RAP 56
1) Reduced Insulin Dosing in Hyperkalemia
Review Summary
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Source:
- Author: Sanjay Arora, MD
- Reviewer: Graci Gorman, MD
4
BEEM Rater Scale
5
BEEM Rater Scale
6
Evidence Based Medicine
Takeaway
Using smaller doses of insulin may effectively reduce potassium while decreasing the risk of iatrogenic hypoglycemia.
2) The FAST Exam: Overused and Overrated?
Review Summary
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Source:
- Author: Justin Morgenstern, MD
- Reviewer: Liz DeYoung, DO
4
BEEM Rater Scale
3
Educational Utility
3
Evidence Based Medicine
Takeaway
FAST is most beneficial in the hemodynamically unstable adult patient with less utility in pediatric/ stable patients.
3) The BaSICs Trial: Normal Saline Has Been Fine All Along
Review Summary
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Source:
- Author: Justin Morgenstern, MD
- Reviewer: Brett Milbrandt, MD
3
BEEM Rater Scale
5
Educational Utility
6
Evidence Based Medicine
Takeaway
In ICU patients there was no difference in 90-day mortality when using normal saline or plasma-lyte.
4) The Latest AAP Changes for Febrile Neonates
Review Summary
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Source:
- Author: Nathaniel White
- Reviewer: Nathan Baggett, MD
6
BEEM Rater Scale
6
Educational Utility
5
Evidence Based Medicine
Takeaway
All febrile neonates under 28 days should receive a full septic workup. Select patients can be risk stratified with inflammatory markers and urinalysis.
5) Domestic Booster Vaccines
Review Summary
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Source:
- Author: Own Schaefer, et al.
- Reviewer: Joe Walter, MD
5
BEEM Rater Scale
5
Educational Utility
3
Evidence Based Medicine
Takeaway
COVID booster vaccinations will likely exacerbate global vaccine disparities and may result in new variants.