Rap 70
1) BIG Validation
Review Summary
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Source:
- Author: Sanjay Arora, MD
- Reviewer: McKinzy Butler, MD
5
BEEM Rater Scale
6
Educational Utility
5
Evidence Based Medicine
Takeaway
The BIG is an important tool for identifying risk of neurological deterioration and need for intervention with TBI, and can guide need for admission, repeat HCT, and NSGY consult.
2) Fluids in Sepsis Induced Hypotension
Review Summary
-
Source:
- Author: George Walker
- Reviewer: Autumn Ties, MD
4
BEEM Rater Scale
5
Educational Utility
5
Evidence Based Medicine
Takeaway
In patients with sepsis induced hypotension, restrictive fluids with early vasopressor use doesn’t lead to lower (or higher) mortality at 90 days.
3) CT for Pyogenic Spinal Infections
Review Summary
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Source:
- Author: Mike Menchine, MD
- Reviewer: Tou Thao, MD
3
BEEM Rater Scale
3
Educational Utility
6
Evidence Based Medicine
Takeaway
CT scan is still inferior to MRI in detecting spinal epidural abscesses. CT scan positive for other pyogenic infections warrants immediate MRI evaluation.
4) Steroid for Severe Pneumonia
Review Summary
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Source:
- Author: Josh Farkas, MD
- Reviewer: Zach Affeldt, MD
3
BEEM Rater Scale
2
Educational Utility
6
Evidence Based Medicine
Takeaway
If someone has severe CAP with an elevated CRP the addition of hydrocortisone could be beneficial.
5) BOX Trial
Review Summary
-
Source:
- Author: Salim Rezaie
- Reviewer: Allie Schick, MD
4
BEEM Rater Scale
3
Educational Utility
6
Evidence Based Medicine
Takeaway
Randomizing patients with ROSC after OHCA with likely cardiac cause to restrictive PaO2 goal or higher MAP target did not affect neurologic outcomes or mortality.