RAP 86
1) Peds Septic Shock
Review Summary
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Source:
- Author: Matthew Eisenberg, MD
- Reviewer: Thomas Meland, MD
5
BEEM Rater Scale
3
Educational Utility
3
Evidence Based Medicine
Takeaway
In children without known cardiac dysfunction with septic shock, using norepinephrine as first line agent demonstrated a lower mortality and similar rates of kidney dysfunction when compared to epinephrine.
2) PEERLESS Trial
Review Summary
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Source:
- Author: Justin Morgenstern, MD
- Reviewer: Michelle Nadrchal, MD
4
BEEM Rater Scale
2
Educational Utility
4
Evidence Based Medicine
Takeaway
Interesting study to show non-inferiority, but limited application given no studies comparing these high-risk interventions to more standard options.
3) Vertigo Score (Review 1)
Review Summary
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Source:
- Author: Mike Menchine, MD
- Reviewer: Madie Vranyes, PA-C
3
BEEM Rater Scale
2
Educational Utility
3
Evidence Based Medicine
Takeaway
The Sudbury Vertigo score cannot be used at the bedside yet as further prospective analysis will be necessary, but it does show promise as a tool for differentiating CNS causes of vertigo and benign causes.
4) Vertigo Score (Review 2)
Review Summary
-
Source:
- Author: Mike Menchine, MD
- Reviewer: Alora Sager, MD
3
BEEM Rater Scale
3
Educational Utility
4
Evidence Based Medicine
Takeaway
The Sudbury Vertigo Score performed well on validation testing with scores < 5 being associated with 0% risk of serious outcomes. This scoring system may be a useful clinical tool in the future.
5) Lifetime Cancer Risk from CTs
Review Summary
-
Source:
- Author: Rebecca Smith-Blindman, MD, et al.
- Reviewer: Kurt Isenberger, MD
4
BEEM Rater Scale
3
Educational Utility
4
Evidence Based Medicine
Takeaway
No simple solution to balance risks to benefits of CT, incorporating diagnostic algorithms and offering alternative imaging modalities as alternative to ionizing radiation maybe beneficial.