RAP 55

1) Patient-Reported Opioid Pill Consumption After an ED Visit

Review Summary

  • Source: EMA
  • Author: Sanjay Arora, MD
  • Reviewer: Joe Pasquerella, MD
4
/ 7
BEEM Rater Scale
3
/ 7
Educational Utility
5
/ 7
Evidence Based Medicine

Takeaway

A limited prescription of opioids for patients who are experiencing acute pain is a reasonable practice, although this topic may benefit from more prospective study.

2) Identifying Human Trafficking in the ED

Review Summary

  • Source: EM Cases
  • Author: Hanni Soklosa, MD
  • Reviewer: River Cook, MD
4
/ 7
BEEM Rater Scale
4
/ 7
Educational Utility
1
/ 7
Evidence Based Medicine

Takeaway

The ED is at the forefront of the human trafficking interface and should be considered in the differential of any abused or vulnerable patients.

3) High-Dose Nitroglycerin for SCAPE

Review Summary

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

Takeaway

NIV and NTG may be useful therapies to prevent ICU admission or intubation in patients with SCAPE but external validity may be needed.

4) Immediate Cardioversion vs Rate Control and Delayed Cardioversion for Acute Atrial Fibrillation

Review Summary

  • Source: EM Cases
  • Author: Paul Dorion, MD
  • Reviewer: Jacy O'Keefe, MD
6
/ 7
BEEM Rater Scale
7
/ 7
Educational Utility
7
/ 7
Evidence Based Medicine

Takeaway

Expectant management in patients versus cardioversion is non-inferior. There was no difference in potential risks or patient reported quality of life. 

5) How to Get a Better View of the Cords on Laryngoscopy

Review Summary

  • Source: Journal Feed
  • Author: Aaron Lacy, MD
  • Reviewer: Casey Woster, MD
5
/ 7
BEEM Rater Scale
5
/ 7
Educational Utility
6
/ 7
Evidence Based Medicine

Takeaway

Anatomy is power. Understanding the position of the hyoepiglottic ligament is crucial when intubating with a Macintosh blade.