|Courtesy of klik internet|
This is a post summarizing our best-rated JC articles and the ones I find are the most useful from the past academic year. Each of the articles is broken down into one to two lines as to how I have incorporated them in my practice. For a little longer summary just click on the links for the journal club summaries.
1) Oral Prednisolone in the Treatment of Acute Gout: A Pragmatic, Multicenter, Double-Blind, Randomized Trial.
Rainer TH, et al.
Ann Intern Med. 2016 Feb 23. doi: 10.7326/M14-2070.
47 yo male with stable CKD presenting with gout of his first MTP joint. I’m concerned about using colchicine or NSAIDs, instead I prescribe Prednisone 30mg/day for 5 days.
2) Part 1: Executive Summary: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
Neumar RW, Shuster M, Callaway CW, et al.
Circulation. 2015 Nov 3;132(18 Suppl 2):S315-67
For all those unfortunate patients with in and out of hospital arrest. Too many changes to mention but there is a great summary from CanadiEM Summary of 2015 AHA Top 5 changes to guidelines on CPR .
Nichol G, et al.
N Engl J Med. 2015 Dec 3;373(23):2203-14
For our of EMS colleagues in out of hospital arrest asynchronous positive-pressure ventilation does not make a difference compared to stopping compressions for ventilation.
4) Postural modification to the standard Valsalva manoeuvre for emergency treatment of supraventricular tachycardias (REVERT): a randomised controlled trial.
Appelboam A, Reuben A, Mann C, et al.
Lancet. 2015 Aug 24. pii: S0140-6736(15)61485-4.
32 yo with a heart rate of 200 bpm. I perform the modified Valsalva and have him out the door within 30 minutes of arrival. Everyone is happy (patient, me, nurses, admin)!
Goyal M, Demchuk AM, Menon BK, et al.
N Engl J Med. 2015 Mar 12;372(11):1019-30
72 yo with acute ischemic stroke, in a proximal artery and there is a small infarct core I’m calling the stroke team to assess you for endovascular therapy.