RAP 69

1) Utility of serum lactate on differential diagnosis of seizure-like activity: A systematic review and meta-analysis

Review Summary

  • Source: EMA
  • Author: Sanjay Arora, MD
  • Reviewer: Tommie James, PA-C
3
/ 7
BEEM Rater Scale
3
/ 7
BEEM Rater Scale
5
/ 7
BEEM Rater Scale

Takeaway

In patients with suspected seizure activity, serum lactate may be useful in differentiating GTCS from other etiologies of transient loss of consciousness, but more studies are needed.

2) ECMO in the Therapy of Cardiogenic Shock

Review Summary

  • Source: EMA
  • Author: Mike Menchine, MD
  • Reviewer: Octavia Ruelas, MD
3
/ 7
BEEM Rater Scale
3
/ 7
BEEM Rater Scale
3
/ 7
BEEM Rater Scale

Takeaway

Inconclusive study to answer if VA-ECMO should be standard of care in cardiogenic shock 2/2 to crossover, lack of significant results. Follow up other studies…

3) Price comparison of human and veterinary formulations of common medications

Review Summary

  • Source: EMA
  • Author: Sanjay Arora, MD
  • Reviewer: Alayna Kabanuk, MD
3
/ 7
BEEM Rater Scale
3
/ 7
BEEM Rater Scale
7
/ 7
BEEM Rater Scale

Takeaway

Medications are more expensive for humans than they are for dogs and though difficult, comparison shopping can have value. 

4) Intra-articular Lidocaine vs Procedural Sedation and Analgesia for Closed Reduction of Acute Anterior Shoulder Dislocation

Review Summary

  • Source: REBEL EM
  • Author: Nordia Matthews, MD
  • Reviewer: Abdihakim Abdullahi, MD
6
/ 7
BEEM Rater Scale
7
/ 7
BEEM Rater Scale
5
/ 7
BEEM Rater Scale

Takeaway

Intra-articular lidocaine is just as good (if not better) as procedural sedation for shoulder reductions but be prepared for lower google review scores.

5) Resurgence of GAS disease in children

Review Summary

  • Source: BMJ
  • Authors: Alasdair Bamford, Elizabeth Wittaker
  • Reviewer: Jenna Wilkinson, MD
3
/ 7
BEEM Rater Scale
6
/ 7
BEEM Rater Scale
4
/ 7
BEEM Rater Scale

Takeaway

Know that GAS is more dangerous this year secondary to multiple factors. Be more careful with those at risk for invasive dz.