call room. We take a look.

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Journal Club - Tranexamic Acid in Trauma

Downeast Emergency Medicine

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. If the trauma center performed screening ultrasounds to evaluate for asymptomatic DVTs, they were not included in this study. 67% received TXA.