Journal Club Archives

Does this adult patient have septic arthritis?

by emottawa | Aug 31, 2012 | Journal Club

Journal Club Summary Landmark Series Margaretten ME, Kohlwes J, Moore D, Bent S. JAMA. 2007Apr.4;297(13):1478–88. Article Link This systematic overview from the excellent JAMA series reviewed the relatively weak evidence regarding assessment of patients with...

Randomized, Controlled Trial of Acetaminophen, Ibuprofen, and Codeine for Acute Pain Relief in Children With Musculoskeletal Trauma.

by EMOttawa | Aug 22, 2012 | Journal Club, landmark

Journal Club Summary Landmark Series Clark E, Plint AC, Correll R, Gaboury I, Passi B. A Pediatrics. 20 07Mar.1;119(3):460–7. Article Link This high quality RCT by local investigators rigorously compared acetaminophen, ibuprofen and codeine analgesics among...

How do I perform a lumbar puncture and analyze the results to diagnose bacterial meningitis?

by EMOttawa | Aug 14, 2012 | Journal Club, landmark

Journal Club Summary Landmark Series Straus SE, Thorpe KE, Holroyd-Leduc J. JAMA. 2006Oct.25;296(16):2012–22. PubMed Link This systematic literature review and meta-analysis in the Rational Clinical Examination series found a non-significant trend towards less...

Safety and Efficacy of Hydromorphone as an Analgesic Alternative to Morphine in Acute Pain: A Randomized Clinical Trial

by emottawa | Aug 7, 2012 | Journal Club

Journal Club Summary Landmark Series Andrew K Chang, Polly E Bijur, Robert H Meyer, Mark K Kenny, Clemencia Solorzano, and E John Gallagher PubMed Link This U.S. randomized trial in ED adults with severe pain found similar effectiveness for intravenous...

Laryngeal View During Laryngoscopy: A Randomized Trial Comparing Cricoid Pressure, Backward-Upward-Rightward Pressure, and Bimanual Laryngoscopy

by EMOttawa | Jul 31, 2012 | Journal Club, landmark

Journal Club Summary Landmark Series Levitan RM, Kinkle WC, Levin WJ, Everett WW. Ann Emerg Med. 2006 Jun.;47(6):548–55. PubMed Link This U.S. study evaluated manipulation techniques for direct laryngoscopy during endotracheal intubation in 1,530 comparisons performed...

Early versus Later Rhythm Analysis in Patients with Out-of-Hospital Cardiac Arrest

by EMOttawa | Jul 23, 2012 | Journal Club, landmark

Journal Club Summary Methodology: 4.5/5 Usefulness: 4/5 Stiell IG, Nichol G, Leroux BG, Rea TD, Ornato JP, Powell J, Christenson J, Callaway CW, Kudenchuk PJ, Aufderheide TP, Idris AH, Daya MR, Wang HE, Morrison LJ, Davis D, Andrusiek D, Stephens S, Cheskes S,...

International collaborative systematic review of controlled clinical trials on pharmacologic treatments for acute pericarditis and its recurrences

by emottawa | Jul 19, 2012 | Journal Club

Journal Club Summary Methodology: 2/5 Usefulness: 3/5 Lotrionte M, Biondi-Zoccai G, Imazio M, Castagno D, Moretti C, Abbate A, Agostoni P, Brucato AL, Di Pasquale P, Raatikka M, Sangiorgi G, Laudito A, Sheiban I, Gaita F. Am Heart J. 2010 Oct;160(4):662-70....

Time to treatment with intravenous alteplase and outcome in stroke: an updated pooled analysis of ECASS, ATLANTIS, NINDS, and EPITHET trials

by EMOttawa | Jul 9, 2012 | Journal Club, landmark

Journal Club Summary Methodology: 4/5 Usefulness: 4.5/5 Lees KR, Bluhmki E, von Kummer R, Brott TG, Toni D, Grotta JC, Albers GW, Kaste M, Marler JR, Hamilton SA, Tilley BC, Davis SM, Donnan GA, Hacke W; ECASS, ATLANTIS, NINDS and EPITHET rt-PA Study Group, Allen...

Sublingual buprenorphine in acute pain management: a double-blind randomized clinical trial

by emottawa | Jul 3, 2012 | Journal Club

Journal Club Summary Methodology: 3.5/5 Usefulness: 2/5 Jalili M, Fathi M, Moradi-Lakeh M, Zehtabchi S. Ann Emerg Med. 2012 Apr;59(4):276-80. PubMed Link This double blind, double dummy RCT compared sublingual Buprenorphine (0.4 mg) to IV Morphine (5 mg) for...

Four sensitive screening tools to detect cognitive dysfunction in geriatric emergency department patients: brief alzheimer’s screen, short blessed test, Ottawa 3DY and the caregiver-completed AD8

by emottawa | Jun 27, 2012 | Journal Club

Journal Club Summary Methodology: 3.5 Usefulness: 3.5 Carpenter CR, Bassett ER, Fischer GM, Shirshekan J, Galvin JE, Morris JC.   Acad Emerg Med 2011 April 18(4): 374-384.  Article Link  Trained research assistants administered cognitive dysfunction screening...