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.
Prehospital Analgesia With Intranasal Ketamine (PAIN-K): A Randomized Double-Blind Trial in Adults – F. Scheuermeyer
Rationale: Prehospital RT. Make sure to invite Gary!!!
Thrombolysis Guided by Perfusion Imaging up to 9 Hours after Onset of Stroke – F. Scheuermeyer
Rationale: Enlarges thrombolysis window in stroke to 9 hours.
Buprenorphine/naloxone induction in a Canadian emergency department with rapid access to community-based addictions providers – F. Scheuermeyer
Rationale: Small study from Canada that provides some data for buprenorphine to go programs. Invite Jess Moe or Andy Kestler please.
Acute kidney injury following contrast media administration in the septic patient: A retrospective propensity-matched analysis. – E. Genuis
Rationale: More great studies re CIN! Maybe some more will put the final nail in the coffin on this.
Effect of patient-centered transitional care services on clinical outcomes in patients hospitalized for heart failure – F. Scheuermeyer
Rationale: patient-cantered models, and transitions of care are both very current topics. poorly explored in EM. Although this in on the inpatient ward, has important lessons for emergency medicine as well. Also: good study design
Antibiotic management of urinary tract infection in elderly patients in primary care and its association with bloodstream infections and all cause mortality: population based cohort study. – F. Scheuermeyer
Rationale: some guidelines have recommended withholding antibiotics in select cases. We don’t often review population level statistics, and this kind of analysis would likely not be possible with a randomized trial or smaller observational study.
Efficacy and safety of a monthly buprenorphine depot injection for opioid use disorder: a multicenter, randomized, double-blind placebo-controlled trial. – F. Scheuermeyer
Rationale: Pragmatic trial comparing two methods of administering opioid agonist therapy.
Is Buddy Taping as Effective as Plaster Immobilization for Adults With an Uncomplicated Neck of Fifth Metacarpal Fracture? A Randomized Controlled Trial
Rationale: Small study with some method issues BUT in an area we rarely cover and could change practice. If a resident wishes to cover this, consider discussing with a hand specialist or better yet, have them attend JC in person or via phone.
Effect of a Resuscitation Strategy Targeting Peripheral Perfusion Status vs Serum Lactate Levels on 28-Day Mortality Among Patients With Septic Shock
The ANDROMEDA-SHOCK Randomized Clinical Trial – F. Scheuermeyer
Rationale: Randomized trial to explore whether we truly need to collect serial lactate measurements in critically ill patients.
HEART score risk stratification of low-risk chest pain patients in the emergency department: a systematic review and meta-analysis – F. Scheuermeyer
Rationale: We rarely assess systematic reviews/meta-analyses although they are becoming very, very popular; very hot topic; clinically relevant; remember to invite Corinne or Jess for discussion.
Older blood is associated with increased mortality and adverse events in massively transfused trauma patients: secondary analysis of the PROPPR trial – F. Scheuermeyer
Rationale: Interesting topic, good methodology, good CQI project, also potential ethical questions regarding stored / older blood, consider inviting Heather Lindsay from CQI viewpoint.
Road Safety Impact of Increased Rural Highway Speed Limits in British Columbia, Canada (PDF download) – F. Scheuermeyer
Rationale: tough methods but great study impacting public health/prevention/government policy in a way that we do not often see emergency research contribute. Be sure to invite Jeff, and better yet assign a more experienced resident and have Jeff be the resource person at least for that study.
Multicenter trial of a combination probiotic for children with gastroenteritis – F. Scheuermeyer
Rationale: Canadian-led RT debunks a fairly common practice. Straightforward; a junior resident could present without much challenge.
A systematic review and meta-analysis of ketamine as an alternative to opioids for acute pain in the emergency department – F. Scheuermeyer
Rationale: Ketamine starting to become more accepted, should generate good discussion despite not that many relevant papers, perhaps invite Corinne or Jess.
Does Point-of-Care Ultrasonography Improve Clinical Outcomes in Emergency Department Patients With Undifferentiated Hypotension? An International Randomized Controlled Trial From the SHoC-ED Investigators – F. Scheuermeyer
Rationale: One of the best ultrasonography studies ever. Strongly consider inviting Dan Kim or Oron Frenkel to discuss.