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First10EM Journal Club: July 17

Welcome  back to the latest episode of the First10EM Journal Club with Dr Justin Morgenstern – the man who knows less about a lot than anyone I know!  You will have to listen to understand that backhanded compliment!

I dont KnowThis month we cover 9 papers on a range of everyday topics and as always a few eccentric pieces of information that you probably don’t need and certainly didn’t ask for!

DISCLAIMER: there are a few issues with the audio in a few short patches, and I have cut out the ugliest parts, but please persist and hopefully a few fruitful pearls will pass through the fog.

You can check out Justin’s written thoughts over at the FIRST10EM blog.  As always the full-text PDFs of the papers are attached below in hyperlinks for your reading convenience.

Here’s the audio,

or DIRECT DOWNLOAD in your browser.  We are on iTunes and any podcast feed app you can find.  If you get a minute please rate this podcast at iTunes.


Hinson JS, Ehmann MR, Fine DM. Risk of Acute Kidney Injury After Intravenous Contrast Media Administration. Annals of emergency medicine. 2017; 69(5):577-586.e4.


van der Hulle T, Cheung WY, Kooij S. Simplified diagnostic management of suspected pulmonary embolism (the YEARS study): a prospective, multicentre, cohort study. Lancet (London, England). 2017;


Waldman N, Winrow B, Densie I. An Observational Study to Determine Whether Routinely Sending Patients Home With a 24-Hour Supply of Topical Tetracaine From the Emergency Department for Simple Corneal Abrasion Pain Is Potentially Safe. Annals of emergency medicine. 2017.


Vine SJ, Uiga L, Lavric A, Moore LJ, Tsaneva-Atanasova K, Wilson MR. Individual reactions to stress predict performance during a critical aviation incident. Anxiety, stress, and coping. 28(4):467-77. 2015.


Sinert R, Levy P, Bernstein JA. Randomized Trial of Icatibant for Angiotensin-Converting Enzyme Inhibitor-Induced Upper Airway Angioedema. The journal of allergy and clinical immunology. In practice. 2017.


Thelle A et al. Randomised comparison of needle aspiration and chest tube drainage in spontaneous pneumothorax. The European respiratory journal. 2017; 49(4).


Tschopp JM, Bintcliffe O, Astoul P. ERS task force statement: diagnosis and treatment of primary spontaneous pneumothorax. The European respiratory journal. 2015; 46(2):321-35.


Moran GJ, Krishnadasan A, Mower WR. Effect of Cephalexin Plus Trimethoprim-Sulfamethoxazole vs Cephalexin Alone on Clinical Cure of Uncomplicated Cellulitis: A Randomized Clinical Trial. JAMA. 2017; 317(20):2088-2096.


Reichert S, Lin C, Ong W, Him CC, Hameed S. Million dollar ride: Crime committed during involuntary scopolamine intoxication. Canadian family physician. 2017; 63(5):369-370.


Don’t forget to try and sign up for the awesome Don’t Forget The Bubbles Conference in Brisbane this month.  I will be there teaching Paeds US, talking about life as a rural Paeds / family doctor and having a great time.

There is also a mention of the Pomegranate Health Podcast produced by the Australian College of Physicians – they have released a few recent episodes on Diagnostic Uncertainty which are well worth a listen.

Casey

Comments

  1. Roger Browning says:

    Hi Justin,
    Interesting to hear of your patient with severe coughing and secretions. I suggest nebulised lignocaine (and I would also probably have given the glycopyrolate).

    Nebulized lidocaine for intractable cough near the end of life.
    Lingerfelt BM, et al. J Support Oncol. 2007 Jul-Aug.

    Roger

    • Thanks Roger,
      Is there nothing lignocaine cannot do?
      Thanks for the tip and reference :

      J Support Oncol. 2007 Jul-Aug;5(7):301-2.
      Nebulized lidocaine for intractable cough near the end of life.
      Lingerfelt BM, Swainey CW, Smith TJ, Coyne PJ.

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