RAP 88
1) Magnesium as an adjuvant for Afib with RVR
Review Summary
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Source:
- Authors: Pierre-Carole Tchouapi MD, Kevin E. Anderson, Paul Narayan Hein, MD
- Reviewer: Shane Johannsen MD
3
BEEM Rater Scale
2
Educational Utility
5
Evidence Based Medicine
Takeaway
IV magnesium may improve rate and/or rhythm control for patients in afib with RVR when used specifically as an adjunct to standard care, although there poses many caveats and further studies are necessary to change current guidelines.
2) Magnesium as an adjuvant for Afib with RVR
Review Summary
-
Source:
- Authors: Pierre-Carole Tchouapi MD, Kevin E. Anderson, Paul Narayan Hein, MD
- Reviewer: Jordan Ensz MD
4
BEEM Rater Scale
2
Educational Utility
3
Evidence Based Medicine
Takeaway
Magnesium may have benefit in rate reduction when used alongside other rate control medications and rhythm control when used alongside other rate control medications
3) Trigger point injections for myofascial pain syndrome of the low back
Review Summary
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Source:
- Author: Lajeunesse MD, Olivera TR, April MD, et al.
- Reviewer: Katie Nielson MD
5
BEEM Rater Scale
3
Educational Utility
7
BEEM Rater Scale
Takeaway
There is no significant benefit from placebo versus Toradol versus trigger point injections in back pain presenting to the emergency department and no significant difference in side effects between the 3 treatment groups at 30 minutes, 60 minutes, 2-3 days post ED visit.
4) Early Blood Pressure Targets in Acute Spinal Cord Injury: 2 Minute Medicine
Review Summary
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Source:
- Authors: Siwen Liu, Simon Pan
- Reviewer: Max Elsenheimer DO
6
BEEM Rater Scale
4
Educational Utility
4
Evidence Based Medicine
Takeaway
Aggressive MAP pushes (MAP>85-90) for acute spinal cord injuries may not be superior to patients with normal (MAP>65) BP goals with relation to neurologic outcomes at 6 months, and may have more adverse events
5) ADAPT - Sepsis Trial: Biomarker Guided Antibiotic Duration for Suspected Sepsis
Review Summary
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Source:
- Author: Mark Ramzy, DO
- Reviewer: Ashley TeKippe, MD
5
BEEM Rater Scale
5
Educational Utility
6
Evidence Based Medicine
Takeaway
The CRP driven protocol in sepsis showed no change in antibiotic duration and, although procalcitonin protocols significantly reduced antibiotic durations, there was an increase in mortality noted.