First10EM Journal Club: May 2017

We are back with another set of papers to dissect, discuss and digest.  Justin and I have been working on a few big projects and are in full prep for the upcoming DasSMACC meeting in Berlin. We managed to skip April, but we are planning something a little special for June in Berlin.

If you are a fan of the podcast / journal club and will be at DasSMACC – then you can join us behind the mic and share your ideas on any paper you choose – just get in touch. Comments section will be easiest

This month we review papers on PPH, Wellen’s,  CO tox, ambulance communication and more.  As always, the papers are right here in full PDF for free… so do your own reading and think critically.  You can read Justin’s refined written thoughts over at First10EM now!


WOMAN trial collaborators . Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum haemorrhage (WOMAN): an international, randomised, double-blind, placebo-controlled trial. Lancet (London, England). 2017

Olaussen A, Nehme Z, Shepherd M. Consciousness induced during cardiopulmonary resuscitation: An observational study. Resuscitation. 2017; 113:44-50.

Morris N, Howard L. BET 1: In patients with suspected acute coronary syndrome, does Wellens’ sign on the electrocardiograph identify critical left anterior descending artery stenosis? Emergency medicine journal 34(4):264-266. 2017.

ACEP, Wolf SJ, Maloney GE, Shih RD, Shy BD, Brown MD. Clinical Policy: Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With Acute Carbon Monoxide Poisoning.  Annals of emergency medicine. 2017; 69(1):98-107.e6.

I also mentioned this Taiwanese retrospective trial of HBOT on CO tox (Chest 2017)

Verma AA et al. Pulmonary Embolism and Deep Venous Thrombosis in Patients Hospitalized With Syncope: A Multicenter Cross-sectional Study in Toronto, Ontario, Canada. JAMA Intern Med. Published online May 08, 2017.

We also briefly mentioned the RESPECT-ED trial on Australasian PE investigation (Dr David Mountain et al, Plos One 2016)

Cram N, McLeod S, Lewell M, Davis M. A prospective evaluation of the availability and utility of the Ambulance Call Record in the emergency department.   CJEM. 2017; 19(2):81-87.

Andersen LW, Granfeldt A, Callaway CW. Association Between Tracheal Intubation During Adult In-Hospital Cardiac Arrest and Survival. JAMA. 2017; 317(5):494-506.

Okumura T, Suzuki K, Fukuda A. The Tokyo subway sarin attack: disaster management, Part 1: Community emergency response.   Academic emergency medicine. 1998; 5(6):613-7. 
Okumura T, Suzuki K, Fukuda A. The Tokyo subway sarin attack: disaster management, Part 2: Hospital response. Academic emergency medicine. 1998; 5(6):618-24.

See you in Berlin…

Casey & Justin

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