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First10EM Journal Club: February 2019

Welcome to another edition of the Broomedocs/ First10EM podcast. This month Justin and I serve up a selection of serious and seriously unusual papers.

Key learning points: sharks are safe, The NEJM is dangerous and you just may be able to outrun Death.

As always – the links to the full text PDFs and into Justin’s deeper thoughts on each paper are below

Here we go….

Babl FE, Oakley E, Dalziel SR, et al. Accuracy of Clinician Practice Compared With Three Head Injury Decision Rules in Children: A Prospective Cohort Study. Annals of emergency medicine. 2018; 71(6):703-710.

The full write up can be found here.

Li HK, Rombach I, Zambellas R, et al. Oral versus Intravenous Antibiotics for Bone and Joint Infection. The New England journal of medicine. 2019; 380(5):425-436.

The full write up can be found here.

White T, Mellick LB. Debunking Medical Myths: The Eyebrow Shaving. Myth Emerg Med Open J. 2015; 1(2):31-33.B

Connolly SJ, Crowther M, Eikelboom JW, et al. Full Study Report of Andexanet Alfa for Bleeding Associated with Factor Xa Inhibitors. N Engl J Med. 2019 [free full text]B

The full write up can be found here.


Clemency BM, Eggleston W, Shaw EW, et al. Hospital Observation Upon Reversal (HOUR) With Naloxone: A Prospective Clinical Prediction Rule Validation Study. Academic emergency medicine. 2018; [free full text]

The full write up can be found here, and an SGEM episode is here

Tomberg RJ, Cachaper GA, Weingart GS. Shark Related Injuries: A Case Series of Emergency Department Patients. The American Journal of Emergency Medicine. 2018; 36(9):1645-1649.. B

Chen JY, He PC, Liu YH, et al. Association of Parenteral Anticoagulation Therapy With Outcomes in Chinese Patients Undergoing Percutaneous Coronary Intervention for Non-ST-Segment Elevation Acute Coronary Syndrome. JAMA internal medicine. 2018;

Justin has a deep-dive into heparin which is summarized here.

The full write up can be found here.

Thiruganasambandamoorthy Duration of Electrocardiographic Monitoring of Emergency Department Patients with Syncope   Circulation, 2019

For a case-based discussion on this paper read “Funeral Falldown” post

Stanaway FF, Gnjidic D, Blyth FM, et al. How fast does the Grim Reaper walk? Receiver operating characteristics curve analysis in healthy men aged 70 and over. BMJ (Clinical research ed.). 2011; 343:d7679. PMID: 22174324 [free full text]

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