Last update 06.04.10

Journal Club 11.15.10.


November 2010 Journal Club Articles:

1.  Effect of delay to operation on outcomes in adults with acute appendicitis.  Archives of Surgery 2010; 145(9): 886-92

2.   High risk clinical characteristics for subarachnoid haemorrhage in patients with acute headache.  BMJ 2010; 341: 1-8

Bonus Article 1.  Ultrasound Assessment of severe dehydration in children with diarrhea and vomiting.  Academic Emergency Medicine 2010; 17: 1035-41

Bonus Article 2.  Use of bedside ultrasound to assess degree of dehydration in children with gastroenteritis.  Academic Emergency Medicine 2010; 17: 1042-7


October 2010 Journal Club Articles:

1.  Violence against emergency department workers.  Journal of  Emergency Medicine 2006; 31(3): 331-7

2.   Workplace violence: a survey of emergency physicians in the state of Michigan.  Annals of Emergency Medicine 2005; 46(2): 142-7

3.  A systematic review of the literature: workplace violence in the emergency department.  Journal of Clinical Nursing 2010

September 2010 Journal Club Articles:

1.  Perspective: Is computed tomography safe? NEJM 2010; 363(1):1-4

2.   Quantitative assessment of diagnostic radiation doses in adult blunt trauma patients.  Annals of Emergency Medicine 2008; 52: 93-7

3.  Clinical prediction rules for identifying adults at very low risk for intra-abdominal injuries after blunt trauma.  Annals of Emergency Medicine 2009; 54: 575-84

Supplemental Reading.  The uncritical use of high-tech medical imaging.  NEJM 2010; 363(1): 4-6

Supplemental Reading 2.  Radiation dose associated with common computed tomography examinations and the associated lifetime attributable risk of cancer.  Archives of Internal Medicine 2009; 169(22): 2078-86




June 2010 Journal Club Articles:

1.  Derivation of the San Francisco Syncope Rule to predict patients with short-term serious outcomes.  Annals of Emergency Medicine 2004; 43: 224-32

2.   External validation of the San Francisco Syncope Rule in the Canadian setting.  Annals of Emergency Medicine 2010; 55: 464-72

3.  The ROSE (risk stratification of syncope in the emergency department) study.  Journal of the American College of Cardiology 2010; 55: 713-21

Supplemental Reading.  ACEP Clinical Policy: Critical issues in the evaluation and management of adult patients presenting to the emergency department with syncope.  Annals of Emergency Medicine 2007; 49: 431-44

Supplemental Reading 2.  10 Steps before you refer for syncope.  British Journal of Cardiology 2010; 17: 28-31




May 2010 Journal Club Articles:

1. Traumatic brain injury in anticoagulated patients. Trauma 2006; 60: 553-7

2.  Identification of children at very low risk of clinicially-important brain injuries after head trauma: a prospective cohort study. Lancet 2009; 374: 1160-70

3.  Outpatient management of patients with low-risk upper-gastrointestinal haemorrhage: multicentre validation and prospective evaluation. Lancet 2009; 373: 42-7

April 2010 Journal Club Articles:

1.  Adrenal suppression following a single dose of etomidate for rapid sequence intubation: a prospective randomized study.  Trauma 2008; 65: 573-9

2.  Etomidate versus ketamine for rapid sequence intubation in acutely ill patients: a multicentre randomised controlled trial.  Lancet 2009; 374: 293-300

3.  Effectiveness of ketamine in decreasing intracranial pressure in children with intracranial hypertension.  J Neurosurg Pediatr 2009; 4: 40-6.

Supplemental Reading.  Clinical controversies: Etomidate as an induction agent for endotracheal intubation in patients with sepsis.  Annals of Emergency Medicine 2008; 52: 13-6

March 2010 Journal Club Articles:

1.  Thrombolysis during resuscitation for out-of-hospital cardiac arrest. NEJM  2008; 359: 2651-62

2.  Intravenous drug administration during out-of-hospital cardiac arrest. JAMA 2009; 302: 2222-29

3.  Mild therapeutic hypothermia to improve the neurologic outcome after cardiac arrest. NEJM 2002; 346: 549-57.

February 2010 Journal Club Articles:

1.  A Multicenter study of B-type natriuretic peptide leves, emergency department decision making, and outcomes in patients presenting with shortness of breath. J Am Coll Cardiol 2004; 44: 1328-33

2.  Early diagnosis of myocardial infarction with sensitive cardiac troponin assays. NEJM 2009; 361: 858-67

3.  The impact of prehospital transport interval on survival in out-of-hospital cardiac arrest: implications for regionalization of post-resuscitation care. Resuscitation 2008; 79: 61-6

Supplemental Reading.  Does this dyspneic patient in the emergency department have congestive heart failure? JAMA 2005; 294: 1944-56.

Supplemental Reading 2.  B-type natriuretic peptide testing, clinical outcomes, and health services use in emergency department patients with dyspnea: a randomized trial.  Ann Int Med 2009; 150: 365-71



December 2009 Journal Club Articles:

1.  The death of a child in the emergency department.  Annals of Emergency Medicine 2003; 42: 519-29

2.  Pediatric thoracoabdominal biomechanics. Stapp Car Crash Journal 2009; 53: 1-30

Bonus.  Seasonal medical myths that lack convincing evidence. BMJ 2008; 337: 1442-3



November 2009 Journal Club Articles:

1.  Routine packing of simple cutaneous abscesses is painful and probably unnecessary. Academic EM 2009; 16(5): 470-3

2.  A randomized controlled tiral of acetaminophen, ibuprofen, and codeine for acute pain relief in children with musculoskeletal trauma. Pediatrics 2007; 119: 460-7

3.  Femoral nerve block for diaphyseal and distal femoral fractures in the emergency department. Journal of Bone and Joint Surgery 2007; 89: 2599-603

Supplemental Reading 1.  Emergency medicine and pain: a topography of influence. Annals of Emergency Medicine 2004; 43: 504-6

Supplemental Reading 2.  Ultrasound-guided single shot femoral nerve block. NYSORA (Online content and video) and Femoral nerve block. Ultrasound for Regional Anesthesia (Online Content)

October 2009 Journal Club Articles:

1.  Does this patient have influenza? JAMA 2005; 293: 987-97

2.  Nonpharmaceutical interventions implemented by US cities during the 1918-1919 influenza pandemic. JAMA 2007; 298: 644-54

3.  Efficacy and safety of the oral neuraminidase inhibitor oseltamivir in treating acute influenza. JAMA 2000; 283: 1016-24

Supplemental Reading 1.  Emergency department utilization during outbreaks of influenza (ACEP Clinical Policy). Annals of Emergency Medicine 2005; 45: 686

Supplemental Reading 2.  H1N1 Influenza, public health preparedness, and health care reform. NEJM 2009; 361: 843-5

September 2009 Journal Club Articles:

1.  Clinical efficacy of dexamethasone for acute exudative pharyngitis. Journal of Emergency Medicine 2008; 35(4): 363-7

2.  Blood cultures for community-acquired pneumonia: are they worthy of two quality measures? A systematic review. Journal of Hospital Medicine 2009; 4: 112-23

3.  Does the addition of dexamethasone to standard therapy for acute migraine headache decrease the incidence of recurrent headache for patients treated in the emergency department? Academic Emergency Medicine 2008; 15: 1223-33

Bonus.  Churchill's flu poem. BMJ 2008; 337: a2890

August 2009 Journal Club Articles:

1.  The association between emergency department crowding and adverse cardiovascular outcomes in patients with chest pain.  Annals of EM 2009; 16(7):617-25

2.  Emergency department utilization in the United States and Ontario, Canada.  Academic Emergency Medicine 2007; 14(6): 582-4

3.  A conceptual model of emergency department crowding.  Annals of EM 2003; 42(2): 173-80

Bonus.  Southside Medical Homes Network: Linking emergency department patients to community care.  Prehospital and Disaster Medicine 2008; 23(3): 282-4

July 2009 Journal Club Articles:

1.  Minimally interrupted cardiac resuscitation by EMS for out-of-hospital cardiac arrest.  JAMA 2008; 299(10):1158-65

2.  Routine early angioplasty after fibrinolysis for acute myocardial infarction.  NEJM 2009; 360(26): 2705-18

3.  An evaluation of the impact of apheresis platelets used in the setting of massively transfused trauma patients.  Trauma 2009; 66(4): S77-85

Bonus.  Mama's rules.  Annals of Emergency Medicine 2009; 53(5): 688-9