Journal Club Archives

DEFUSE-3: Thrombectomy for Stroke at 6 to 16 Hours with Selection by Perfusion Imaging

by Hans Rosenberg | Jun 4, 2018 | Featured, Journal Club, landmark, Neurology

Methodology: 3.5/5 Usefulness: 4/5 Albers GW, et al. N Engl J Med. 2018 Jan 24. Journal Club Bottom Line Question/Methods: This was a multicentre, prospective, randomized, open label, blinded outcome trial comparing thrombectomy + medical therapy vs medical therapy...

Impact of two-step urine culture ordering in the emergency department: a time series analysis

by Hans Rosenberg | May 14, 2018 | Journal Club, Quality Improvement, Urology

Journal Club Summary Methodology Score: 4/5 Usefulness Score: 4/5 Stagg A, et al. BMJ Qual Saf. 2018 Feb;27(2):140-147. Question and Methods: This QI time-series analysis assessed the efficacy, safety and costs of a 2-step urine culture (UC)...

Prehospital antibiotics in the ambulance for sepsis: a multicentre, open label, randomised trial

by Hans Rosenberg | Apr 16, 2018 | Infectious Disease, Journal Club

Journal Club Summary Alam N, et al. Lancet Respir Med. 2018 Jan;6(1):40-50. Question and Methods: The authors of this nation-wide open-label RCT studied the mortality effect of pre-hospital antibiotics on febrile patients with one other non-laboratory SIRS criteria...

Efficacy of High-Sensitivity Troponin T in Identifying Very-Low-Risk Patients With Possible Acute Coronary Syndrome.

by Hans Rosenberg | Apr 9, 2018 | Cardiology, Journal Club

Journal Club Summary Methodology: 3.5/5 Usefulness: 3/5 Peacock WF, et al. JAMA Cardiol. 2017 Dec 13 EDITORIAL: The Wait for High-Sensitivity Troponin Is Over-Proceed Cautiously Korley FK. JAMA Cardiol. 2017 Dec 13 Question and Methods: This prospective,...

A Multicenter, Randomized Trial of Ramped Position vs Sniffing Position During Endotracheal Intubation of Critically Ill Adults

by Hans Rosenberg | Mar 26, 2018 | Anesthesiology, Journal Club, Resuscitation

Methodology Score: 3.5/5 Usefulness Score: 3/5 Semler MW, et al. Chest. 2017 Oct;152(4):712-722. Editorial: Should the Ramped Position Be “Sniffed at” in the ICU? Scott JA, et al. Chest. 2017 Oct;152(4):693-694. Question and Methods:...

Prehospital Advanced Cardiac Life Support for Out-of-hospital Cardiac Arrest: A Cohort Study.

by Hans Rosenberg | Mar 19, 2018 | Cardiology, Full Article, Journal Club, Resuscitation

Journal Club Summary Methodology Score: 3.5/5 Usefulness Score: 3.5/5 Cournoyer A, et al. Acad Emerg Med. 2017 Sep;24(9):1100-1109. Question and Methods: Retrospective observational cohort study to evaluate if the addition ACLS to BLS during EMS management for...

Evaluation of computed tomography in patients with atypical angina or chest pain clinically referred for invasive coronary angiography: randomised controlled trial

by Hans Rosenberg | Mar 12, 2018 | Cardiology, Featured, Full Article, Journal Club

Journal Club Summary Dewey M, et al. BMJ. 2016 Oct 24;355:i5441. Methodology: 2.5/5 Usefulness: 2.5/5 Question and Methods: Prospective single center RCT to determine whether patients with intermediate probability of CAD and atypical chest pain/angina should undergo...

Rapid Rule-out of Acute Myocardial Infarction With a Single High-Sensitivity Cardiac Troponin T Measurement Below the Limit of Detection: A Collaborative Meta-analysis

by Hans Rosenberg | Feb 26, 2018 | Cardiology, Journal Club

Journal Club Summary Methodology Score: 3.5/5 Usefulness Score: 3.5/5 Question and Methods: This meta-analysis included prospective studies to assess the ability of a single negative hs-cTnT and non-ischemic ECG to identify patients at low risk for AMI....

ATLS Trauma Update (2018)

by Shahbaz Syed | Feb 9, 2018 | Featured, Journal Club, Slider

Dr. Michael Woo is a staff Emergency Physician and trauma team leader at the Ottawa Hospital. At this years NCCEM conference he presented an update on ATLS trauma care. The 10th edition of ATLS was released this previous summer, and was offered to be one of the...