Journal Club, 12/13/2017

Via Angela Yang:

Combined corticosteroid and antiviral treatment for Bell palsy: a systematic review and meta-analysis.
de Almeida JR, Al Khabori M, Guyatt GH, Witterick IJ, Lin VY, Nedzelski JM, Chen JM.
JAMA. 2009 Sep 2;302(9):985-93. doi: 10.1001/jama.2009.1243.
PubMed ID: 19724046
https://doi.org/10.1001/jama.2009.1243

How to read a systematic review and meta-analysis and apply the results to patient care: users’ guides to the medical literature.
Murad MH, Montori VM, Ioannidis JP, Jaeschke R, Devereaux PJ, Prasad K, Neumann I, Carrasco-Labra A, Agoritsas T, Hatala R, Meade MO, Wyer P, Cook DJ, Guyatt G.
JAMA. 2014 Jul;312(2):171-9. doi: 10.1001/jama.2014.5559.
PubMed ID: 25005654
https://doi.org/10.1001/jama.2014.5559

Assessing inhalation injury in the emergency room

Via Trina Skeele:

Assessing inhalation injury in the emergency room.
Open Access Emerg Med. 2015 Jul 20;7:31-7. doi: 10.2147/OAEM.S74580. eCollection 2015.
Tanizaki S
PubMed
Full Text

Non-invasive Testing Vs Clinical Eval–Low Risk Chest Pain

Quoth Paolo: “No difference”

Noninvasive Cardiac Testing vs Clinical Evaluation Alone in Acute Chest Pain: A Secondary Analysis of the ROMICAT-II Randomized Clinical Trial.
Reinhardt SW, Lin C, Novak E, Brown DL.
JAMA Intern Med.
Published online November 14, 2017.
doi:10.1001/jamainternmed.2017.7360
https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2663304

JAMA: Acute Extremity Pain in the ED, Opioid vs. Nonopoid Analgesic Pain Management

via Dr. Paolo:

Effect of a Single Dose of Oral Opioid and Nonopioid Analgesics on Acute Extremity Pain in the Emergency Department: A Randomized Clinical Trial
Andrew K. Chang, MD, MS; Polly E. Bijur, PhD; David Esses, MD; et al Douglas P. Barnaby, MD, MS; Jesse Baer, MD
JAMA. 2017;318(17):1661-1667. doi:10.1001/jama.2017.16190
https://jamanetwork.com/journals/jama/fullarticle/2661581

Rothman adds:

The associated editorial may also be of interest.

Opioid vs Nonopioid Acute Pain Management in the Emergency Department
Demetrios N. Kyriacou, MD, PhD
JAMA. 2017;318(17):1655-1656. doi:10.1001/jama.2017.16725
https://jamanetwork.com/journals/jama/fullarticle/2661559

Please also note that popular media is reporting (about as well/poorly as usual) about this study, mostly with very minor variations on the AP story.

Examples: https://news.google.com/news/story/dzQkeDa5_L-5SFM7R-uZfHJbcff9M?hl=en

Journal Club Article for 11/8/2017

Tissue plasminogen activator for acute ischemic stroke.
N Engl J Med. 1995 Dec 14;333(24):1581-7.
National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group.
PubMed: https://www.ncbi.nlm.nih.gov/pubmed/7477192
Full text PDF: http://www.nejm.org/doi/pdf/10.1056/NEJM199512143332401

EMTALA, adjusted for inflation (via E. Shaw)

Feds Increase EMTALA Penalties against Physicians and Hospitals

The Office of Inspector General recently doubled the potential monetary penalty for violations of EMTALA, added a new physician decision-making scenario subject to the penalty, and modified the factors considered in determining the amount of the penalty.

http://epmonthly.com/article/feds-increase-emtala-penalties-physicians-hospitals/

Robert A. Bitterman, MD, JD
Emergency Physicians Monthly
October 17, 2017

The Emotional Fallout From the Culture of Blame and Shame (JAMA Peds via W. Paolo)

The Emotional Fallout From the Culture of Blame and Shame.
Ferguson CC.
JAMA Pediatr.
Published online October 09, 2017.
doi:10.1001/jamapediatrics.2017.2691
https://jamanetwork.com/journals/jamapediatrics/article-abstract/2656305

Electrolyte Disturbances in Patients with Chronic Alcohol-Use Disorder (NEJM via G. Johnson)

Electrolyte Disturbances in Patients with Chronic Alcohol-Use Disorder.
Palmer BF, Clegg DJ.
N Engl J Med. 2017 Oct 5;377(14):1368-1377.
doi: 10.1056/NEJMra1704724.
PMID: 28976856

Oxygen Therapy in Myocardial Infarction (From NEJM via G Johnson)

Oxygen Therapy in Suspected Acute Myocardial Infarction.
Hofmann R
N Engl J Med. 2017 Sep 28;377(13):1240-1249. doi: 10.1056/NEJMoa1706222. Epub 2017 Aug 28.
At Publisher: http://www.nejm.org/doi/full/10.1056/NEJMoa1706222
Pubmed: https://www.ncbi.nlm.nih.gov/pubmed/28844200

Is Oxygen Therapy Beneficial in Acute Myocardial Infarction? Simple Question, Complicated Mechanism, Simple Answer.
Loscalzo J.
N Engl J Med. 2017 Sep 28;377(13):1286-1287. doi: 10.1056/NEJMe1709250. Epub 2017 Aug 28.
At Publisher: http://www.nejm.org/doi/full/10.1056/NEJMe1709250
Pubmed: https://www.ncbi.nlm.nih.gov/pubmed/28844195

Journal Club Articles, 9/27/2017

Recommendations on pre-hospital & early hospital management of acute heart failure: a consensus paper from the Heart Failure Association of the European Society of Cardiology, the European Society of Emergency Medicine and the Society of Academic Emergency Medicine
Eur J Heart Fail. 2015 Jun;17(6):544-58. doi: 10.1002/ejhf.289. Epub 2015 May 21.
PMID: 25999021
DOI: 10.1002/ejhf.289
Free full text: http://onlinelibrary.wiley.com/doi/10.1002/ejhf.289/epdf

 

Time-to-Furosemide Treatment and Mortality in Patients Hospitalized With Acute Heart Failure
J Am Coll Cardiol. 2017 Jun 27;69(25):3042-3051. doi: 10.1016/j.jacc.2017.04.042.
PMID: 28641794
DOI: 10.1016/j.jacc.2017.04.042
Full text through Upstate library: http://www.sciencedirect.com/science/article/pii/S0735109717373229/pdfft?md5=894a2cf8db8139d8e439e867746b7baf&pid=1-s2.0-S0735109717373229-main.pdf