Journal Club Archives

Effect of Abdominal Ultrasound on Clinical Care, Outcomes, and Resource Use Among Children With Blunt Torso Trauma: A Randomized Controlled Trial

by Hans Rosenberg | Oct 30, 2017 | Full Article, Journal Club, Radiology, Trauma

Journal Club Summary Reference: Holmes JF, et al. JAMA. 2017 Jun 13;317(22):2290-2296 Editorial: Abdominal Ultrasound for Pediatric Blunt Trauma: FAST Is Not Always Better. Reference: Kessler DO. JAMA. 2017 Jun 13;317(22):2283-2285. Methodology Score: 4/5 Usefulness...

Simplified diagnostic management of suspected pulmonary embolism (the YEARS study): a prospective, multicentre, cohort study

by Hans Rosenberg | Oct 23, 2017 | Journal Club, landmark, Thrombosis

Journal Club Summary Reference: Van der Hulle T, et al. Lancet. 2017 Jul 15;390(10091):289-297. Methodology Score: 4/5 Usefulness Score: 3.5/5 Questions and Methods: This multicenter trial implemented the YEARS simplified algorithm for suspected PE...

Ibuprofen versus fosfomycin for uncomplicated urinary tract infection in women: randomised controlled trial

by Hans Rosenberg | Oct 16, 2017 | Featured, Journal Club, Urology

Journal Club Summary Reference: Gágyor I, et al. BMJ. 2015 Dec 23;351:h6544 Methodology Score: 4/5 Usefulness Score: 2.5/5 This multicenter, double blinded, randomized controlled trial assessed the use of ibuprofen versus fosfomycin in uncomplicated UTIs in women aged...

Association Between Early Participation in Physical Activity Following Acute Concussion and Persistent Postconcussive Symptoms in Children and Adolescents

by Hans Rosenberg | Sep 25, 2017 | Full Article, Journal Club, Neurology, Pediatrics, Trauma

Journal Club Summary Methodology Score: 3.5/5 Usefulness Score: 3/5 Grool AM, et al. JAMA. 2016 Dec 20;316(23):2504-2514. EDITORIAL: Physical Activity or Rest After Concussion in Youth: Questions About Timing and Potential Benefit. Chrisman SP JAMA. 2016 Dec...

Canadian Syncope Risk Score – an infographic

by Shahbaz Syed | Sep 13, 2017 | Commentary, Featured, Infographics, Journal Club

Recently, Dr. Venkatesh Thiruganasambandamoorthy et al published the Canadian Syncope Risk Score, for the assessment of adult patients with syncope. He has previously helped provide some insight into the decision rule, and we now present an infographic and memory aid...

Time to Treatment and Mortality during Mandated Emergency Care for Sepsis

by Hans Rosenberg | Sep 11, 2017 | Critical Care, Infectious Disease, Journal Club

Journal Club Summary Seymour CW, et al. Journal N Engl J Med. 2017 Jun 8;376(23):2235-2244. EDITORIAL: State Sepsis Mandates – A New Era for Regulation of Hospital Quality. Hershey TB, et al. N Engl J Med. 2017 May 21. Methodology Score: 3.5/5 Usefulness Score:...

Emergency department-initiated buprenorphine/naloxone treatment for opioid dependence: a randomized clinical trial

by EMOttawa | Jun 19, 2017 | Journal Club, landmark

Journal Club Summary Methodology Score: 4/5 Usefulness Score: 4.5/5 D’Onofrio G, et al JAMA. 2015 Apr 28;313(16):1636-44. Full Article This single, urban center RCT including 329 patients showed that buprenorphine initiated in the ED was more likely to increase...

A Randomized Controlled Noninferiority Trial of Single Dose of Oral Dexamethasone Versus 5 Days of Oral Prednisone in Acute Adult Asthma

by emottawa | Jun 12, 2017 | Journal Club

Journal Clubs Summary Methodology Score: 3/5 Usefulness Score: 3.5/5 Rehrer MW, et al. Ann Emerg Med. 2016 Nov;68(5):608-613. Abstract Link This single centre, randomized, triple-blinded, control trial did not demonstrate noninferiority of a single dose of...

Comparison of risk scoring systems for patients presenting with upper gastrointestinal bleeding: international multicentre prospective study.

by emottawa | May 29, 2017 | Journal Club

Journal Club Summary Methodology Score: 4/5 Usefulness Score: 4/5 Stanley AJ, et al. BMJ. 2017 Jan 4;356:i6432. Full Article Summary This multicentre, multinational study assessed the ability of five upper gastrointestinal bleeding scores to predict...

Prophylactic hydration to protect renal function from intravascular iodinated contrast material in patients at high risk of contrast-induced nephropathy (AMACING): a prospective, randomised, phase 3, controlled, open-label, non-inferiority trial.

by EMOttawa | May 15, 2017 | Journal Club, landmark

Journal Club Summary Methodology Score: 3/5 Usefulness Score: 3.5/5 Nijssen EC, et al Lancet. 2017 Feb 20. [Epub ahead of print] Abstract Link This prospective, open-label, single centre, randomized trial of 660 patients found no hydration...