RAP 84

  • January 24, 2025

1) Respiratory Viral Testing in Febrile Infants

Review Summary

  • Source: EMA
  • Author: Mike Menchine, MD
  • Reviewer: Isaac Dzubay, MD
3
/ 7
BEEM Rater Scale
4
/ 7
Educational Utility
3
/ 7
Evidence Based Medicine

Takeaway

For children <90 days old who present with fever, a positive viral panel does not mean further workup for IBI is unnecessary.

2) Amoxicillin vs. Placebo for Strep Throat in Children

Review Summary

  • Source: EMA
  • Author: Mike Menchine, MD
  • Reviewer: Alayna Kabanuk, MD
3
/ 7
BEEM Rater Scale
3
/ 7
Educational Utility
5
/ 7
Evidence Based Medicine

Takeaway

Consider shared decision making with caregivers with regards to antibiotic treatment vs “watch and wait” method for treatment of Strep Pharyngitis.

3) Is Pip-Tazo Harming Sepsis Patients?

Review Summary

  • Source: REBEL EM
  • Authors: Lynnsey Moss, Marco Propersi
  • Reviewer: Tou Thao, MD
4
/ 7
BEEM Rater Scale
3
/ 7
Educational Utility
4
/ 7
Evidence Based Medicine

Takeaway

Can consider Cefepime/Vanco over Zosyn/Vanco in septic patients w/ low concerns for anaerobic infection but data limited on efficacy currently.

4) Killer Antibiotics Stewardship Strategy (The ADAPT-Sepsis Trial)

Review Summary

  • Source: First10EM
  • Author: Justin Morgenstern, MD
  • Reviewer: Lensa Ali, MD
2
/ 7
BEEM Rater Scale
3
/ 7
Educational Utility
3
/ 7
Evidence Based Medicine

Takeaway

Be a critical thinker!!! Just because something got published doesn’t make it good. Procal should not guide your duration of antibiotics in critically ill patients.

5) Why Can’t We Be Friends - Conflict in Emergency Medicine

Review Summary

  • Source: The Skeptics’ Guide To EM
  • Author: Ken Milne, MD
  • Reviewer: Mike Paddock, DO
4
/ 7
BEEM Rater Scale
5
/ 7
Educational Utility
4
/ 7
Evidence Based Medicine

Takeaway

Conflicts in the ED between clinicians is common at many levels. Understanding the factors that contribute (and how to address it) is important.