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Prevalence of Pulmonary Embolism among Patients Hospitalized for Syncope.

by emottawa | Dec 5, 2016 | Journal Club

Journal Club Summary Methodology Score: 3.5/5               Usefulness Score:  2/5 Prandoni P, et al. N Engl J Med. 2016 Oct 20;375(16):1524-1531.   Full Article   This cross-sectional multi-center study of Italian patients admitted after an ED presentation for...

Emergency department point-of-care ultrasound in out-of-hospital and in-ED cardiac arrest

by emottawa | Nov 28, 2016 | Journal Club

Journal Club Methodology Score: 3/5 Usefulness Score: 3.5/5 Gaspari R, et al. Resuscitation. 2016 Sep 28;109:33-39. Abstract Link This prospective, per-protocol observational study is now the largest study on the point of care ultrasound in cardiac arrest...

Clinical Risk Score for Persistent Postconcussion Symptoms Among Children With Acute Concussion in the ED

by emottawa | Nov 14, 2016 | Journal Club

Journal Club Summary Methodology Score: 4/5                    Usefulness Score:  2/5   Zemek R, et al. JAMA. 2016 Mar 8;315(10):1014-25. Full Article   Editorial: Identifying Children and Adolescents at Risk for Persistent Postconcussion Symptoms. Babcock L, et al....

Double-Blind Prospective Randomized Controlled Trial of Dopamine Versus Epinephrine as First-Line Vasoactive Drugs in Pediatric Septic Shock

by emottawa | Nov 7, 2016 | Journal Club

Journal Club Summary Methodology Score: 3.5/5                 Usefulness Score:  3/5   Ventura AMC, et al. Crit Care Med. 2015 Nov;43(11):2292-302   Abstract Link   This well designed RCT demonstrated that in fluid refractory pediatric septic shock, dopamine is...

Immediate total-body CT scanning versus conventional imaging and selective CT scanning in patients with severe trauma (REACT-2): a randomised controlled trial

by emottawa | Oct 31, 2016 | Journal Club

Journal Club Summary Methodology Score: 3/5 Usefulness Score: 2.5/5 Seirink JC et al. Lancet. 2016 Aug 13;388(10045):673-83. Abstract Link   This is a multicenter randomized control trial of over a thousand trauma patients at five Level 1 trauma centres in western...

Delivering safe and effective analgesia for management of renal colic in the emergency department: a double-blind, multi group, randomized control trial

by emottawa | Oct 24, 2016 | Journal Club

Journal Club Summary Methodology Score: 4.5/5                 Usefulness Score:  3.5/5   Pathan SA, et al. Lancet. 2016 May 14;387(10032):1999-2007  Abstract Link             Editorial: Non-steroidalanti-inflammatory drugs for renal colic Knoedler JJ, et al....

Ticagrelor versus Aspirin in Acute Stroke or Transient Ischemic Attack

by emottawa | Oct 11, 2016 | Journal Club

Journal Club Summary Methodology Score: 5/5                    Usefulness Score:  3.5/5   Johnston SC, et al. N Engl J Med. 2016 Jul 7;375(1):35-43. Full Article   This large international double-blind double-dummy RCT across 33 countries and including 13,199 patients...

Randomized comparison of intravenous procainamide vs. intravenous amiodarone for the acute treatment of tolerated wide QRS tachycardia: the PROCAMIO study

by emottawa | Oct 3, 2016 | Journal Club

Journal Club Summary Methodology Score: 2.5/5                 Usefulness Score:  3/5   Ortiz M, et al. Eur Heart J. 2016 Jun 28. pii: ehw230. [Epub ahead of print]   Full Article   This RCT of patients with tolerated wide complex tachycardia found that IV Procainamide...

High-sensitivity cardiac troponin I at presentation in patients with suspected acute coronary syndrome: a cohort study

by emottawa | Aug 22, 2016 | Journal Club

Journal Club Summary Methodology Score: 3/5                  Usefulness Score: 2/5   Shah, AS, et al. Lancet. 2015 Dec 19;386(10012):2481-8 Full Article   Editorial:Myocardial infarction: rapid ruling out in the emergency room Cullen L, et al. Lancet. 2015 Dec...

Corticosteroid Therapy for Patients Hospitalized With Community- Acquired Pneumonia A Systematic Review and Meta-analysis

by emottawa | Aug 15, 2016 | Journal Club

Journal Club Summary Methodology Score: 4/5                  Usefulness Score:  3.5/5   Siemieniuk RA, et al. Ann Intern Med. 2015;163(7):519-528.   Abstract Link   This is a well-done systematic review & meta-analysis elucidating whether corticosteroid therapy...
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