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Incorporating POCUS in medical schools and residency programs takes time and money, says Kugler: "time and money to train faculty, money to purchase equipment and time to educate residents". Even when a curriculum includes POCUS training, it's "best done at the bedside and in small groups," which makes it difficult to incorporate and scale.
Fasciotomy was done at the bedside under local anesthesia to avoid any further delay.
This was a retrospective study of 34 cases of acute compartment syndrome for which fasciotomy was done at the bedside under local anesthesia.
This may be done at the bedside by use of pH paper or electrodes; both of these methods involve risk of exposure to the aspirate to the operator during transfer and handling of the fluid.
It is important therefore for Emergency Physicians to assess the proximal extent of the thrombus when managing such patients; this can easily be done at the bedside using portable ultrasound.
APTT was done at the laboratory and ACT was done at the bedside using an ACTALYKE monitor (Array Medical).
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The diagnosis of this entity is difficult to do at the bedside; they are commonly small and mostly invisible to standard chest X-ray images.
We do not know what teams do at the bedside which is useful and what they do at the bedside which is not useful.
Nichol and colleagues' study, however, objectively confirmed what we often do at the bedside when faced with laboratory markers that have some prognostic importance.
There was a tension between recognising what they should do (based on recognised best practices) and what they can do at the bedside (based on constraints of time and resources).
There was a tension in many accounts between what they should do (based on recognised best practices in an ideal world) and what they ultimately can do at the bedside.
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