{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"The EMS Lighthouse Project","title":"E97 - Bayes and Calcium Before Diltiazem in Atrial Fibrillation","html":"<iframe width=\"100%\" height=\"180\" frameborder=\"no\" scrolling=\"no\" seamless src=\"https://share.transistor.fm/e/d8f7aabf\"></iframe>","width":"100%","height":180,"duration":2300,"description":"We covered a paper in episode 81 that suggested treating atrial fibrillation with rapid ventricular response in the field could lower mortality. But it also drops BP a bit. Could pretreating these patients with calcium lower the risk of hypotension? Dr Jarvis puts on his nerd hat and uses Bayesian analysis to assess a new randomized, placebo-controlled study that looked at just this thing. Why is he going off on this Bayes thing? Because he’s been reading a couple of book on it and wanted to take it for a spin. \n \nTables:\n \n\n \nCharts:\n\n \nBayesian Distributions:\n\n \nCitation:\n \n1.     Az A, Sogut O, Dogan Y, Akdemir T, Ergenc H, Umit TB, Celik AF, Armagan BN, Bilici E, Cakmak S: Reducing diltiazem-related hypotension in atrial fibrillation: Role of pretreatment intravenous calcium. The American Journal of Emergency Medicine. 2025;February;88:23–8.\n2.     Fornage LB, O’Neil C, Dowker SR, Wanta ER, Lewis RS, Brown LH: Prehospital Intervention Improves Outcomes for Patients Presenting in Atrial Fibrillation with Rapid Ventricular Response. Prehospital Emergency Care. doi: 10.1080/10903127.2023.2283885 (Epub ahead of print).\n3.     Kolkebeck T, Abbrescia K, Pfaff J, Glynn T, Ward JA: Calcium chloride before i.v. diltiazem in the management of atrial fibrillation. The Journal of Emergency Medicine. 2004;May 1;26(4):395–400.\n4.     Chivers T: Everything Is Predictable: How Bayes’ Remarkable Theorem Explains the World. Weidenfeld & Nicolson, 2024.\n5.     McGrayne SB: The Theory That Would Not Die. how Bayes’ Rule Cracked The Enigma Code, Hunted Down Russian Submarines & Emerged Triumphant From Two Centuries of Controversy. New Haven, CT, Yale University Press, 2011.","thumbnail_url":"https://img.transistorcdn.com/AxVMkuZfThaFyQCd6EaZ-HfbzpDgVr7zZ_Xfu064MeU/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS83NDAy/MDMzNDU1ZjJmZDI1/ZTIwZTQxNWY1MjUy/M2I1ZS5wbmc.webp","thumbnail_width":300,"thumbnail_height":300}