RAP 81

  • July 10, 2024

1) High vs Low-Dose Nitro

Review Summary

  • Source: REBEL EM
  • Author: Marco Propersi
  • Reviewer: Jordan Stipek, MD
6
/ 7
BEEM Rater Scale
3
/ 7
Educational Utility
4
/ 7
Evidence Based Medicine

Takeaway

Based on this individual study, high-dose NTG (>100mcg/min) demonstrated improved outcomes (time to resolution, intubation, admission) compared to low-dose NTG in patients who presented to the ED in SCAPE. 

2) Everyone Eats

Review Summary

  • Source: EMRAP
  • Authors: Chris Reilly, MD, Reuben Strayer, MD
  • Reviewer: Jordan Ensz, MD
6
/ 7
BEEM Rater Scale
6
/ 7
Educational Utility
5
/ 7
Evidence Based Medicine

Takeaway

Unless patients are scheduled for emergent surgery or procedure, there is no strong evidence to keep them NPO and this can actually be harmful to patient health/ relations. 

3) NIH Asthma Guidelines

Review Summary

  • Source: Peds EM Morsels
  • Author: Rebecca Raffler, DO
  • Reviewer: Rae Hohle, MD
4
/ 7
BEEM Rater Scale
5
/ 7
Educational Utility
7
/ 7
Evidence Based Medicine

Takeaway

Knowing how well a patient’s asthma is controlled can assist you in treating them in the ED.

4) PREOXI Trial

Review Summary

  • Source: First10EM
  • Author: Justin Morgenstern, MD
  • Reviewers: Joe Walter, MD, et al (group review)
6
/ 7
BEEM Rater Scale
7
/ 7
Educational Utility
6
/ 7
Evidence Based Medicine

Takeaway

NIPPV resulted in significantly less peri-intubation hypoxia when compared with standard pre-oxygenation strategies.