RAP 59

1) Pigtails in traumatic hemothorax?

Review Summary

  • Source: St. Emlyn’s
  • Author: Simon Carley, MD
  • Reviewer: Abdihakim Abdullahi, MD
4
/ 7
BEEM Rater Scale
5
/ 7
Educational Utility
5
/ 7
Evidence Based Medicine

Takeaway

Interesting article, thought provoking and has the potential to change practice but current data is limited and isn’t enough to change practice.

2) Endovascular treatment for stroke compared to alteplase followed by endovascular treatment

Review Summary

  • Source: REBEL EM
  • Author: Thomas del Ninno, MD
  • Reviewer: McKinzy Butler, MD
3
/ 7
BEEM Rater Scale
3
/ 7
Educational Utility
5
/ 7
Evidence Based Medicine

Takeaway

Endovascular therapy alone is neither superior or inferior to tPA + endovascular therapy for large vessel ischemic stroke, and more research needs to be done.

3) First pass success with bougie vs. stylet

Review Summary

  • Source: Journal Feed
  • Author: Aaron Lacy, MD
  • Reviewer: Annika Strand, MD
5
/ 7
BEEM Rater Scale
5
/ 7
Educational Utility
7
/ 7
Evidence Based Medicine

Takeaway

No difference in RSI first pass success rate with bougie first or ETT + stylet in large multicenter ED and ICU RCT. 

4) Addressing gender inequities in the EM workplace

Review Summary

  • Source: Academic Emergency Medicine
  • Authors: L Lee, E Platz, J Klig, et al.
  • Reviewer: Jacy O'Keefe, MD
7
/ 7
BEEM Rater Scale
7
/ 7
Educational Utility
4
/ 7
Evidence Based Medicine

Takeaway

5) Microaggresions

Review Summary

  • Source: Off the Charts
  • Authors: Kari Haley, MD, Steven Jackson, MD, Benji Mathews, MD
  • Reviewer: Paul Haller, MD
7
/ 7
BEEM Rater Scale
6
/ 7
Educational Utility
4
/ 7
Evidence Based Medicine

6) Tip/ Trick: Isopropyl alcohol for nausea & vomiting

Review Summary

  • Source: ALiEM
  • Author: Mark Culver, DO
  • Reviewer: Megan Elsenheimer, DO
4
/ 7
BEEM Rater Scale
3
/ 7
Educational Utility
5
/ 7
Evidence Based Medicine

Takeaway

Isopropyl alcohol is a cheap, readily available, and quick potential addition to the treatment of nausea and vomiting.