It is a New Year but the same old Journal club with Dr Justin Morgenstern.
This month we are tackling a few papers on the futility PEs ( pulmonary emboli and pelvic examinations), the worst APO paper ever and the reason you should wear a cape to work. If that sounds like your sort of thing then tune in and have a listen as we dissect the data.
You can read along with the original papers in full PDF below. As always – we value your feedback and comments.
Ganshorn H, Sheldon R. Prevalence of pulmonary embolism in patients presenting with syncope. A systematic review and meta-analysis.The American journal of emergency medicine. 2017; PMID: 28947223
Beck KS, et al. Incidental Pulmonary Embolism After Coronary Artery Bypass Surgery: Long-Term Clinical Follow-Up.American journal of roentgenology. 2018; 210(1):52-57. PMID: 29064757
Linden JA, Grimmnitz B, Hagopian L. Is the Pelvic Examination Still Crucial in Patients Presenting to the Emergency Department With Vaginal Bleeding or Abdominal Pain When an Intrauterine Pregnancy Is Identified on Ultrasonography? A Randomized Controlled Trial. Annals of emergency medicine. 2017; 70(6):825-834. PMID: 28935285
Isoardi K. Review article: the use of pelvic examination within the emergency department in the assessment of early pregnancy bleeding. Emergency medicine Australasia. 2009; 21(6):440-8. PMID: 20002713
Rosenbaum L. The Less-Is-More Crusade – Are We Overmedicalizing or Oversimplifying?The New England journal of medicine. 2017; 377(24):2392-2397. PMID: 29236644
Lapage MJ, Bradley DJ, Dick M. Verapamil in infants: an exaggerated fear? Pediatric cardiology. 2013; 34(7):1532-4. PMID: 23800976
Cantrell FL, Cantrell P, Wen A, Gerona R. Epinephrine Concentrations in EpiPens After the Expiration Date. Annals of internal medicine. 2017; 166(12):918-919. PMID: 28492859
Matsue Y, Damman K, Voors AA. Time-to-Furosemide Treatment and Mortality in Patients Hospitalized With Acute Heart Failure. Journal of the American College of Cardiology. 2017; 69(25):3042-3051. PMID: 28641794
White RE, Prager EO, Schaefer C, Kross E, Duckworth AL, Carlson SM. The “Batman Effect”: Improving Perseverance in Young Children. Child development. 2017; 88(5):1563-1571. PMID: 27982409
I am a GP working in Broome, NW of Western Australia. I work as a hospital DMO (District Med Officer) doing Emergency, Anaesthestics, some Obstetrics and a lot of miscellaneous primary care. Also on the web as @broomedocs | + Casey Parker | Contact