RAP 65
1) Contrast Induced Nephropathy
Review Summary
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Source:
- Author: Justin Morgenstern, DO
- Reviewer: Liz DeYoung, DO
7
BEEM Rater Scale
5
Educational Utility
5
Evidence Based Medicine
Takeaway
We should not be delaying emergent contrast imaging to wait for creatinine. There still needs to be more studies to show if it causes AKI.
2) ADVOR Trial: Acetazolamide + Furosemide in Volume Overload
Review Summary
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Source:
- Author: Josh Farkas, MD
- Reviewer: Annika Strand, MD
4
BEEM Rater Scale
3
Educational Utility
3
Evidence Based Medicine
Takeaway
In a multicenter double-blind RCT, addition of acetazolamide to loop diuretic therapy in patients with acute CHF exacerbation resulted in greater incidence of successful decongestion.
3) Ketamine + Haldol vs Fentanyl
Review Summary
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Source:
- Author: Sanjay Arora, MD
- Reviewer: Rachael Nordby, DO
5
BEEM Rater Scale
3
Educational Utility
6
Evidence Based Medicine
Takeaway
The combination of low dose ketamine and haloperidol was found to be more effective in the treatment of acute pain in the emergency department than fentanyl.
4) 5 C's of Calling Consultants
Review Summary
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Source:
- Author: Rob Bryant, MD
- Reviewer: David Perez-Molinar, MD
3
BEEM Rater Scale
4
Educational Utility
4
Evidence Based Medicine
Takeaway
Starting a phone consult with a specific question and utilizing the 5C’s framework is effective and optimizes time during over the phone consultations.
5) VL Techniques
Review Summary
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Source:
- Author: Cameron Jones, MD
- Reviewer: Allie Schick, MD
4
BEEM Rater Scale
5
Educational Utility
4
Evidence Based Medicine
Takeaway
There are multiple airway devices on the market. Familiarity and comfort with multiple devices is likely to be beneficial.