RAP 53

1) Nail Bed Repair With Tissue Adhesive Glue

Review Summary

  • Source: ALiEM
  • Author: Salim Rezaie, MD
  • Reviewer: Joe Malicki, MD
7
/ 7
BEEM Rater Scale
5
/ 7
Educational Utility
4
/ 7
BEEM Rater Scale

Takeaway

Nail bed repair with tissue adhesive glue may be a reasonable alternative to sutures.

2) Radiation Dose in Pregnancy

Review Summary

  • Source: EM Cases
  • Author: Hania Bielawska
  • Reviewer: Jacy O'Keefe, MD
5
/ 7
BEEM Rater Scale
5
/ 7
Educational Utility
6
/ 7
Evidence Based Medicine

Takeaway

Appropriate imaging should not be withheld from pregnant patients due to fear of fetal radiation exposure.

3) Femoral vs. Carotid Pulse Checks During CPR

Review Summary

  • Source: Resuscitation
  • Authors: Gokhan Yilmaz, Oguzhan Bol
  • Reviewer: Ashley Warner, PA-C
4
/ 7
BEEM Rater Scale
3
/ 7
Educational Utility
4
/ 7
Evidence Based Medicine

Takeaway

The carotid pulse should be more sensitive than the femoral pulse to determine ROSC. How much more sensitive remains unknown.

4) Long Term Outcomes of PARAMEDIC2 Trial

Review Summary

  • Source: Resuscitation
  • Author: Kirstie Haywood, et al.
  • Reviewer: McKinzy Butler, MD
3
/ 7
BEEM Rater Scale
3
/ 7
Educational Utility
5
/ 7
Evidence Based Medicine

Takeaway

Use of epinephrine in OOHCA improved survival at 12 months but did not result in more favorable neurological outcomes.

5) Tips & Tricks: Syringe Fluorescein Application Technique

Review Summary

  • Source: ALiEM
  • Author: Sam Shaikh, DO
  • Reviewer: Megan Elsenheimer, DO

Takeaway

A number of methods can be used to avoid direct application of fluorescein strips to the eye, which can improve patient comfort.