RAP 82
1) Occlusive Myocardial Infarction and Artificial Intelligence
Review Summary
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Source:
- Author: Marco Propersi, DO
- Reviewer: Stella Duong, MD
4
BEEM Rater Scale
3
Educational Utility
6
Evidence Based Medicine
Takeaway
The Queen of Hearts AI model (used to help detect subtle OMI EKG changes) surpasses STEMI criteria alone for detecting OMI on EKG. This may be overestimated based on the dataset used, but it is worth further investigation.
2) Acute Pain Management in Patients on Buprenorphine
Review Summary
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Source:
- Author: Ruben Strayer, MD
- Reviewer: Confidence Kpegeol, MD
7
BEEM Rater Scale
7
Educational Utility
5
Evidence Based Medicine
Takeaway
There are a lot of good options to manage patients with pain in the ED, it is important to understand the nature of patients’ pain, along with chronic medications they take to ensure you are properly addressing their pain.
3) Oxygen “Dosing” in Critically Ill Children
Review Summary
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Source:
- Author: Dennis Ren
- Reviewer: Mark Rockwell, MD
5
BEEM Rater Scale
3
Educational Utility
5
Evidence Based Medicine
Takeaway
A Conservative Oxygen Saturation Target <94% May be Tolerable in Critically Ill Children, in certain circumstances.
4) NSAIDs and Emergency Contraception
Review Summary
-
Source:
- Author: Mike Menchine, MD
- Reviewer: Sam Cox, MD
7
BEEM Rater Scale
7
Educational Utility
6
Evidence Based Medicine
Takeaway
Piroxicam may augment the efficacy of levonorgestrel as emergency contraception. It is worthwhile to consider adding NSAIDs when prescribing emergency contraception. More research needs to be done to assess generalizability to other NSAIDs and patient populations.
5) Clinical Gestalt in Sepsis
Review Summary
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Source:
- Author: Justin Morgenstern, MD
- Reviewer: Felix Ankel, MD
4
BEEM Rater Scale
4
Educational Utility
3
Evidence Based Medicine
Takeaway
Gestalt (gut feeling) may be important in the diagnosis of sepsis and may be as good if not better than clinical decision rules, but it remains unclear if this changes practice.