RAP 73
1) Ransomware Attack Associated With Disruptions at Adjacent Emergency Departments in the US
Review Summary
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Source:
- Author: Dameff, et al.
- Reviewer: Nathan Baggett, MD
3
BEEM Rater Scale
3
Educational Utility
4
Evidence Based Medicine
Takeaway
Cyber attacks against one health system can spill over and impact care at other EDs in the area. Don’t click on suspicious links in your email!
2) Does an Emergency Physician Led Trauma Team Impact Outcome?
Review Summary
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Source:
- Authors: Michelle Skuba Gray, Ketan Patel
- Reviewer: Octavia Ruelas, MD
3
BEEM Rater Scale
3
Educational Utility
4
Evidence Based Medicine
Takeaway
No difference between surgeon vs non-surgeon TTL…unless unstable and need OR.
3) Objective Assessment of Sleep and Fatigue Risk in Emergency Medicine Physicians
Review Summary
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Source:
- Authors: Justin Morgenstern, MD, Ken Milne, MD
- Reviewer: Heather Kaluzniak, MD
4
BEEM Rater Scale
3
Educational Utility
3
Evidence Based Medicine
Takeaway
ED physicians are tired. Sleeping more may benefit your patients. Studies that address the bottom line are the best shot at systematic changes.
4) Outcomes with IV Tenecteplase and IV Alteplase for Acute Ischemic Stroke with or without Thrombectomy in Real-World Settings in the United States
Review Summary
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Source:
- Author: Mike Menchine, MD
- Reviewer: Junggu Lee, MD
3
BEEM Rater Scale
3
Educational Utility
4
Evidence Based Medicine
Takeaway
TNK use had higher rates of ICH compared to alteplase (OR 1.33). TNK group had higher proportion of patients with aphasia, dysphasia, hemiplegia, neglect (indicative of more severe stroke).
5) Sociodemographic Disparities in Queue Jumping for Emergency Department Care
Review Summary
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Source:
- Author: Sangal, et al.
- Reviewer: Kurt Isenberger, MD
7
BEEM Rater Scale
5
Educational Utility
7
Evidence Based Medicine
Takeaway
There are consistent disparities among marginalized populations being more likely to experience an unexplained queue jump, hallway bed placement, and left without being seen.