RAP 57
1) Lytics in stroke re-analysis – Fragility index for ECASS III & NINDS
Review Summary
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Source:
- Authors: Salim Rezaie, MD, Anand Swaminathan, MD
- Reviewer: Daniel Stone, MD
5
BEEM Rater Scale
5
Educational Utility
6
Evidence Based Medicine
Takeaway
This re-analysis shows the final conclusions (NINDS, ECASS III) taken away are quite equivocal especially since publication of further studies in tPA.
2) Non-invasive Strategies in COVID-19 Associated ARDS
Review Summary
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Source:
- Authors: Simon Laing, Rob Fenwick
- Reviewer: Sam Southgate, MD
5
BEEM Rater Scale
3
Educational Utility
7
Evidence Based Medicine
Takeaway
CPAP, compared with oxygen via NC or mask, reduced the need for intubation in COVID patients. HFNC had no effect.
3) Angiography after Out-of-Hospital Cardiac Arrest without ST-Segment Elevation
Review Summary
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Source:
- Author: Fraser Magee
- Reviewer: Autumn Pace, MD
2
BEEM Rater Scale
3
Educational Utility
5
Evidence Based Medicine
Takeaway
In patients with ROSC after an out of hospital cardiac arrest, immediate angiography does not improve clinical outcomes at 30 days.
4) D-Dimer in Pregnancy - Can we Trust It?
Review Summary
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Source:
- Author: Rebecca White
- Reviewer: Rachael Nordby, DO
4
BEEM Rater Scale
4
Educational Utility
5
Evidence Based Medicine
Takeaway
D-dimer can be used to rule out venous thromboembolism in pregnant adults with non-high pre-test probability.
5) Tips & Tricks: Extra-oral reduction technique in anterior jaw dislocation
Review Summary
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Source:
- Author: Kara Toles, MD
- Reviewer: Dan Hogan, MD
4
BEEM Rater Scale
3
Educational Utility
2
Evidence Based Medicine
Takeaway
Classic teaching for reduction of anterior jaw dislocation requires sedation and provider fingers in the patient’s mouth. Try this extraoral safer/quicker technique in the future.