Hey all, The March edition of Journal Club reviewed the HINTS exam for acute vestibular syndrome. Much has been written/podcasted in the FOAM world about this controversial article, with the HINTS exam being touted as a godsend by some, while others recommend cautious use. In addition to the usual critical appraisal of the article, […]
Novel Management of PEA Arrest (Calgary EM Journal Club)
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
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)
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. […]
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