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

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 by 104 physicians in fresh cadavers. Bimanual laryngoscopy improved laryngeal view compared to cricoid pressure, backward-upward-rightward pressure, and no manipulation. JC attendees expressed considerable support […]

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

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. Review Article Link   This study was a systematic review of current pharmacologic treatments of acute pericarditis or its […]

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

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, del Zoppo G, De Silva DA, Butcher KS, Parsons MW, […]

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

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 acute fractures and found similar efficacy and side effects. While this […]

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

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 the MMSE to ED patients over the age of 65 and […]

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

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 therapeutic hypothermia for non-VT/VF arrests in the pre-hospital setting compared to […]

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

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 and the American College of Surgeons’ Major Resuscitation Criteria, found that […]

Does This Patient Have a Severe Upper Gastrointestinal Bleed?

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 a BUN:Creatinine ratio > 30 increased the likelihood of an upper […]

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

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-ROSC hyperoxia and increased in-hospital mortality in non-traumatic post-cardiac arrest patients […]