First10EM Journal Club: January 2023

We are back with another episode of the BroomeDocs and First10EM podcast. In this episode we try to answer some of the big questions in Emergency Medicine, we also answer a few that you probably would never have thought to ask! Like…

  • How much electricity should we use in refractory VF?
  • Should we suck clots out of legs?
  • Should you put Tegaderm on eyeballs?
  • Is the HEART score valid? Are any clinical decision tools really what we think?
  • What happens if you discharge patients with low troponin rise?
  • Should you evert the edges of the wounds?
  • Can we send kids home with abnormal vital signs?
  • Does kissing minor toddler boo-boos help?
  • Do men with smaller penises drive fast cars?

So please, sit back relax, have a quiet drink and enjoy some of the nerdiest medical podcasting out there.


DOSE VF: Cheskes S, Verbeek PR, Drennan IR, McLeod SL, Turner L, Pinto R, Feldman M, Davis M, Vaillancourt C, Morrison LJ, Dorian P, Scales DC. Defibrillation Strategies for Refractory Ventricular Fibrillation. N Engl J Med. 2022 Nov 6. doi: 10.1056/NEJMoa2207304. Epub ahead of print. PMID: 3634215

You can read the full critical appraisal here.

Vedantham S, Goldhaber SZ, Julian JA, et al; ATTRACT Trial Investigators. Pharmacomechanical Catheter-Directed Thrombolysis for Deep-Vein Thrombosis. N Engl J Med. 2017 Dec 7;377(23):2240-2252. doi: 10.1056/NEJMoa1615066. PMID: 29211671

Marks A, Patel D, Chottiner M, Kayarian F, Peksa GD, Gottlieb M. Covered or uncovered: A randomized control trial of Tegaderm versus no Tegaderm for ocular ultrasound. Am J Emerg Med. 2022 Nov;61:87-89. doi: 10.1016/j.ajem.2022.08.044. Epub 2022 Aug 28. PMID: 36057214

Hakimi AA, Carter S, Garg S. Detecting corneal injury with a selfie. Acad Emerg Med. 2022 Nov;29(11):1403-1404. doi: 10.1111/acem.14577. Epub 2022 Aug 17. PMID: 35921203

Green SM, Schriger DL. A Methodological Appraisal of the HEART Score and Its Variants. Ann Emerg Med. 2021 Aug;78(2):253-266. doi: 10.1016/j.annemergmed.2021.02.007. Epub 2021 Apr 29. PMID: 33933300

Khan A, Saleem MS, Willner KD, Sullivan L, Yu E, Mahmoud O, Alsaid A, Matsumura ME. Association of Chest Pain Protocol-Discordant Discharge With Outcomes Among Emergency Department Patients With Modest Elevations of High-Sensitivity Troponin. JAMA Netw Open. 2022 Aug 1;5(8):e2226809. doi: 10.1001/jamanetworkopen.2022.26809. Erratum in: JAMA Netw Open. 2022 Sep 1;5(9):e2235575. PMID: 35969395

Loeb M, Bartholomew A, Hashmi M, Tarhuni W, Hassany M, Youngster I, Somayaji R, Larios O, Kim J, Missaghi B, Vayalumkal JV, Mertz D, Chagla Z, Cividino M, Ali K, Mansour S, Castellucci LA, Frenette C, Parkes L, Downing M, Muller M, Glavin V, Newton J, Hookoom R, Leis JA, Kinross J, Smith S, Borhan S, Singh P, Pullenayegum E, Conly J. Medical Masks Versus N95 Respirators for Preventing COVID-19 Among Health Care Workers : A Randomized Trial. Ann Intern Med. 2022 Nov 29. doi: 10.7326/M22-1966. Epub ahead of print. PMID: 36442064

Kappel S, Kleinerman R, King TH, Sivamani R, Taylor S, Nguyen U, Eisen DB. Does wound eversion improve cosmetic outcome?: Results of a randomized, split-scar, comparative trial. J Am Acad Dermatol. 2015 Apr;72(4):668-73. doi: 10.1016/j.jaad.2014.11.032. Epub 2015 Jan 23. PMID: 25619206

Kazmierczak M, Thompson AD, DePiero AD, Selbst SM. Outcomes of patients discharged from the pediatric emergency department with abnormal vital signs. Am J Emerg Med. 2022 Jul;57:76-80. doi: 10.1016/j.ajem.2022.04.021. Epub 2022 Apr 26. PMID: 35526404

Chandran V, Sekar A, Mishra N. Transoral fractureless penetrating injury to brainstem in a child: a rare presentation. Childs Nerv Syst. 2022 Mar;38(3):505-507. doi: 10.1007/s00381-022-05455-1. Epub 2022 Jan 28. PMID: 35091807

Study of Maternal and Child Kissing (SMACK) Working Group. Maternal kisses are not effective in alleviating minor childhood injuries (boo-boos): a randomized, controlled and blinded study. J Eval Clin Pract. 2015 Dec;21(6):1244-6. doi: 10.1111/jep.12508. Epub 2015 Dec 29. PMID: 26711672

Richardson, Daniel C., et al. Small Penises and Fast Cars: Evidence for a Psychological Link.” PsyArXiv, 10 Jan. 2023. Web.

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