RAP 62
1) ED AWARENESS
Review Summary
-
Source:
- Authors: R Pappal, B Roberts, N Mohr, et al.
- Reviewer: Zander Coomes, MD
4
BEEM Rater Scale
4
Educational Utility
6
BEEM Rater Scale
Takeaway
Awareness during paralysis can have devastating psychological consequences. Patients in the ED may be at increased risk for this. This group plans to study this with a prospective observational protocol, as outlined.
2) Antibiotics in Diverticulitis
Review Summary
-
Source:
- Author: Amir Qaseem, MD, PhD, MHA
- Reviewer: Mark Stice, MD
4
BEEM Rater Scale
5
Educational Utility
4
Evidence Based Medicine
Takeaway
Re-emphasizes that it is probably safe to take a nuanced approach to CTs, treatment, and disposition. Large professional society making recommendations may advance the practice.
3) PPI for GI bleeds
Review Summary
-
Source:
- Author: Justin Morgenstern, MD
- Reviewer: Joe Pasquarella, MD
5
BEEM Rater Scale
5
Educational Utility
6
Evidence Based Medicine
Takeaway
PPIs given in the ED for undifferentiated upper GIB do not improve patient-centered outcomes.
4) Discordant imaging in pediatric ED transfers
Review Summary
-
Source:
- Author: Sanjay Arora, MD
- Reviewer: Chris Han, MD
4
BEEM Rater Scale
4
Educational Utility
3
Evidence Based Medicine
Takeaway
There is discordance in community vs. pediatric center x-ray (10%) and CT (13%) reads. Consider pediatric radiologist consultation prior to transfer or re-interpretation on transfer reception.
5) Peripheral Nerve Block for Hip Fracture
Review Summary
-
Source:
- Authors: Brit Long, MD, Michael Gottlieb, MD
- Reviewer: Kurt Isenberger, MD
4
BEEM Rater Scale
5
Educational Utility
6
Evidence Based Medicine
Takeaway
Patients with hip fractures will have less pain, lower incidence of delirium and less chest infections if peripheral nerve blocks are placed in the emergency department.