RAP 54
1) Nebulized Ketamine for Analgesia: The KetaBAN Trial
Review Summary
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Source:
- Author: Salim Rezaie, MD
- Reviewer: Ellen Dore, MD
3
BEEM Rater Scale
3
Educational Utility
7
Evidence Based Medicine
Takeaway
Nebulized ketamine appeared effective for control of acute pain in the ED. Trials are needed to compare to IV and IM dosing.
2) Troponin Interpretation in CKD
Review Summary
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Source:
- Author: Brit Long, MD
- Reviewer: Joe Montgomery, PA-C
4
BEEM Rater Scale
3
Educational Utility
5
Evidence Based Medicine
Takeaway
Avoid attributing troponin elevation to renal disease alone. In patients without ischemic symptoms consider sepsis, PE, CHF etc.
3) EDACs: ED assessment of Chest Pain
Review Summary
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Source:
- Author: Sanjay Arora, MD
- Reviewer: Matthew Borgo, MD
6
BEEM Rater Scale
4
Educational Utility
7
Evidence Based Medicine
Takeaway
EDACS is a useful tool for evaluation of risk of MACE. It seems to be more specific than the HEART score (60% vs 20-30%).
4) Targeted Temperature Management: TTM2 Trial
Review Summary
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Source:
- Author: Brent Thoma, MD
- Reviewer: Gina Schlueter, MD
6
BEEM Rater Scale
5
Educational Utility
6
Evidence Based Medicine
Takeaway
The TTM-2 trial published in the NEJM showed that hypothermia (at 33C) did not improve survival after out-of-hospital cardiac arrest.
5) Antibiotics in PID
Review Summary
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Source:
- Author: Adis Keric, PharmD
- Reviewer: Nick Maleska, MD
5
BEEM Rater Scale
3
Educational Utility
6
Evidence Based Medicine
Takeaway
Adding metronidazole to treatment for PID decreased pelvic tenderness at 30 days but increased risk of vulvovaginal candidiasis.
6) Tips + Tricks: Linear Ultrasound Probe Use to Identify IUP
Review Summary
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Source:
- Authors: Amy Phillips, MD, Mark Favot, MD
- Reviewer: Sam Southgate, MD
Takeaway
The linear probe may confirm an early IUP when the curvilinear probe does not. Make sure to use the lowest energy setting.