RAP 80

1) The Collapsed Athlete

Review Summary

  • Source: EMRAP
  • Authors: Chris Reilly, MD, Woods Curry, MD, Anand Swaminathan, MD
  • Reviewer: Tou Thao, MD
3
/ 7
BEEM Rater Scale
3
/ 7
Educational Utility
2
/ 7
Evidence Based Medicine

Takeaway

Get involved in your communities, advocate for your local schools/athletes, encourage EAP’s.

2) Low vs. High Mg in atrial fibrillation

Review Summary

  • Source: Academic Emergency Medicine
  • Author: Bouida, et al.
  • Reviewer: Justin Groenewold, MD
4
/ 7
BEEM Rater Scale
5
/ 7
Educational Utility
5
/ 7
Evidence Based Medicine

Takeaway

Magnesium 4 g IV is a safe adjuvant to beta blockers, calcium channel blockers, and digoxin for short-term rate control in atrial fibrillation.

3) Upsize the IV

Review Summary

  • Source: ALiEM
  • Authors: Ryan Ernst, MD, Ellie Gilbertson, MD, TJ Hartridge, DO, Nathan Friedman, MD
  • Reviewer: Abdi Abdullahi, MD
3
/ 7
BEEM Rater Scale
3
/ 7
Educational Utility
3
/ 7
Evidence Based Medicine

Takeaway

Tourniquet infusion technique is a cool concept especially in patients who are hypovolemic. Unclear how useful it is in the age of US guided IV but still a cool technique to keep in your back pocket.

4) Cost Plus Drugs

Review Summary

  • Source: Harvard Political Review
  • Author: Charlotte Caccam
  • Reviewer: Lensa Ali, MD
3
/ 7
BEEM Rater Scale
3
/ 7
Educational Utility
1
/ 7
Evidence Based Medicine

Takeaway

The system is rigged. Many of our patients are overcharged on something that could easily be affordable, maybe change is on the horizon.

5) ETCO2 in Sedation

Review Summary

  • Source: World Journal of EM
  • Authors: Samuel Campbell, et al.
  • Reviewer: Allie Schick, MD
3
/ 7
BEEM Rater Scale
3
/ 7
Educational Utility
5
/ 7
Evidence Based Medicine

Takeaway

In this single RCT of patients undergoing PSA, the use of End Tidal Capnometry did not change rate of hypoxia >30 seconds or intubation, but was associated with slightly higher rates of hypotension and lower rates of airway positioning.