RAP 75

1) Arterial vs Venous Blood Gas Analysis in Patients with Hypotension

Review Summary

  • Source: EMA
  • Author: Sanjay Arora, MD
  • Reviewer: Jordan Stipek, MD
4
/ 7
BEEM Rater Scale
5
/ 7
Educational Utility
5
/ 7
Evidence Based Medicine

Takeaway

VBG ~ ABG and is easier to perform, safer and more comfortable for patient care while providing clinically equivalent information in patients with hypotension. 

2) The ARAMIS Trial: Antiplatelet Agents vs Alteplase for Minor Stroke

Review Summary

  • Source: EMRAP
  • Author: Scott Kobner, MD
  • Reviewer: Rae Hohle, MD
5
/ 7
BEEM Rater Scale
5
/ 7
Educational Utility
6
/ 7
Evidence Based Medicine

Takeaway

DAPT therapy should be a considered treatment in this select subgroup of patients with minor non-disabling acute ischemic strokes within 4.5hrs of symptom onset. 

3) Comparison of Resuscitation Quality in Simulated Pediatric and Adult Out-of-Hospital Cardiac Arrest

Review Summary

  • Source: JAMA Network Open
  • Author: Hansen, et al.
  • Reviewer: Michelle Nadrchal, MD
4
/ 7
BEEM Rater Scale
5
/ 7
Educational Utility
4
/ 7
Evidence Based Medicine

Takeaway

Adults receive better out-of-hospital cardiac arrest care as compared to pediatrics, which may be due to the increased cognitive load when caring for pediatric patients.

4) Diagnostic yield of computed tomography after non-traumatic out-of-hospital cardiac arrest

Review Summary

  • Source: Resuscitation
  • Author: Tam, et al.
  • Reviewer: Billy Bleifuss, MD
3
/ 7
BEEM Rater Scale
3
/ 7
Educational Utility
5
/ 7
Evidence Based Medicine

Takeaway

Takeaway: If you look for pathology after resuscitation, you’ll probably find some which may help inform care.  Similar studies also note improved time to diagnoses, some critical, some not.  

5) The Emergency Medicine Match: Is the Sky Falling or Is This Just Growing Pains?

Review Summary

  • Source: Annals of EM
  • Authors: G. Schmitz, Z. Jarou
  • Reviewer: Felix Ankel, MD
3
/ 7
BEEM Rater Scale
4
/ 7
Educational Utility
2
/ 7
Evidence Based Medicine

Takeaway

The EM match is complex.  There are identifiable factors associated with EM program fill. These are correlative not causative.