RAP 57

1) Lytics in stroke re-analysis – Fragility index for ECASS III & NINDS

Review Summary

  • Source: EMRAP
  • Authors: Salim Rezaie, MD, Anand Swaminathan, MD
  • Reviewer: Daniel Stone, MD
5
/ 7
BEEM Rater Scale
5
/ 7
Educational Utility
6
/ 7
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

  • Source: Resus Room
  • Authors: Simon Laing, Rob Fenwick
  • Reviewer: Sam Southgate, MD
5
/ 7
BEEM Rater Scale
3
/ 7
Educational Utility
7
/ 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

  • Source: The Bottom Line
  • Author: Fraser Magee
  • Reviewer: Autumn Pace, MD
2
/ 7
BEEM Rater Scale
3
/ 7
Educational Utility
5
/ 7
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

  • Source: Journal Feed
  • Author: Rebecca White
  • Reviewer: Rachael Nordby, DO
4
/ 7
BEEM Rater Scale
4
/ 7
Educational Utility
5
/ 7
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

  • Source: ALiEM
  • Author: Kara Toles, MD
  • Reviewer: Dan Hogan, MD
4
/ 7
BEEM Rater Scale
3
/ 7
Educational Utility
2
/ 7
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.