RAP 66

1) Terminal QRS distortion is present in anterior myocardial infarction but absent in early repolarization

Review Summary

  • Source: emDocs
  • Author: Christiaan van Nispen
  • Reviewer: Elissa Louks, PA-C
3
/ 7
BEEM Rater Scale
3
/ 7
Educational Utility
2
/ 7
Evidence Based Medicine

Takeaway

Benign early repol will have J waves or S waves in either V2 or V3. 

2) MacSize ICU

Review Summary

  • Source: Journal Feed
  • Author: Aaron Lacy
  • Reviewer: Sam Cox, MD
4
/ 7
BEEM Rater Scale
3
/ 7
Educational Utility
5
/ 7
Evidence Based Medicine

Takeaway

First pass DL intubation success rates may be higher with Macintosh 3 vs Macintosh 4 blades.

3) PENG Block for Hip Fractures

Review Summary

  • Source: EMA
  • Author: Mike Menchine, MD
  • Reviewer: Dan Stone, MD
2
/ 7
BEEM Rater Scale
5
/ 7
Educational Utility
4
/ 7
Evidence Based Medicine

Takeaway

PENG (pericapsular nerve group) blocks are noninferior to SIFI or fascia iliaca blocks in this small retrospective dataset, but more research is needed.

4) Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis

Review Summary

  • Source: Resus Room
  • Authors: Simon Laing, Rob Fenwick
  • Reviewer: Nathan Baggett, MD
4
/ 7
BEEM Rater Scale
3
/ 7
Educational Utility
4
/ 7
Evidence Based Medicine

Takeaway

Aggressive fluid resuscitation in pancreatitis leads to increased rates of volume overload and prolongs hospitalizations.

5) Reducing Stigma in Mental Health

Review Summary

  • Source: Off the Charts
  • Authors: Kari Haley, MD, Steven Jackson, MD
  • Reviewer: Brad Gordon, MD
5
/ 7
BEEM Rater Scale
5
/ 7
Educational Utility
4
/ 7
Evidence Based Medicine

Takeaway

Stigma in mental health is rampant and it takes constant reframing to combat this problem.