RAP 58

1) Calcium for out of hospital cardiac arrest

Review Summary

  • Source: First10EM
  • Author: Justin Morgenstern, MD
  • Reviewer: Alex Taylor, MD
7
/ 7
BEEM Rater Scale
7
/ 7
Educational Utility
6
/ 7
Evidence Based Medicine

2) Vasopressin and methylprednisolone during in hospital cardiac arrest

Review Summary

  • Source: REBEL EM
  • Author: Salim Rezaie, MD
  • Reviewer: Joe Malicki, MD
3
/ 7
BEEM Rater Scale
5
/ 7
Educational Utility
7
/ 7
Evidence Based Medicine

Takeaway

Worth knowing, not necessarily applicable to our EM patient population. Not practice changing yet, but could be pending further research.

3) Concussion recovery and screen time

Review Summary

  • Source: Journal Feed
  • Author: Clay Smith, MD
  • Reviewer: Nathan Baggett, MD
4
/ 7
BEEM Rater Scale
3
/ 7
Educational Utility
4
/ 7
Evidence Based Medicine

Takeaway

Teens and young adults without limits on screen time took longer to recover from a concussion.

4) Pre-charging the defibrillator during cardiac arrest

Review Summary

  • Source: REBEL EM
  • Author: Salim Rezaie, MD
  • Reviewer: Kelly Dubay, MD
3
/ 7
BEEM Rater Scale
2
/ 7
Educational Utility
5
/ 7
Evidence Based Medicine

Takeaway

Pre-charging the defibrillator can streamline resuscitations and reduce hands-off time, but with unknown patient benefit.

5) New AHA chest pain guidelines

Review Summary

  • Source: Journal Feed
  • Author: Clay Smith, MD
  • Reviewer: Joe Walter, MD
5
/ 7
BEEM Rater Scale
6
/ 7
Educational Utility
7
/ 7
Evidence Based Medicine

Takeaway

New societal guidelines more accurately reflect real world practice with helpful guidance in the workup of chest pain.