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A man in his 50s with acute chest pain who is lucky to still be alive.

Dr. Smith's ECG Blog

In this medical system, the EMS provider can then be routed to the ED or to a type of urgent care facility that is open 24 hrs/day and staffed by a primary care provider. In this case, the EMS provider was routed to the urgent care facility. The ECG was also interpreted as normal by the primary care physician.

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The Latest in Critical Care, 9/28/23 (Issue #15)

PulmCCM

Systemic corticosteroids (such as intravenous dexamethasone) improve outcomes in severe pneumonia due to SARS-CoV-2 infection. It makes sense that inhaled steroids might improve outcomes from less severe infections. Do inhaled steroids improve Covid pneumonia? About two thirds of patients in each arm were vaccinated.

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SGEM #417: Everybody’s Changing…the Reference Ranges for Pediatric Vital Signs

The Skeptics' Guide to EM

March 2023 * Population: Children 0-16 years recruited consecutively from October 2017 to September 2020 from three emergency departments and one urgent care centre in England- serving populations with significant inequalities in health and life expectancty. J Paediatr Child Health.

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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. At work Garreth imagines himself as a student of evidence-based medicine trying to provide the best care based on the best evidence. References: * Suzuki et al.

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SGEM#263: Please Stop, Prescribing – Antibiotics for Viral Acute Respiratory Infections

The Skeptics' Guide to EM

A Multifaceted Intervention Improves Prescribing for Acute Respiratory Infection for Adults and Children in Emergency Department and Urgent Care Settings. A Multifaceted Intervention Improves Prescribing for Acute Respiratory Infection for Adults and Children in Emergency Department and Urgent Care Settings.

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SGEM#402: Call Me – On the Telemental Health Line

The Skeptics' Guide to EM

Clinical Question: What is the effect of TMH, versus in-person consult, on 30-day outcomes and processes of care during the visit? The effect of telemental versus in-person mental health consults in the emergency department on 30-day utilization and processes of care. Yes * Was the outcome accurately measured to minimize bias?

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SGEM#357: COVID it’s Getting Harder and Harder to Breathe but will Budesonide Help?

The Skeptics' Guide to EM

There is strong evidence that systemic steroids improve outcomes in patients with severe COVID-19 ( First10EM: Steroids for COVID ). Their primary outcome was a ‘COVID-19 related’ urgent care visit, emergency department assessment, or hospitalization, and was significantly reduced in the budesonide arm (15% vs 3%, p=0.009).