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Adjunct prednisone therapy for patients with community-acquired pneumonia: a multicentre, double-blind, randomised, placebo-controlled trial.

by emottawa | Aug 31, 2015 | Journal Club

Journal Club Summary Methodology Score: 3/5 Usefulness Score: 2/5 Blum CA, Nigro N Briel M, et al. Lancet. 2015 Jan 16. pii: S0140-6736(14)62447-8. Abstract Link This randomized, double-blinded, placebo-controlled trial demonstrated an improved time to ‘clinical...

Clinical prediction model to aid emergency doctors managing febrile children at risk of serious bacterial infections: diagnostic study

by emottawa | Aug 17, 2015 | Journal Club

Journal Club Summary Methodology Score: 2.5/5 Usefulness Score: 2/5 Nijman RG, et al. BMJ. 2013 Apr 2;346:f1706.  Full Article This was a derivation, cross-validation, and external validation of a decision rule for the febrile pediatric patient to identify who is at...

Nebulized hypertonic saline for bronchiolitis in the emergency department: a randomized clinical trial

by emottawa | Aug 10, 2015 | Journal Club

Journal Club Summary Methodology Score: 3/5 Usefulness Score: 2.5/5   Florin TA, Shaw KN, Kittick M, Yakscoe S, Zorc JJ. JAMA Pediatr. 2014Jul;168(7):664-70. Full Article   This single-centre triple-blinded study compared nebulized 3% saline (hypertonic) to 0.9%...

Prehospital ticagrelor in ST-segment elevation myocardial infarction

by emottawa | Jul 27, 2015 | Journal Club

Journal Club Summary Methodology Score: 4/5 Usefulness Score: 3/5   Montalescot G, van ‘t Hof AW, Lapostolle F, et al. for the ATLANTIC Investigators. N Engl J Med. 2014 Sep 11;371(11):1016-27. Full Article   This corporate-sponsored international, multicenter,...

Canadian Headache Society systematic review and recommendations on the treatment of migraine pain in emergency settings

by emottawa | Jul 20, 2015 | Journal Club

Journal Club Summary Methodology Score: 3.5/5                 Usefulness Score: 4/5   Orr SL, et al. Cephalalgia. 2014 May 29. http://www.ncbi.nlm.nih.gov/pubmed/24875925   This Canadian Headache Society guideline for ED management of acute migraine gave a strong...

Effect of Provider Experience on Clinician-Performed Ultrasonography for Hydronephrosis in Patients With Suspected Renal Colic

by emottawa | Jul 13, 2015 | Journal Club

Journal Club Summary Methodology Score: 3/5                    Usefulness Score: 3.5/5   Herbst MK, Rosenberg G, Daniels B, Gross CP, Singh D, Molinaro AM, Luty S, Moore CL. Ann Emerg Med. 2014 Sep;64(3):269-76. Abstract Link   This prospective study of ED patients...

Ondansetron compared with metoclopramide for hyperemesis gravidarum: a randomized controlled trial.

by emottawa | Jul 6, 2015 | Journal Club

Journal Club Summary Methodology Score: 3/5                    Usefulness Score: 2/5   Abas MN, Tan PC, Azmi N, Omar SZ. Obstet Gynecol. 2014 Jun;123(6):1272-9. Abstract Link    This small RCT found that ondansetron was not superior in efficacy to metaclopramide for...

Effect of Prehospital Induction of Mild Hypothermia on Survival and Neurological Status Among Adults With Cardiac Arrest A Randomized Clinical Trial

by emottawa | Jun 22, 2015 | Journal Club

Journal Club Summary Methodology Score: 3/5                    Usefulness Score: 2/5   Kim F, et al. JAMA. 2014 Jan 1;311(1):45-52. Full Article   Editorial: Randomized Clinical Trial Progress to Inform Care for Out-of-Hospital Cardiac Arrest Granger CB, Becker LB...

Very early administration of progesterone for acute traumatic brain injury

by emottawa | Jun 16, 2015 | Journal Club

Journal Club Summary Methodology Score: 4/5                    Usefulness Score: 2/5   Wright DW, et al.; NETT Investigators. N Engl J Med. 2014 Dec 25;371(26):2457-66 Abstract Link   Complementary Article: A Clinical Trial of Progesterone for Severe Traumatic Brain...

Lower versus higher hemoglobin threshold for transfusion in septic shock

by emottawa | Jun 8, 2015 | Journal Club

Journal Club Summary Landmark Series Methodology Score: 4/5                    Usefulness Score: 4/5   Holst LB et al for the TRISS Trial Group and the Scandinavian Critical Care Trials Group. N Engl J Med. 2014 Oct 9;371(15):1381-91 Full Article   Editorial:...
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