epi lesson Archives

Rapid Blood-Pressure Lowering in Patients with Acute Intracerebral Hemorrhage

by emottawa | Jul 21, 2014 | Journal Club

Journal Club Summary Methodology Score: 4/5 Usefulness Score: 2/5 INTERACT2 Investigators. N Engl J Med. 2013 Jun 20;368(25):2355-65. Article Link This large multicentre, partially blinded RCT compared aggressively lowering SBP to <140 vs....

Efficacy of pain control with topical lidocaine–epinephrine–tetracaine during laceration repair with tissue adhesive in children: a randomized controlled trial

by emottawa | Jul 14, 2014 | Journal Club

Journal Club Summary Methodology Score: 4.5/5 Usefulness Score: 3.5/5 Harman S, Zemek R, Duncan MJ, Ying Y, Petrcich W. CMAJ. 2013 Sep 17;185(13):E629-34. Article Link This study was a double blind RCT which demonstrated that using topical LET on...

Bedside focused echocardiography as predictor of survival in cardiac arrest patients: a systematic review.

by emottawa | Apr 21, 2014 | Journal Club

Journal Club Summary Methodology Score: 4/5 Usefulness Score: 4/5 Blyth L, Atkinson P, Gadd K, Lang E. Acad Emerg Med. 2012 Oct;19(10):1119-26. Article Link This systematic review of 8 studies found that when transthoracic ultrasound is performed...

Effect of heart rate control with esmolol on hemodynamic and clinical outcomes in patients with septic shock: a randomized clinical trial.

by emottawa | Apr 14, 2014 | Journal Club

Journal Club Summary Methodology Score: 4/5 Usefulness Score: 2/5 Morelli A, et al. JAMA. 2013 Oct 23;310(16):1683-91 Article Link This single centre phase 2B trial randomized septic patients still requiring vasopressors after 24hrs of EGDT to...

Safe exclusion of pulmonary embolism using the Wells rule and qualitative D-dimer testing in primary care: prospective cohort study.

by emottawa | Apr 7, 2014 | Journal Club

Journal Club Summary Methodology Score: 3/5 Usefulness Score: 2.5/5 Geersing GJ, et al. BMJ. 2012 Oct 4;345:e6564. Article Link This was a prospective cohort validation study using the Wells clinical decision rule combined with D-dimer to exclude...