RAP 76

1) Unconditional cash transfers to reduce homelessness?

Review Summary

  • Source: First10EM
  • Author: Justin Morgenstern, MD
  • Reviewer: Josiah Bardwell, MD
3
/ 7
BEEM Rater Scale
3
/ 7
Educational Utility
5
/ 7
Evidence Based Medicine

Takeaway

  1. In this small, limited RCT, cash transfers to homeless individuals in Vancouver saved society money.
  2. Among recipients, no statistically significant increase in spending on “temptation goods.”

2) “ContraceptED”: A Multidisciplinary Framework for Emergency Department-Initiated Contraception

Review Summary

  • Source: Annals of EM
  • Authors: Amy Liang, Noah Sanders, et al.
  • Reviewer: Rachael Nordby, MD
4
/ 7
BEEM Rater Scale
5
/ 7
Educational Utility
3
/ 7
Evidence Based Medicine

Takeaway

EM physicians are uniquely poised to offer reproductive healthcare to underserved populations. Consider prescribing contraception, educating patients on reproductive health and providing resources to outpatient contraception options.

3) HIV PrEP: The Next Wave in Emergency Department-Based HIV Prevention

Review Summary

  • Source: Annals of EM
  • Authors: J Haukoos, MD, K Faryar, MD, S Rowan, MD
  • Reviewer: Griffin Struyk, MD
4
/ 7
BEEM Rater Scale
5
/ 7
Educational Utility
4
/ 7
Evidence Based Medicine

Takeaway

PEP is highly effective, but underutilized in the ED. There is a paucity of data on how to effectively identify eligible patients, linkbthem to a PEP provider, and initiate treatment. Future work is needed to better integrate HIV screening and PEP services into the ED.

4) Back in the Game: The Effects of Activity on Youth Concussion Recovery

Review Summary

  • Source: REBEL EM
  • Author: Laura Schenkel, MD
  • Reviewer: Jordan Ensz, MD
2
/ 7
BEEM Rater Scale
2
/ 7
Educational Utility
2
/ 7
Evidence Based Medicine

Takeaway

Gradual return to play is recommended in adolescents with concussion symptoms but it is unknown how that impacts length of time to full return.

5) Neurological deterioration during intubation in cervical spine disorders

Review Summary

  • Source: Indian Journal of Anesthesia
  • Authors: P Durga, B Prasad Sahu
  • Reviewer: Allie Schick, MD
3
/ 7
BEEM Rater Scale
3
/ 7
Educational Utility
4
/ 7
Evidence Based Medicine

Takeaway

This review article covers the existing evidence on incidence, risk factors, and causes of spinal cord injury during intubation.