epi lesson Archives

Electrocardiographic differentiation of early repolarization from subtle anterior ST-segment elevation myocardial infarction

by emottawa | Oct 15, 2012 | Journal Club

Journal Club Summary Methodology Score: 3/5 Usefulness Score: 2/5 Smith SW, Khalil A, Henry TD, Rosas M, Chang RJ, Heller K, Scharrer E, Ghorashi M, Pearce LA. Ann Emerg Med. 2012 Jul;60(1):45-56.e2. Epub 2012 Apr 19. Pub Med Link This retrospective cohort study of...

Performance of 4 clinical decision rules in the diagnostic management of acute pulmonary embolism: a prospective cohort study

by emottawa | Oct 4, 2012 | Journal Club

Journal Club Summary Methodology Score: 3/5 Usefulness Score: 3/5 Douma RA, Mos IC, et al. Prometheus Study Group. Article Link This European study directly compared four clinical decision rules in combination with d-dimer testing to exclude PE without the need for...

Association Between helicopter vs Ground Emergency Medical Services and Survival for Adult with Major Trauma

by emottawa | Sep 24, 2012 | Journal Club

Journal Club Summary Methodology Score: 3/5 Usefulness Score: 2.5/5 Galvagno SM Jr, Haut ER, Zafar SN, Millin MG, Efron DT, Koenig GJ Jr, Baker SP, Bowman SM, Pronovost PJ, Haider AH. JAMA 2012 Apr 18;307(15):1602-10. Article Link This...

The benefits of steroids versus steroids plus antivirals for treatment of Bell’s palsy: a meta-analysis.

by emottawa | Sep 18, 2012 | Journal Club

Journal Club Summary Landmark Series Quant EC, et. al 2009;339:b3354. Methods: 4/5 Usefulness: 4/5 Article Link This high quality meta-analysis demonstrated that the addition of antivirals to steroids did not result in any additional benefit in achieving at least...

Efficacy and safety of recombinant activated factor VII for acute intracerebral hemorrhage.

by EMOttawa | Sep 12, 2012 | Journal Club, landmark

Journal Club Summary Landmark Series Mayer SA, Brun NC, Begtrup K, Broderick J, Davis S, Diringer MN, et al. N Engl J Med. 2008 May 15;358(20):21 27–37. Article Link This industry sponsored, international multicentre RCT involved 841 patients with acute ICH and found...