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, James Gilbertson | 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, Pascale King | 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...
by Alex Mungham, Richard Hoang, Shankar Sethuraman | Jan 17, 2019 | Grand Round Summaries, Respirology
In this post, we review an approach to antibiotics, bronchodilators, and corticosteroids in the outpatient management for acute exacerbations of COPD. COPD – The Basics What is it? An incompletely reversible obstructive lung disease due to airway and/or alveolar...
by Hans Rosenberg | Dec 31, 2018 | Full Article, Infectious Disease, Journal Club, Respirology
Methodology Score: 2.5/5 Usefulness Score: 2.5/5 Little P, et al. BMJ. 2017 May 22;357:j2148. Editorial: Controlling antibiotic prescribing for lower respiratory tract infections Scott AM et al. BMJ. 2017 May 22;357:j2398. doi: 10.1136/bmj.j2398....
