by Hans Rosenberg | Feb 15, 2021 | Featured, Journal Club, Pediatrics, Respirology
Methodology: 4.5/5 Usefulness: 4/5 Schuh S, et al. JAMA. 2020 Nov 24;324(20):2038-2047. Question and Methods: RCT assessing the effectiveness of nebulized magnesium versus placebo in children presenting with an acute asthma exacerbation refractory to standard therapy,...
by Simon Wells | Jan 21, 2021 | Airway, Featured, Grand Round Summaries, Procedural care, Respirology
In Part 1 of our 2-part series on Pneumothorax, Dr. Simon Wells walked us through the varying definitions, epidemiology, diagnostic criteria, and imaging findings of pneumothorax including on point of care ultrasound (POCUS). Click here to review Part 1. In...
by Hans Rosenberg | Dec 21, 2020 | Full Article, Journal Club, Respirology
Methodology: 4/5 Usefulness: 3/5 Hallifax RJ, et al. Lancet. 2020 Jul 4;396(10243):39-49. Question and Methods: This multicentre open label randomized control trial aimed to determine whether primary spontaneous pneumothoraces could be safely and effective managed...
by Simon Wells | Dec 17, 2020 | Airway, Featured, Grand Round Summaries, Procedural care, Respirology
Pneumothorax is a relatively rare emergency department presentation with a number of controversies existing regarding its management. Over the last decade, the standard of care has shifted from invasive strategies to more conservation management approaches. What...
by Hans Rosenberg | Jul 20, 2020 | Journal Club, Respirology
Methodology: 1/5 Usefulness: 2/5 Riley CM, et al. JAMA. 2019 Feb 26;321(8):786-797. Question: Aimed to review and provide practical information regarding the diagnosis and long-term management of patients with COPD in the outpatient setting. Methods: This was a...
by Hans Rosenberg | Apr 13, 2020 | Journal Club, Respirology
Methodology: 2/5 Usefulness: 3/5 Brown SGA, et al. N Engl J Med. 2020 Jan 30;382(5):405-415. Question and Methods: Is conservative/observational treatment of moderate-large spontaneous pneumothorax non-inferior to chest tube insertion? Multicentre RCT at 39 hospitals...
by Hans Rosenberg | Apr 6, 2020 | Full Article, Infectious Disease, Journal Club, Respirology
Methodology: 3/5 Usefulness: 2.5/5 Butler CC, et al. N Engl J Med. 2019 Jul 11;381(2):111-120 Editorial: COPD Exacerbations – A Target for Antibiotic Stewardship. Question and Methods: This was a multicenter RCT to determine if POCT CRP testing vs usual care may help...
by Hans Rosenberg | Feb 17, 2020 | Infectious Disease, Journal Club, Respirology
Methodology: 4/5 Usefulness: 2/5 Alexander E., et al. JAMA. 2019 Sep 27. doi: 10.1001/jama.2019.15468. Editorial: Lefamulin-A New Antibiotic for Community-Acquired Pneumonia. Question and Methods: LEAP-2 was a phase 3, double-blinded RCT to determine non-inferiority...
by Harrison Carmichael | Nov 28, 2019 | Featured, Grand Round Summaries, Respirology, Toxicology
You may have seen the headlines; E-cigarette and Vaping Associated Lung Injury (EVALI) represent a new disease process that is potentially life-threatening. Emergency Physicians will inevitably be exposed to EVALI as front line health care providers. Here, we will...
by Hans Rosenberg | Aug 12, 2019 | Infectious Disease, Journal Club, Respirology
Journal Club Summary Methodology Score: 2.5/5 Usefulness Score: 3/5 Prins HJ, et al. Eur Respir J. 2019 May 23;53(5). Question and Methods: The CATCH Study was a multicentre, randomised, controlled open intervention clinical trial comparing CRP guided antibiotics for...