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First10EM Journal Club: October 2018

Welcome back.  It has been a long time between drinks as I have been away on long-service leave and enjoying life outside of Medicine.

If you want to see a bit of my “work” that involves cameras and animals then please check out my other site: CaseyParker.org  for a taste of the artistic side.  I will be uploading more images as I get time and would love any comments / feedback.

Anyway – to get back into the swing of things I have been joined by Dr Justin Morgenstern for another episode of the Journal Club.  as always – the papers are below.  You can read Justin’s deep dives into the big papers or just listen to us on the podcast.  As always – the free PDFs are attached below.

Enjoy!

Simulation saves lives

Josey K, Smith ML, Kayani AS, et al. Hospitals with more-active participation in conducting standardized in-situ mock codes have improved survival after in-hospital cardiopulmonary arrest. Resuscitation. 2018; 133:47-52.

Which salty water do you prefer?

SPLIT: Young P, Bailey M, Beasley R, et al. Effect of a Buffered Crystalloid Solution vs Saline on Acute Kidney Injury Among Patients in the Intensive Care Unit: The SPLIT Randomized Clinical Trial. JAMA. 2015; 314(16):1701-10.PMID: 26444692

The full write up can be found here.

You can see Dr Paul Young’s SMACC talk on the SPLIT trial here

SMART: Semler MW, Self WH, Wanderer JP, et al. Balanced Crystalloids versus Saline in Critically Ill Adults. The New England journal of medicine. 2018; 378(9):829-839. PMID: 29485925 [free full text]

The full write up can be found here.

SALT-ED: Self WH, Semler MW, Wanderer JP, et al. Balanced Crystalloids versus Saline in Noncritically Ill Adults. The New England journal of medicine. 2018; 378(9):819-828. PMID: 29485926 [free full text]

The full write up can be found here.

Adrenaline for OOHCA?

Perkins GD, Ji C, Deakin CD, et al. A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest. The New England journal of medicine. 2018. PMID: 30021076 [full text]

The full write up can be found here.

Prehospital Plasma in trauma – a Pair of Papers

Again, we get multiple papers on the same topic. Again, they seem to say different things.

PAMPER: Sperry JL, Guyette FX, Brown JB, et al. Prehospital Plasma during Air Medical Transport in Trauma Patients at Risk for Hemorrhagic Shock. The New England journal of medicine. 2018; 379(4):315-326. PMID: 30044935

The full write up can be found here.

COMBAT: Moore HB, Moore EE, Chapman MP, et al. Plasma-first resuscitation to treat haemorrhagic shock during emergency ground transportation in an urban area: a randomised trial. Lancet. 2018; 392(10144):283-291. PMID: 30032977

The full write up can be found here.

Just for Laughs…

Özel G, Maltête D, Lefaucheur R. Pathological Laughter as a Symptom of Middle Cerebral Artery Stroke. The Journal of emergency medicine. 2018; “http://www.ncbi.nlm.nih.gov/pubmed/30249344

Is it Rational to Trust You Gut Feelings?

Editorial by Valerie van Mulukom in Neuroscience News

Metanalysis on the topic by WANG et al in Journal of Behavioural Decision Making, Dec 2015

Do Penile fractures require Surgery?

Ouellette L, Hamati M, Hawkins D, Bush C, Emery M, Jones J. Penile fracture: Surgical vs. conservative treatment. The American Journal of Emergency Medicine. 2018;

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  1. […] become ridiculous to call these posts “articles of the month”. This is a summary of the papers Casey and I discussed for the BroomeDocs Journal Club. Most of the papers will have been covered in individual blog posts, but there are always a few […]

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