Antibiotic prescription strategies and adverse outcome for uncomplicated lower respiratory tract infections: prospective cough complication cohort (3C) study

Methodology Score: 2.5/5                Usefulness Score:  2.5/5 Little P, et al. BMJ. 2017 May 22;357:j2148. Editorial: Controlling antibiotic prescribing for lower respiratory tract infections Scott AM et al. BMJ. 2017 May 22;357:j2398. doi: 10.1136/bmj.j2398. Question and Methods: This is a large, prospective, observational study of ambulatory patients with acute cough treated with no, immediate or delayed antibiotics that compared rates of re-consultation, admission and […]

Concomitant Oral Anticoagulant and Nonsteroidal Anti-Inflammatory Drug Therapy in Patients With Atrial Fibrillation

Journal Club Summary Methodology: 4/5 Usefulness: 4/5 Kent AP, et al. J Am Coll Cardiol. 2018 Jul 17;72(3):255-267 Question and Methods: This was a post hoc analysis of the RE-LY trial examining the risk of NSAID use in patients receiving oral anticoagulation (OAC) for atrial fibrillation. Findings: NSAID use was associated with an increased risk of major bleeding (HR 1.68), […]

Focus on POCUS: Crackles and Hypotension

For other ultrasound cases see our POCUS archives Case Vignette 63-year-old male presents with a two-day history of groin pain and swelling. He has a history of hypertension and smoking. He takes an anti-hypertensive medication and an atypical antipsychotic for sleeping. The patient denies abdominal pain, nausea/vomiting, back pain, fevers, trauma. At triage he is alert, oriented and in no acute […]