RAP 52
1) IV Push Dose Antibiotics in the ED
Review Summary
-
Source:
- Author: Adam Spaulding, PharmD
- Reviewer: Ryan Johnsen, MD
6
BEEM Rater Scale
5
Educational Utility
7
Evidence Based Medicine
Takeaway
Giving antibiotics via IV push may hasten administration without tying up lines. Various beta-lactams can be given this way.
2) Self Obtained Vaginal Swabs
Review Summary
-
Source:
- Author: Brian Chinnock, MD, et al.
- Reviewer: Alex Taylor, MD
5
BEEM Rater Scale
5
Educational Utility
5
Evidence Based Medicine
Takeaway
Self-obtained vaginal swabs for GC/ CT have high sensitivity (95%) and a majority (75%) of patients preferred this method.
3) Needle Decompression for Pneumothorax
Review Summary
-
Source:
- Author: Benjamin Gerretsen
- Reviewer: Dan Hogan, MD
6
BEEM Rater Scale
3
Educational Utility
5
Evidence Based Medicine
Takeaway
Needle decompression may be more successful in the mid-clavicular line than the anterior axillary line in higher BMI patients.
4) Age Adjusted D-Dimer
Review Summary
-
Source:
- Author: Ali Ghobadi, MD, et al.
- Reviewer: Sean Condon, MD
4
BEEM Rater Scale
3
Educational Utility
5
Evidence Based Medicine
Takeaway
Using age-adjusted D-dimer in patients >50 improved specificity while maintaining high sensitivity and negative predictive value.
5) Accuracy of Practitioner Estimate of Probability of Diagnosis
Review Summary
-
Source:
- Author: Daniel Morgan, MD, et al.
- Reviewer: Enyioma Okechukwu, MD
2
BEEM Rater Scale
4
Educational Utility
7
Evidence Based Medicine
Takeaway
Pre- and post-test probabilities are important for sound clinical practice. Clinicians tend to overestimate probabilities.