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. Temperatures inside the cars on the track can reach 120 degrees, so heat-related illness prevention and wellness checks are a regular part of the job.

Critical Access 52

Critical Access Hospitals Wellness 52

AENJ: Current Issue

DECEMBER 31, 2023

Conflict within the ethical domain may be affected as well. 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.

Critical Access 40

Critical Access Hospitals Wellness EKG/ECG 40

EMDocs

DECEMBER 4, 2023

However, duplex ultrasonography may not be readily available at all times in rural or critical access facilities. The Wells’ Criteria for DVT can help risk stratify [2,3]. If the patient’s Wells score is ≤ 0, DVT is nearly clinically excluded and no further immediate lab or ultrasound is necessary.

Ultrasounds 70

Ultrasounds Wellness Documentation/Coding EMS 70

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. A rural ED staffed by a well-trained EP is an essential resource in small communities that may be otherwise lacking in readily available healthcare resources.

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 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

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 Hospitals 52

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