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In: Cardiology, Journal Club

Methodology: 4.5/5 Usefulness: 4/5 Stiell IG, et al. Lancet. 2020 Feb 1;395(10221):339-349 Editorial: Atrial fibrillation cardioversion in the emergency department.  Question and Methods: This partial factorial randomized trial aimed to determine which rhythm control strategy was superior; procainamide followed by electrical cardioversion if needed compared with electrical cardioversion alone. ItRead More →

migraine

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In: Featured, Grand Round Summaries, Neurology, Neurology

Migraine headaches are not a benign disease – they have a significant impact on quality of life, ability to function, and pose a considerable economic and societal burden. Prevalence tends to peak during peoples’ period of highest productivity.  According to the World Health Organization’s (WHO) update on Global Burden of DiseaseRead More →

Pulmonary Embolism

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In: cardiac arrest, Critical Care, Journal Club, Radiology, Resuscitation, Ultrasound

Methodology: 2.5/5           Usefulness: 3/5 Daley JI, et al. Acad Emerg Med 26 (11), 1211-1220 Nov 2019 Questions and methods: In patients with abnormal vital signs, what is the sensitivity of FOCUS for the diagnosis of PE? Prospective, multicenter, observational study. Findings: 136 patients with pendingRead More →

Chlamydia Trachomatis

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In: Full Article, Infectious Disease, Infectious Disease, Journal Club, OBGYN

Methodology: 3/5           Usefulness: 2.5/5 Gaydos CA et al. Ann Emerg Med. 2019 Jul;74(1):36-44. doi: 10.1016/j.annemergmed.2018.09.012. Epub 2018 Nov 2. Question and Methods: RCT of women receiving pelvic testing for CT/NG comparing standard of care test (NAAT) vs. POC test (GeneXpert). Treatment was at the discretion ofRead More →

Chest Pain

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In: Cardiology, Journal Club

Methodology: 3/5           Usefulness: 3/5 Twerenbold R, et al. J Am Coll Cardiol. 2019 Jul 30;74(4):483-494. Editorial: Evaluating Suspected Acute MI in the Emergency Department: What Is and What Should Never Be. Question and Methods: Prospective international study of the impact on management and patient safety using theRead More →

Canadians

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In: COVID-19, Infectious Disease, Ultrasound

Lung PoCUS can rapidly diagnose the underlying etiology at the bedside of the acutely dyspneic patient. Lung PoCUS has excellent test characteristics for the diagnosis of pulmonary edema, pneumothorax and pleural effusions allowing the treating physician to rapidly start appropriate therapies. During the COVID19 pandemic PoCUS has other potential advantagesRead More →