RAP 64
1) Management of Occult Pneumothorax in Ventilated Patients
Review Summary
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Source:
- Author: Mike Menchine, MD
- Reviewer: Sean Condon, MD
3
BEEM Rater Scale
5
Educational Utility
5
Evidence Based Medicine
Takeaway
This meta-analysis of 12 studies demonstrated that most occult pneumothoraces in ventilated patients can be managed conservatively with close monitoring. Chest-tube insertion is only necessary for patients with progressively worsening pneumothoraces or clinical deterioration.
2) TNK vs tPA in acute ischemic stroke
Review Summary
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Source:
- Author: Salim Rezaie
- Reviewer: Billy Bleifuss, MD
3
BEEM Rater Scale
4
Educational Utility
5
Evidence Based Medicine
Takeaway
While low-dose TNK may have questionable short term benefits when compared to tPA, significant differences in long term outcomes remain unclear.
3) CRP-guided Antibiotics in COPD
Review Summary
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Source:
- Author: Salim Rezaie
- Reviewer: Junggu Lee, MD
3
BEEM Rater Scale
3
Educational Utility
5
Evidence Based Medicine
Takeaway
Using POC CRP in an outpatient setting decreased antibiotic prescriptions with no difference in measured clinical outcomes.
4) Impella Devices
Review Summary
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Source:
- Author: Salim Rezaie, MD
- Reviewer: Richard Campbell, MD
3
BEEM Rater Scale
3
Educational Utility
7
Evidence Based Medicine
Takeaway
Intro level knowledge of Impella devices is highly recommended. It is not practice changing as these patients will be managed by a multidisciplinary team.
5) Post-abortion Complications
Review Summary
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Source:
- Authors: Anand Swaminathan, MD, Brit Long, MD
- Reviewer: Jenna Wilkinson, MD
3
BEEM Rater Scale
5
Educational Utility
5
Evidence Based Medicine
Takeaway
Be sure to ask patients about the circumstances surrounding their abortion. ”Safe” vs ”Unsafe” abortions have very different complication rates. Know how to identify and treat post abortion complications.