BETs and CAs in this Category

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Heart
  Green: complete   Cardiac monitoring not needed in household electrical injury if the patient is asymptomatic and has a normal ECG
  Green: complete   Bypass is better than external rewarming after hypothermic cardiac arrest
  Green: complete   In patients with dysrhythmias following tricyclic overdose patients treatment should include alkalinisation to a pH of 7.55
  Green: complete   Belching as a recognised symptom of myocardial ischaemia
  Green: complete   Intravenous Magnesium in shock-resistant tachyarrhythmias
  Green: complete   Is an early invasive approach superior to a conservative strategy in patients with acute coronary syndrome?
  Green: complete   The first ECG has a low sensitivity for myocardial infarction in patients with chest pain
  Green: complete   Oral or intravenous beta-blockers in acute myocardial infarction
  Green: complete   Nitrates as first line treatment for acute left ventricular failure
  Green: complete   Can Cardiac re-transplantation be performed with an acceptable survival after primary graft failure?
  Green: complete There are 4 critical appraisals linked to this BET Can cardiac troponins be used to diagnose a perioperative myocardial infarction post cardiac surgery?
  Green: complete   GII/IIIB inhibitors in addition to LMWH unproven in unstable angina
  Green: complete There are 1 critical appraisals linked to this BET Does prophylactic tranexamic acid safely reduce bleeding without increasing thrombotic complications in patients undergoing cardiac surgery?
  Green: complete   Is Intravenous Adenosine Effective and Safe in Patients presenting with Unstable Paroxysmal Supraventricular Tachycardia?
  Green: complete   Troponin for 30 day risk stratification in chest pain patients with ischaemic ECG.
  Green: complete   Prophylactic magnesium is not indicated in myocardial infarction
  Green: complete   Monophasic versus Biphasic defibrillation
  Green: complete   CPAP in acute left ventricular failure
  BET Title Available 232 Months   Antihypertensives in hypertensive emergencies
  Green: complete   Aspirin administration should be administered as quickly as practicable in acute myocardial infarction
  BET Title Available 216 Months   Nitrate therapy in distinguishing between cardiac and non-cardiac chest pain
  Green: complete   NIPPV for acute cardiogenic pulmonary oedema
  Green: complete   Diagnostic utility of ECG for diagnosing pulmonary embolism
  Blue: submitted but not checked   Amiodarone versus Lignocaine in resistant ventricular tachycardia
  Green: complete   Managing acute pulmonary oedema with high or standard dose nitrate
  Blue: submitted but not checked   Buccal or nitrate spray for the pre-hospital patient
  Green: complete   Is prophylactic administration of steroids of benefit to children undergoing cardiac surgery
  Green: complete   Acute myocardial infarction in cocaine induced chest pain presenting as an emergency
  Green: complete   What is the risk of AMI in amphetamine induced chest pain presenting to the ED?
  Green: complete   Chest drains in traumatic occult pneumothorax
  Green: complete   Epinephrine self-injection for anaphylaxis in children
  Green: complete   Are routine chest x ray and ECG examinations helpful in the evaluation of asymptomatic heart murmurs?
  Blue: submitted but not checked   Treatment effectiveness of conservative managment for Posterior Tibialis Tendon Dysfunction (PTTD)
  BET Title Available 182 Months   The use of Trendelburg position to cardiovert SVT in adult patients back to sinus rhythm
  Green: complete   Diamorphine or morphine for ischaemic cardiac chest pain
  Green: complete   Does iron have a place in the management of breath holding spells?
  Green: complete   Is transmyocardial revascularisation of benefit to people with 'no option' angina?
  BET Title Available 242 Months   Emergency Department ultrasound for pericardial tamponade.
  BET Title Available 249 Months   Troponin T as an indicator of myocardial damage in pericarditis
  Blue: submitted but not checked   Does the application of opiates, during an attack of Acute Cardiogenic Pulmonary Oedma, reduce patients' mortality and morbidity?
  Green: complete   Is ibuprofen or indomethacin better for medical closure of the patent ductus arterious?
  Green: complete   Is transcatheter device occlusion as good as open heart surgery for closure of atrial septal defects?
  BET Title Available 178 Months   Role of combined cardiac enzyme assay in chest pain or suspected myocardial infarction with non-diagnostic ECG
  Blue: submitted but not checked   ED Bedside Ultrasound guided volume assessment with IVC diameter
  BET Title Available 265 Months   Energy levels for emergency cardioversion with biphasic defibrillators
  Green: complete   Intravenous diltiazem for the control of ventricular rate in patients with recent onset atrial fibrillation and left ventricular failure
  Blue: submitted but not checked   Stable Traumatic Pneumopericardium – Operate or Hesitate?
  Green: complete   Amiodarone or flecainide for cardioversion in acute onset atrial fibrillation
  Green: complete   Is transmyocardial myocardial revascularisation of benefit in addition to coronary artery bypass grafting for patients with diffuse coronary disease?
  Green: complete   Use of troponin for the diagnosis of myocardial contusion after blunt chest trauma
  Green: complete   Beta-blockers in cocaine induced acute coronary syndrome
  Blue: submitted but not checked   Rethrombolysis in acute myocardial infarction
  Green: complete   Cocaine induced myocardial ischaemia - nitrates versus benzodiazepines
  Blue: submitted but not checked   All low molecular weight heparins are equal, but some more equal than others. A comparison of clexane and fragmin in ACS.
  BET Title Available 260 Months   Does ST segment monitoring predict MI/mortality in the near future.
  BET Title Available 260 Months   Emergency Department Thrombolysis in Painless or asymptomatic myocardial Infarction
  Red: incomplete   Use of high dose statins in immediate treatment of acute coronary syndromes
  Green: complete   Does the use of topical transexamic acid in cardiac surgery reduce the incidence of post-operative mediastinal bleeding?
  Green: complete   Is Sotalol more effective than standard beta-blockers for the prophylaxis of atrial fibrillation during cardiac surgery
  Green: complete   Prophylactic Amiodarone in the prevention of Atrial Fibrillation
  Green: complete   What is the optimal dose of aspirin after discharge following coronary bypass surgery
  Blue: submitted but not checked   Is a pleural drain of value after CABG with LIMA in preventing Pleural Effusions when the Pleura is opened?
  Blue: submitted but not checked   Is rate control superior to conversion strategy in AF post cardiac surgery?
  Blue: submitted but not checked   Is amiodarone or digoxin better in AF post cardiac surgery in terms of time to return of sinus rhythm?
  Green: complete   Is prophylactic haemofiltration during cardiopulmonary bypass of benefit during cardiac surgery?
  Green: complete   Does aspirin 6 hours after coronary artery bypass grafting optimise graft patency?
  Green: complete   How good is clinical examination at detecting a significant patent ductus arteriosus in the preterm neonate?
  Green: complete   Which patients would benefit from an intra-aortic balloon pump prior to cardiac surgery ?
  BET Title Available 251 Months   Use of Low molecular weight heparins in first presentation atrial fibrillation
  BET Title Available 227 Months   Use of BNP in diagnosis of LVF
  Green: complete   Does magnesium offer any additional benefit in patients having anti-arrhythmic treatment for atrial fibrillation following cardiac surgery?
  BET Title Available 199 Months   Thrombolysis in cocaine-associated myocardial infarction
  Blue: submitted but not checked   Do drug-eluting stents give equal patency rates to Coronary arterial bypass grafts
  Green: complete   Oxygen in acute uncomplicated myocardial infarction
  Green: complete   Cardiopulmonary bypass and the survival of patients in cardiac arrest
  Green: complete   Two thumb versus two finger CPR in infants
  Green: complete   In aortic arch surgery is there any benefit in using antegrade cerebral perfusion or retrograde cerebral perfusion as an adjunct to hypothermic circulatory arrest?
  Green: complete   In open heart surgery is there a role for the use of carbon dioxide field flooding techniques to reduce the level of post-operative gaseous emboli?
  Green: complete   Does use of aprotinin in coronary artery bypass graft surgery affect graft patency
  Green: complete   Is addition of anti-platelet therapy to warfarin beneficial to patients with prosthetic heart valves?
  BET Title Available 213 Months   Can troponin T be used to diagnose acute coronary syndrome during postoperative period following coronary artery bypass surgery
  Green: complete   Is clopidogrel beneficial following coronary bypass surgery
  BET Title Available 196 Months   Intravenous v oral digoxin in newly diagnosed AF
  BET Title Available 243 Months   Is Warfarin anticoagulation indicated in left ventricular dysfunction
  Green: complete   Paddle position in emergency cardioversion of atrial fibrillation
  Blue: submitted but not checked   Are biphasic defibrillators superior to monophasic defibrillators for the emergency cardioversion of acute atrial fibrillation?
  BET Title Available 242 Months   Role of steroids in myocarditis
  BET Title Available 241 Months   Primary Angioplasty versus Thrombolysis in acute MI
  Green: complete   Is Antero-posterior position superior to Antero-lateral position for placement of electrodes for external cardioversion of atrial fibrillation post bypass grafting?
  Green: complete   Bi-atrial pacing significantly reduces the Incidence of atrial fibrillation post cardiac surgery
  Blue: submitted but not checked   Pre-Hospital ECG. Effect on door to needle time and overall pain to needle time
  Green: complete   ACE inhibitors in addition to standard treatments in acute heart failure
  Blue: submitted but not checked   Massive PE and cardiogenic shock. To thrombolyse or not to thrombolyse, that is the question.
  Green: complete   What is the optimal anticoagulation management of patients post cardiac surgery who go into atrial fibrillation?
  Green: complete   Are prophylactic beta-blockers of benefit in reducing the incidence of AF following coronary bypass surgery?
  Green: complete   Does off pump coronary artery surgery reduce the incidence of postoperative atrial fibrillation?
  Green: complete   Is there a role for prophylaxis against atrial fibrillation for patients undergoing lung surgery?
  Blue: submitted but not checked   Which is the best calcium channel blocker for controlling the ventricular rate in patients with atrial fibrillation?
  Green: complete   Anticoagulation post-cardioversion of acute atrial fibrillation in the emergency department
  Green: complete   Anticoagulation before cardioversion of acute atrial fibrillation in the emergency department
  Red: incomplete   For a patient requiring emergency cardioversion for acute unstable atrial fibrillation, is electrical cardioversion superior to chemical cardioversion?
  Red: incomplete   Electrical versus chemical cardioversion of stable acute atrial fibrillation in the Emergency Department.
  Red: incomplete   Rate control versus rhythm control in acute atrial fibrillation of less than 48 hours duration.
  Blue: submitted but not checked   Flecainide vs placebo for the cardioversion of atrial fibrillation
  Red: incomplete   Is Hospital Admission for Uncomplicated Atrial Fibrillation Medically Necessary?
  Blue: submitted but not checked   Amiodarone vs placebo for the cardioversion of atrial fibrillation
  Green: complete   Are calcium channel blockers superior to digoxin for controlling the ventricular rate in patients with recent onset atrial fibrillation?
  Blue: submitted but not checked   Are calcium channel blockers superior to digoxin for controlling the ventricular rate in patients with atrial fibrillation?
  Blue: submitted but not checked   Is Digoxin Better Than Placebo at Controlling Ventricular Rate in Atrial Fibrillation?
  Blue: submitted but not checked   Intravenous magnesium for ventricular rate control in acute atrial fibrillation.
  BET Title Available 233 Months   Myocardial perfusion imaging helps diagnose acute chest pain in Emergency Department
  Red: incomplete   Does 1st presentation SVT require further investigation?
  BET Title Available 201 Months   Echocardiography in bacterial endocarditis
  Blue: submitted but not checked   Risks of Thrombo-embolism from the Cardioversion of Acute Atrial Fibrillation of < 48 hours Duration.
  Blue: submitted but not checked   Does a normal ECG rule out the diagnosis of heart failure in the breathless patient presenting to the ED?
  Blue: submitted but not checked   A tender chest does not rule out an acute coronary syndrome
  Green: complete   Should the pericardium be closed in patients undergoing cardiac surgery?
  Green: complete There are 1 critical appraisals linked to this BET Does pleurotomy during internal mammary artery harvest increase post-operative pulmonary complications?
  BET Title Available 207 Months   The accuracy of echocardiography in the diagnosis of traumatic pericardial tamponade.
  Blue: submitted but not checked   More than just lipid-lowering: emergency statins within the initial 12 hours of an acute coronary syndrome
  Blue: submitted but not checked   Don't put off till tomorrow: Statins should be given within 24 hours of onset in acute coronary syndromes
  Blue: submitted but not checked   A new CURE? Clopidogrel ahead of coronary angioplasty in acute coronary syndromes
  Green: complete   Is the Allen's test adequate to safely confirm that a radial artery may be harvested for coronary arterial bypass grafting?
  Green: complete There are 1 critical appraisals linked to this BET What is the optimal vasodilator for preventing spasm in the left internal mammary artery during coronary arterial bypass grafting?
  Green: complete   Might gene therapy offer symptomatic relief for patients with 'no option' angina?
  Blue: submitted but not checked   Clopidogrel in the treatment of ACS in patients on Warfarin
  Blue: submitted but not checked   Myeloperoxidase: a novel cardiac marker with potential for future use in the Emergency Department
  Blue: submitted but not checked There are 1 critical appraisals linked to this BET Comparing Valsalva manoeuvre with carotid sinus massage in adults with supraventricular tachycardia
  BET Title Available 225 Months   Intubation and NIPPV in heart failure
  Blue: submitted but not checked   Use of nitrates, opiates and diuretics in heart failure
  Blue: submitted but not checked   Use of diuretics and ace-inhibitors in heart failure
  Blue: submitted but not checked   Use of diuretics and nitrates in acute heart failure
  Blue: submitted but not checked   Use of nitrates and ace-inhibitors in heart failure
  BET Title Available 207 Months   Beta Blockers in Unstable Angina
  BET Title Available 207 Months   Beta Blockers in ST elevation MI
  BET Title Available 207 Months   Is clopidogrel benefical in ST-segment evlevation MI undergoing PCI?
  Green: complete There are 1 critical appraisals linked to this BET Procedural Sedation for Cardioversion
  Green: complete   Pregnancy-associated plasma protein A (PAPP-A): a novel cardiac marker with promise
  Blue: submitted but not checked There are 1 critical appraisals linked to this BET Adenosine vs Verapamil in the acute treatment of supraventricular tachycardias
  Green: complete   Differential diagnosis of narrow complex tachycardias by increasing electrocardiograph speed
  Blue: submitted but not checked   No evidence for the comparison between monophasic DC shock and biphasic DC shock in the acute management of supraventricular tachycardia
  Blue: submitted but not checked   Comparison of Esmolol vs Propanolol in achieving and maintaining sinus rhythm in narrow complex tachycardia in an acute setting.
  Blue: submitted but not checked   Sotalol in the acute management of narrow complex tachycardia in haemodinamically stable patients
  Blue: submitted but not checked   Perceiving the unperceivable? The ECG in acute myocardial infarction with left bundle branch block
  Blue: submitted but not checked   The Use of Automatic External Defibrillators in Children
  Blue: submitted but not checked   Serial CK-MB plus serial electrocardiography for early rule out of myocardial infarction
  Blue: submitted but not checked   Clopidogrel: 600mg or 300mg ahead of primary angioplasty?
  Green: complete   The Use of IV Cyclizine in Cardiac Chest Pain
  Blue: submitted but not checked   E-selectin as a plasma marker of acute coronary syndromes
  Blue: submitted but not checked   Soluble ICAM-1 as a cardiac biomarker for use in the Emergency Department
  Blue: submitted but not checked   Soluble VCAM-1 as a cardiac marker in the Emergency Department
  Green: complete   Can the use of thromboelastography predict and decrease bleeding and blood and blood product requirements in adult patients undergoing cardiac surgery?
  Blue: submitted but not checked   Is it my heart, doctor? Placental growth factor for detection of cardiac chest pain
  Green: complete   Colchicine as an adjunct to NSAIDs for the treatment of acute pericarditis
  Green: complete   C reactive protein in the differential diagnosis of heart failure and chest infection
  Green: complete   Use of pericardiocentesis for patients with cardiac tamponade in penetrating chest trauma
  Green: complete   Are beta-blockers superior and safer to digoxin for rate control of acute atrial fibrillation in the emergency department?
  Green: complete   Pericardial fluid adenosine deaminase in the diagnosis of tuberculous pericardial effusion.
  Green: complete   Heart fatty acid binding protein for rapid diagnosis of acute myocardial infarction in the Emergency Department
  Green: complete   Non-invasive ventilation in hypercapnic coma
  Green: complete   Cardiac Monitoring in Taser Victims
  Green: complete   What is the effect of cardiopulmonary resuscitation at birth on extremely premature infants?
  Green: complete   Are troponin levels indicated for the routine management of SVT?
  Green: complete   Adding clopidogrel to standard therapy for acute myocardial infarction.
  Green: complete   Laryngeal mask airway versus endotracheal intubation or bag-mask ventilation for cardiac arrest in adults
  Green: complete   Intraosseous access and drug administration in adult cardiac arrest
  Green: complete   Nicardipine hydrochloride for hypertensive crisis in patients with aortic dissection
  Green: complete   Bedside echocardiography for prognosis of emergency department cardiac arrest?
  Green: complete   What is the effect of family presence on the efficacy of pediatric trauma resuscitation?

Generic appraisals

Marinelli G, Chiappini B, Di Eusanio M et al.
critical appraisals
Bypass Grafting with coronary endarterectomy: immediate and long-term results
Cohort
Puskas JD, Williams, Duke PG et al.
critical appraisals
Off-pump coronary artery bypass grafting provides complete revascularization with reduced myocardial injury,transfusion requirements, and length of stay: a single blind RCT
Randomised control trial
Bokhari F, Backenridge S, Ngy K, Roberts R, Smith R, Joseph K, An G, Wiley D, Barrett J.
critical appraisals
Prospective evaluation of the sensitivity of physical examination in chest trauma
Diagnosis
Rebecca K. Fastle and Mark G. Roback.
critical appraisals
Pediatric rapid sequence intubation: Incidence of reflex bradycardia and effects of pretreatment with atropine.
Cohort
Kirkpatrick AW
critical appraisals
Hand-held Thoracic Sonography for Detecting Post-Traumatic Pneumothoraces: the Extended Focused Assessment with Sonography for Trauma (EFAST)
Diagnosis
Kapur N, Cooper J, Rodway C, Kelly J, Guthrie E, Mackway-Jones K.
critical appraisals
Predicting the risk of repetition after self harm: cohort study
Cohort
levitan RM
critical appraisals
Limitations of difficult airway prediction in patients intubated in the emergency department.
Cohort
Baker R.C, Tiller T., Bausher J. et al
critical appraisals
Severity of Disease correlated with fever reduction in febrile infants
Cohort