RAP 83
1) PECARN C-Spine Prediction Rule
Review Summary
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Source:
- Author: Michelle Lin, MD
- Reviewer: Jon Kluger, MD
7
BEEM Rater Scale
5
Educational Utility
6
Evidence Based Medicine
Takeaway
This prediction rule will reduce the number of unnecessary C-spine CT’s in children and the inherent radiation risks.
2) CT vs MRI in Cauda Equina Syndrome
Review Summary
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Source:
- Author: Sanjay Arora, MD
- Reviewer: Katie Nielson, MD
4
BEEM Rater Scale
4
Educational Utility
5
Evidence Based Medicine
Takeaway
Based on this study, CT imaging could be used to more rapidly diagnose Cauda Equina Syndrome. However, further collaboration with neurosurgeons and research needs to be done before this could be applied to practice.
3) Nebulized vs IV Ketamine
Review Summary
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Source:
- Author: Sanjay Arora, MD
- Reviewer: Alex Laughlin, DO
4
BEEM Rater Scale
3
Educational Utility
6
Evidence Based Medicine
Takeaway
Good reduction in moderate-severe acute pain with low-dose ketamine but no difference between IV & nebulized. More rescue analgesia/opioids needed with nebulized ketamine so need further study of superiority of IV.
4) Pivmecillinam in the Treatment of ESBL
Review Summary
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Source:
- Author: Nadeem Raja
- Reviewer: Zach Affeldt, MD
6
BEEM Rater Scale
4
Educational Utility
4
Evidence Based Medicine
Takeaway
Pivmecillinam shows good activity across multiple ESBL-producing bacterial species, but more direct comparisons and efficacy studies will be needed.