Standing on the corner, minding my own business in the ER

Novel Management of PEA Arrest (Calgary EM Journal Club)

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ACLS management of PEA arrest is traditionally done using CPR, epinephrine and running through the H’s and T’s. Unfortunately, the H’s and T’s can be difficult to recall in a stressful situation, and furthermore, they do not approach cardiac arrest in a physiologic manner. We recently reviewed the following paper that uses a novel approach to […]

Empiric antibiotics after cardiac arrest?

The July 2014 EM:RAP Paper Chase reviewed a paper claiming 38% of OHCA (Out of Hospital Cardiac Arrest) patients are bacteremic, and thus we should routinely give antibiotics to post-arrest patients. We reviewed this paper at the Calgary Journal Club recently and unfortunately, the authors conclusions are more leap of faith than anything else. This single […]

Pericarditis: Treatment and Diagnosis Pocket Card

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Hi all, This post contains a pocket card for the evidence based diagnosis and treatment of pericarditis as of 2014.  This came up after a recent U of C EM Journal Club in which the residents commented that there was just too much to remember with regard to the use of colchicine, it’s dosing, contraindications, etc. […]

Pericarditis and Myocarditis (Calgary EM Journal Club)

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The December journal club reviewed two papers, first up was Imazio’s paper investigating the benefits of treating pericarditis with colchicine.  You should definitely know this paper and be implementing it into practice. This is a must read. The second paper was a retrospective review looking at the presenting symptoms and labwork abnormalities in pediatric myocarditis. […]

Problems with the Alvarado and Pediatric Appendicitis Scores (Calgary EM Journal Club)

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In part 1 of this journal club, we reviewed the utility of a clinical decision rule for the inconclusive ultrasound in appendicitis.  Today we look at a meta-analysis of the Alvarado and Pediatric Appendicitis Score (PAS). Onto the article. Ann Emerg Med. 2014 Oct;64(4):365-372.e2. doi: 10.1016/j.annemergmed.2014.02.025. Epub 2014 Apr 14. What are the most clinically useful […]

The Negative or Inconclusive Ultrasound in Appendicitis – Can a CDR help?

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The September edition of journal club featured two articles focused on the diagnosis of appendicitis.  These articles each highlight some critical EBM points, which is why I’m breaking them apart into separate posts. This post will only focus on the first article, which examined a potential clinical decision rule for the management of patients with […]

Should we use tetracaine for corneal abrasions? Calgary EM Journal Club

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Hi all, This month’s Calgary EM Journal Club had a fantastic turnout with almost 40 attendees, 25% of which were staff EM docs.  It also marked the first time we saw a heated, debate style showdown at the end from residents advocating for and against the use of topical tetracaine in treatment of corneal abrasions.  Two […]

SOCMOB joins REBELEM

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Hi all, I’m excited to report that I’ve joined the group over at REBELEM.com (Rezaie’s Evidence Based Evaluation of Literature in Emergency Medicine) and my first post on the use of Colchicine for treatment of pericarditis is now up. For those of you who don’t follow REBEL:EM, what are you waiting for?  With Salim Rezaie […]

Novel therapies for Anterior Epistaxis (Calgary EM Journal Club)

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Epistaxis can be managed in many ways, from a simple squeeze of the nose to stuffing it with a tampon, and everything in between.  Today we’ll look at two novel methods of managing anterior epistaxis, one of which has become my go to for the moderate, non-anticoagulated bleeder.  Both of these techniques obviate the need […]

Calgary EM Journal Club: Therapeutic Hypothermia – Targeted Temperature Management Trial

In the January 2014 instalment of the journal club, the Calgary EM program reviewed the recent practice changing paper on cooling (AKA therapeutic hypothermia) after out of hospital cardiac arrest.  For more discussion of this paper, you can check out TheSGEM Episode 54 and this EMCrit Podcast and EMCrit Wee with Jon Rittenberger. Read on for our […]