RAP 68

1) Learning Curve for Intubation in the ED

Review Summary

  • Source: EMA
  • Author: Sanjay Arora, MD
  • Reviewer: River Cook, MD
6
/ 7
BEEM Rater Scale
3
/ 7
Educational Utility
7
/ 7
Evidence Based Medicine

Takeaway

Some of us don’t get enough tubes in residency to be competent per this study. Get the tubes Y’all.

2) Amiodarone vs. Lidocaine in In-Hospital Cardiac Arrest

Review Summary

  • Source: Journal Feed
  • Author: Megan Hilbert
  • Reviewer: Rae Hohle, MD
4
/ 7
BEEM Rater Scale
3
/ 7
Educational Utility
5
/ 7
Evidence Based Medicine

Takeaway

Lidocaine may result in better outcomes than amiodarone in patients experiencing in-hospital cardiac arrest due to ventricular fibrillation or ventricular tachycardia.

3) CT Angiogram vs. Invasive Angiogram for CAD

Review Summary

  • Source: BMJ
  • Author: DISCHARGE Trial Group
  • Reviewer: Chris Han, MD
4
/ 7
BEEM Rater Scale
4
/ 7
Educational Utility
6
/ 7
Evidence Based Medicine

Takeaway

CT Angio performs as well in women as men for intermediate pre-test probability for CAD in stable chest pain, and results in less procedural complications.

4) Magnesium for Migraines

Review Summary

  • Source: Journal Feed
  • Author: Sam Parnell
  • Reviewer: Stella Duong, MD
4
/ 7
BEEM Rater Scale
3
/ 7
Educational Utility
5
/ 7
Evidence Based Medicine

Takeaway

No statistically significant differences in ED length of stay, rescue analgesia, or adverse effects when comparing magnesium, metoclopramide, and prochlorperazine for migraines. 

5) Acute Severe Aortic Stenosis causing Cardiogenic Shock

Review Summary

  • Source: EMCrit
  • Author: Katrina Augustin, MD
  • Reviewer: Allie Schick, MD
5
/ 7
BEEM Rater Scale
5
/ 7
Educational Utility
4
/ 7
Evidence Based Medicine

Takeaway

Management of severe aortic stenosis causing cardiogenic shock is nuanced, with emphasis on maintaining diastolic BP  and avoiding tachycardia.