RAP 89
1) Pulse Detection in Cardiac Arrest
Review Summary
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Source:
- Authors: Scott Weingart, MD FCCM, Sam Ghali, MD
- Reviewer: Alex Laughlin, DO
5
BEEM Rater Scale
5
Educational Utility
4
Evidence Based Medicine
Takeaway
Pulse detection with ultrasound doppler is far superior than manual palpation in cardiac arrest, specifically PEA.
2) Biphasic Anaphylaxis
Review Summary
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Source:
- Author: Mike Menchine, MD
- Reviewer: Thomas Meland, MD
2
BEEM Rater Scale
3
Educational Utility
3
Evidence Based Medicine
Takeaway
Patients without risk factors do not require extended periods of hospital observation (> 6-8 hours) for biphasic anaphylaxis after initial treatment.
3) TXA Complications
Review Summary
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Source:
- Author: Ken Milne, MD
- Reviewer: Lexi Gruenhagen, MD
3
BEEM Rater Scale
5
Educational Utility
3
Evidence Based Medicine
Takeaway
TXA remains appropriate for early use in bleeding trauma patients but there are possible increased risk of thromboembolic events that warrants further studies — not change in practice.
4) RSI: Ketamine vs Etomidate
Review Summary
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Source:
- Authors: Ken Milne, MD, Scott Weingart, MD FCCM
- Reviewer: Kurt Isenberger, MD
6
BEEM Rater Scale
6
Educational Utility
6
Evidence Based Medicine
Takeaway
Large multicenter RCT. Mortality was similar with Ketamine and Etomidate used for RSI induction. Ketamine caused more peri-intubation hypotension and vasopressor use. Etomidate’s adrenal suppression did not increase mortality.