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.
Full text PDF:


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.

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

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:

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:

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:


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: