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High-flow oxygen through nasal cannula in acute hypoxemic respiratory failure

by emottawa | Feb 16, 2016 | Journal Club

Journal Club Summary: Methodology Score: 4/5                  Usefulness Score: 4/5   Frat JP, et al. N Engl J Med. 2015 Jun 4;372(23):2185-96. Full Article   Editorial: Saving lives with high-flow nasal oxygen Matthay MA. N Engl J Med. 2015 Jun 4;372(23):2225-6....

A Systematic Review and Meta-analysis of D-dimer as a Rule-out Test for Suspected Acute Aortic Dissection

by emottawa | Feb 8, 2016 | Journal Club

Journal Club Summary Methodology Score: 3.5/5               Usefulness Score: 3/5   Asha SE, Miers JW. Ann Emerg Med. 2015 Oct;66(4):368-78.   Full Article   This systematic review and meta-analysis aims to determine the diagnostic accuracy of D-dimer as a rule out...

Air Versus Oxygen in ST-Segment–Elevation Myocardial Infarction

by emottawa | Feb 1, 2016 | Journal Club

Journal Club Summary Methodology Score: 3.5/5               Usefulness Score: 3.5/5   Stub D, Smith K, Bernard S, et al. Circulation. 2015 Jun 16;131(24):2143-50.    Abstract Link   Editorial: Oxygen for ST-Segment–Elevation Myocardial Infarction: Still Up in the Air...

Acetaminophen for Fever in Critically Ill Patients with Suspected Infection

by emottawa | Jan 25, 2016 | Journal Club

Journal Club Summary  Methodology Score: 4/5                  Usefulness Score: 2/5   Young P, Saxena M, Bellomo R, et al. N Engl J Med. 2015 Oct 5.    Abstract Link This multicentre, ICU RCT received a methodology score of 4/5 and 2/5 for usefulness. They concluded...

What is Optimal Chest Compression Depth During Out-of-Hospital Cardiac Arrest Resuscitation of Adult Patients?

by emottawa | Jan 18, 2016 | Journal Club

Journal Club Summary Methodology Score: 4/5                  Usefulness Score: 4/5   Stiell IG, Brown SP, Nichol G, et al. Circulation. 2014 Nov 25;130(22):1962-70   Full Article   This observational study found that an optimal CPR chest compression depth of 40...

A Trial of an Impedence Threshold Device in Out-of-Hospital Cardiac Arrest

by emottawa | Jan 11, 2016 | Journal Club

Journal Club Summary Methodology Score: 5/5                  Usefulness Score:  3/5   Aufderheide TP, Nichol G, Rae TD, et al. N Engl J Med. 2011 Sep 1;365(9):798-806   Full Article   This large effectiveness trial sought to test whether standard CPR with an Impedance...

Part 1: Executive Summary: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

by emottawa | Jan 4, 2016 | Journal Club

Journal Club Summary Methodology Score: 4.5/5               Usefulness Score: 4/5   Neumar RW, Shuster M, Callaway CW, et al. Circulation. 2015 Nov 3;132(18 Suppl 2):S315-67   Full Article   Supplement:  The Evolution and Future of ACC/AHA Clinical Practice...

An Age-Adjusted D-dimer Threshold for Emergency Department Patients With Suspected Pulmonary Embolus: Accuracy and Clinical Implications.

by emottawa | Dec 21, 2015 | Journal Club

Journal Club Summary Methodology Score: 3/5                  Usefulness Score: 3/5   Sharp AL, Vinson DR, Alamshaw F, Handler J, Gould MK. Ann Emerg Med. 2015 Aug 27. pii: S0196-0644(15)00616-2. Abstract Link Retrospective study of 31,094 patients investigated for PE,...

Therapeutic hypothermia after out-of-hospital cardiac arrest in children

by emottawa | Dec 14, 2015 | Journal Club

Journal Club Summary Methodology Score: 3/5                  Usefulness Score: 2/5   Moler FW, Silverstein FS, Holubkov R, et al. N Engl J Med. 2015 May 14;372(20):1898-908. Full Article    This prospective, multi-center RCT found no significant difference in...

Postural modification to the standard Valsalva manoeuvre for emergency treatment of supraventricular tachycardias (REVERT): a randomised controlled trial.

by emottawa | Dec 7, 2015 | Journal Club

Journal Club Summary Methodology Score: 4.5/5               Usefulness Score: 4.5/5   Appelboam A, Reuben A, Mann C, et al. Lancet. 2015 Aug 24. pii: S0140-6736(15)61485-4. Full Article The REVERT trial, a pragmatic, multicenter RCT evaluating the efficacy of a...
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