Sun.Dec 10, 2023

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GAPBAC | Materials from Oct 31, Nov 1 meeting posted

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post GAPBAC | Materials from Oct 31, Nov 1 meeting posted appeared first on American Ambulance Association.

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PulmCrit: New ARDS guidelines reveal a shambolic state of affairs

EMCrit Project

Within the past year, two major societies have released guidelines on ARDS: the ATS (American Thoracic Society) and the ESICM (European Society of Intensive Care Medicine). Don’t be fooled by their names – both of these organizations are fundamentally international in scope. Some authors on the ATS document were from Europe, and similarly some authors […] EMCrit Project by Josh Farkas.

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ACEP Leads National Summit on the Boarding Crisis

ACEP Now

Boarding in the emergency department is a systemic crisis with emergency physicians at the center. While the challenges related to boarding have persisted for decades, the dangers today are unprecedented, and solutions are beyond any individual physician or hospital effort. ACEP said as much to the White House by writing a powerful letter in November 2022 supported by 34 organizations to show how serious the issue has become.

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Don’t Believe the Headline: Ultrasound vs CXR in Traumatic Pneumothorax Diagnosis

REBEL EM

Background: The use of ultrasound is well established for trauma patients in the emergency department, with almost every patient receiving a FAST (Focused Assessment with Sonography in Trauma) examination as part of the “ABC’s” of trauma. Though the initial focus of the FAST exam was for detection of abdominal free fluid, the eFAST (Extended FAST) is more commonly used and adds thoracic windows helping to identify pneumothorax ( Musthafa 2014 ).

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Maryland Implements Value-Based Alternative Payment Model

ACEP Now

In January 2023, the state of Maryland launched the first-ever government-based emergency medicine alternative payment model. An alternative payment model is a different way of paying for physician services from the usual model: see a patient, send a bill, and get paid, also known as fee-for-service. In the program, Medicare patients who visit a participating emergency department (ED) with specific diagnoses will have their 14-day total cost of care measured across all settings by the state regu

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Suicide Attempt in the Terminally Ill Cancer Patient with Advance Directive

ACEP Now

A middle-aged male with squamous cell carcinoma and extensive metastases is brought to the emergency department (ED) after being found unresponsive following a believed suicide attempt (SA) by methadone ingestion. He had a recent month-long hospital stay complicated by severe cancer-related pain. Though paramedics administered naloxone, he remained somnolent.

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Toxicology Question: Which Plant’s Sap Causes Severe Contact Dermatitis?

ACEP Now

QUESTION: Which plant‘s sap causes severe contact dermatitis and must be washed off skin immediately after contact? Click here to see the answer. The post Toxicology Question: Which Plant’s Sap Causes Severe Contact Dermatitis? appeared first on ACEP Now.

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Emergency Physician Provides HIV and Hepatitis C Testing, Counseling to Underserved Communities

ACEP Now

Yvette Calderon, MD, FACEP, understood health disparities from an early age. Born to Puerto Rican parents who raised her in New York, she saw firsthand how language barriers and a lack of access to health care disadvantaged her family and others in her unprivileged Manhattan neighborhood. That’s when her desire to help people was born, and that desire still motivates her.

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