RAP 61
1) Sensitivity of CT for SAH
Review Summary
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Source:
- Author: Mike Menchine, MD
- Reviewer: Gina Schlueter, MD
5
BEEM Rater Scale
5
Educational Utility
3
Evidence Based Medicine
Takeaway
CT is probably sensitive for detecting SAH up to at least 24 hours – potentially even longer but needs further validation.
2) AL vs AP pads for afib cardioversion
Review Summary
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Source:
- Author: Cliff Freeman, MD
- Reviewer: Billy Bleifuss, MD
5
BEEM Rater Scale
5
Educational Utility
6
Evidence Based Medicine
Takeaway
Anterior-lateral placement of pads is more effective than AP for cardioversion of hemodynamically stable atrial fibrillation.
3) Procalcitonin in the ED
Review Summary
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Source:
- Author: Justin Morgenstern, MD
- Reviewer: Octavia Ruelas, MD
3
BEEM Rater Scale
4
Educational Utility
5
Evidence Based Medicine
Takeaway
Procalcitonin has minimal (if any) consistent applicability in the ED.
4) Muscle relaxants for back pain
Review Summary
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Source:
- Author: Jonathan Brewer, MD
- Reviewer: Josh Loiseau, MD
3
BEEM Rater Scale
3
Educational Utility
3
Evidence Based Medicine
Takeaway
Muscle Relaxants aren’t better in combination with NSAIDS for improving back pain rather than solo use.
5) BB vs. Dilt in Afib
Review Summary
-
Source:
- Author: Justin Morgenstern, MD
- Reviewer: Brad Gordon, MD
4
BEEM Rater Scale
3
Educational Utility
Takeaway
Diltiazem is often the best choice for rate control in afib, but not always. We need larger studies for better data.