RAP 90

1) Meta-Analysis of Norepinephrine vs Epinephrine After Cardiac Arrest

Review Summary

  • Source: REBEL EM
  • Authors: Elizabeth Smith, MD, Dorian Alexander, MD
  • Reviewer: Hunter Peterson, DO
2
/ 7
BEEM Rater Scale
5
/ 7
Educational Utility
5
/ 7
Evidence Based Medicine

Takeaway

Norepinephrine is associated with decreased risk of recurrent cardiac arrest over epinephrine but improvement in mortality or neurologic outcomes.

2) Ambient AI Scribes in the ED

Review Summary

  • Source: St. Emlyn’s
  • Authors: Stevan Bruijns , Natasha Dole
  • Reviewer: Tori Tonn, MD
4
/ 7
BEEM Rater Scale
3
/ 7
Educational Utility
4
/ 7
Evidence Based Medicine

Takeaway

Though it is marketed as a major gamechanger for medical documentation, AI scribe software is difficult to implement in the ED and would require adaptations that make its use feasible within real ED environments.

3) Management of Tet Spells

Review Summary

  • Source: First10EM
  • Author: Justin Morsgenstern
  • Reviewer: Ellie Schommer, DO
6
/ 7
BEEM Rater Scale
7
/ 7
Educational Utility
6
/ 7
Evidence Based Medicine

Takeaway

The main treatment for Tet spells is to keep the patient calm, reposition them, oxygenate and give phenylephrine ifneeded to increase systemic vascular resistance.

4) Post-Traumatic Growth in EM

Review Summary

  • Source: EMRAP
  • Author: Bernard Chang, MD
  • Reviewer: Bjorn Westgard, MD
4
/ 7
BEEM Rater Scale
5
/ 7
Educational Utility
5
/ 7
Evidence Based Medicine

Takeaway

There are straightforward tactics to incorporating resilience into daily practice through cognitive restructuring after traumatic experiences.