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

2012-07-09
By: EMottawa
On: July 9, 2012
In: Journal Club

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 K, Mau J, Meier D,Read More →

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

2012-07-03
By: EMottawa
On: July 3, 2012
In: 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 acute pain in adults presenting to the ED with acuteRead More →

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

2012-06-27
By: EMottawa
On: June 27, 2012
In: 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 tests (Brief Alzheimer’s Screen, Short Blessed Test and Ottawa 3DY) compared with theRead More →

Induction of prehospital therapeutic hypothermia after resuscitation from nonventricular fibrillation cardiac arrest

2012-06-19
By: EMottawa
On: June 19, 2012
In: Journal Club

Journal Club Summary  Methodology: 2/5     Usefulness: 2/5 Bernard SA, Smith K, Cameron P, Masci K, Taylor DM, Cooper DJ, Kelly AM, Silvester W; Rapid Infusion of Cold Hartmanns Investigators. Crit Care Med. 2012 Mar;40(3):747-53. Pubmed Link This study looked at the use of ice-cold Hartmann’s solution for induction of therapeuticRead More →

Validation and Refinement of a Rule to Predict Emergency Intervention in Adult Trauma Patients

2012-06-11
By: EMottawa
On: June 11, 2012
In: Journal Club

Journal Club Summary Methodology: 1.5/5     Usefulness: 2/5  Haukoos JS, Byyny RL, Erickson C, Paulson S, Hopkins E, Sasson C, Bender B, Gravitz CS, Vogel JA, Colwell CB, Moore EE. Ann Emerg Med. 2011 Aug;58(2):164-71. Article Link This retrospective validation of two existing clinical decision rules, the Loma Linda rule andRead More →

Does This Patient Have a Severe Upper Gastrointestinal Bleed?

2012-06-05
By: EMottawa
On: June 5, 2012
In: Journal Club

Journal Club Summary Methodology: 2.5/5     Usefulness: 2.5/5  Srygley FD, Gerardo CJ, Tran T, Fisher DA. JAMA. 2012 Mar 14;307(10):1072-9 Article Link This recent installment of JAMA’s Rational Clinical Examination series found that a history or physical exam positive for melena, a nasogastric lavage with blood or coffee grounds, or aRead More →

Association Between Arterial Hyperoxia Following Resuscitation From Cardiac Arrest and In-Hospital Mortality

2012-06-03
By: EMottawa
On: June 3, 2012
In: Journal Club

Journal Club Summary  Methodology: 3/5     Usefulness: 4/5 Kilgannon JH, Jones AE, Shapiro NI, Angelos MG, Milcarek B, Hunter K, Parrillo JE, Trzeciak S; Emergency Medicine Shock Research Network (EMShockNet) Investigators. JAMA 2010 Jun 2;303(21):2165-71. Article Link This is the first study to use clinical data to establish an association between post-ROSCRead More →

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