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Rural Medicine: The Case of the Man with an Aneurysm

Vanessa Cardy, MD, FCFP and Mel Herbert, MD MBBS FAAEM
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13:52
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Nurses Edition Commentary

Kathy Garvin, RN and Lisa Chavez, RN
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02:16

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EMRAP 2019 04 April Written Summary 439 KB - PDF

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Samantha M. -

I was really excited to hear this piece because I had a very similar situation and I work in a community ED 30 minutes outside the third biggest city in the USA! I had a patient who was dissecting and we unfortunately do not have a vascular or cardiothoracic surgeon at our hospital. The weather was terrible and helicopters were not flying, any ambulance would take over an hour in traffic and weather to get to us and then another 1.5 hours into the city (there was a big snow storm at 5PM-prime rush hour). We had another patient in the ED with a splenic lac and hypotension who we were transferring to the trauma center. We contemplated stealing the ambulance for her, which was already in the bay, but that means one of the patients would likely die based on our decision. Luckily the EMT told us there was a relatively stable ICU patient who had an ambulance en route for a transfer, we snagged that ambulance and got both our patients to the trauma center, both did well (as did the ICU patient)! Its a good reminder that despite how resource rich we are in these big cities, we may still have to deal with some of the same problems (albeit, NOT on the scale of Dr. Cardy) but we need to appreciate what we do have and be ready to improvise! Also a reminder to keep listening to these rural medicine pieces because they can still apply to us!

Thanks for sharing all your amazing doctoring! You are extremely impressive!

Jonathan G. -

Great case! The audio format was very well done. I really appreciate these rural medicine cases. Vanessa Cardy does awesome job Now narrating these cases. I think last month she stated that people living in these rural areas have undertake a certain amount of risk. That was a great insight she shared. Thanks!

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EM:RAP 2019 April Full episode audio for MD edition 224:11 min - 312 MB - M4AEM:RAP 2019 April Spanish Edition Español 90:50 min - 125 MB - MP3EM:RAP 2019 April German Edition Deutsche 98:37 min - 135 MB - MP3EM:RAP 2019 April Canadian Edition Canadian 28:51 min - 40 MB - MP3EM:RAP 2019 April Aussie Edition Australian 25:30 min - 35 MB - MP3EM:RAP 2019 April Farsi Edition Farsi 98:02 min - 135 MB - MP3EM:RAP 2019 April French Edition Français 20:25 min - 28 MB - MP3EMRAP 2019 04 April Board Review Answers 131 KB - PDFEMRAP 2019 04 April Board Review Questions 590 KB - PDFEMRAP 2019 04 April Individual MP3 Files 262 MB - ZIPEMRAP 2019 04 April Individual Summaries 693 KB - ZIPEMRAP 2019 04 April (SPA Summary) 712 KB - PDFEMRAP 2019 04 April Written Summary 439 KB - PDF

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