January 2017 First10EM Journal Club

Greetings fellow EBM nerds of a feather!

Its the the end of the month already which means that it’s time to review all the interesting  papers that Justin has found on his night table in his cold, Toronto apartment.

This month is we do are covering othopaedics, zipper injuries, anxious chest pain patients and a whole heap more.  So sit back, grab a beverage and listen in for our first rapid fire journal club for 2017.

The full text PDFs of all the papers we discuss are below and you can check out Justin’s perspicacious, well-worded summary over at First10EM.  Here we go!

Martindale JL, Wakai A, Collins SP. Diagnosing Acute Heart Failure in the Emergency Department: A Systematic Review and Meta-analysis. Academic emergency medicine. 23(3):223-42. 2016.

Numé AK, Gislason G, Christiansen CB. Syncope and Motor Vehicle Crash Risk: A Danish Nationwide Study. JAMA internal medicine. 176(4):503-10. 2016.

Oquist M, Buck L, Michel K, Ouellette L, Emery M, Bush C. Comparative analysis of five methods of emergency zipper release by experienced versus novice clinicians. Am J Emerg Med. 2016

Brison RJ, Day AG, Pelland L, Pickett W, Johnson AP, Aiken A, Pichora DR, Brouwer B. Effect of early supervised physiotherapy on recovery from acute ankle sprain: randomised controlled trial. BMJ. 2016 Nov 16;355:i5650.

Kawano T, Scheuermeyer FX, Stenstrom R, Rowe BH, Grafstein E, Grunau B. Epinephrine use in older patients with anaphylaxis: Clinical outcomes and cardiovascular complications. Resuscitation. 2017

A few of the FOAMed resources that we mentioned in the podcast are here if you would like to check them out:

Dr Genevieve Yates’ PK video on Assessing Older drivers fitness: “Don’t Just Sign on the Dotted Line”
We will be back next month.
Casey & Justin


  1. Anthony Tzannes says

    Hi Casey and Justin,

    Thank you for another informative podcast. I was interested to hear the outcome of the physiotherapy for ankle sprains paper. Having read the paper there was no mention of reinjury rate (only that people that reinjured were followed up at 1, 3 & 6 months).
    My understanding is that the supposed main benefit of physiotherapy is to decrease the reinjury rate by improving proprioception – though this is based on a large series of poor quality papers. (Did a quick lit review, papers I found are either overall poor quality, use non patient outcome based measures, or reviews of other papers and comment that they are poor quality and better quality research is needed.)
    This thus leaves me in a quandary, no clear benefit from physiotherapy in terms of return to function; but unclear if it decreases the reinjury rate.
    What are your thoughts?


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