Suggested Journal Club Articles will be posted here as they are made available. The selection of papers for review at Journal Club is overseen by the Chief Residents of the RCPS and CFPC Emergency Medicine training programs and is based on proposals by EM faculty and residents. If you come across a paper you feel merits consideration for review at Journal Club, please use the automated submission form to notify us of this.
Prediction and risk stratification of survival in accidental hypothermia requiring extracorporeal life support: An individual patient data meta-analysis – R. Abu-Laban
Note: This is an important paper to review, as it relates to clinical management decisions for hypothermic patients. It also involves 3 DEM authors (Doug Brown, lead for the BC Hypothermia Guidelines, Riyad Abu-Laban, and Nick Kuzak). To make for a robust conversation, it will be very important to ensure that Doug Brown can be at the Journal Club when this is reviewed, if it is chosen for review. It would also be great to try and be sure Brian Grunau can be there too, given his research expertise and leadership in ECMO. And of course I’d like to be there too, but being sure I can is less important than it is for the others. Hope we can review this one soon.
Submitted Jan 2018
Adjunctive Glucocorticoid Therapy in Patients with Septic Shock – D. Ting
Note: Essentially a negative trial, but discussion provoking on what (if anything) to offer in refractory septic shock.
Submitted Nov 2017
Oxygen Therapy in Suspected Acute Myocardial Infarction – A. Elkhalifa
Submitted Oct 2017
Submitted Sept 2017
Randomized Trial of Icatibant for Angiotensin-Converting Enzyme Inhibitor-Induced Upper Airway Angioedema – J. Taylor
Note: Good negative trial, in follow up to NEJM positive trial for the same medication. Interesting that this negative trial was published in a much smaller journal. A Randomized Trial of Icatibant in ACE-Inhibitor–Induced Angioedema.
Submitted June 2017
Simplified diagnostic management of suspected pulmonary embolism (the YEARS study): a prospective, multicentre, cohort study – D. Ting
Note: Interesting multicenter study looking at using a higher D-dimer threshold (<1000) for patients at low risk of PE, finding that it may be used successfully and reduce testing. Similar study ongoing at McMaster in the patient recruitment phase.