Journal Club Archives


Acute Agitation

  • Droperidol vs Midazolam for Acute Agitation (.pdf)
  • Haldol vs Olanzapine for Acute Agitation (.pdf)
  • Journal Club Summary Chemical Restraints for Acute Agitation (.pdf)
  • Midazolam vs Haloperidol vs Lorazepam for Acute Agitation (.pdf)  

Acute Heart Failure

  • Figueras - Blood volume prior to and following treatment of acute pulmonary edema (.pdf)
  • NHLBI - Diuretic Strategies in Patients with Acute Decompensated Heart Failure (.pdf)
  • Peacock - ADHERE registry (.pdf)

Acute Scrotal Pain

  • Boettcher M. et al. Clinical and sonographic features predict testicular torsion in children: a prospective study. BJU Int. 2013Dec;112(8):1201-6 (.pdf)
  • Citation: Shah MI, Caviness AC, Mendez DR. Prospective Pilot Derivation of a Decision Tool for Children at Low Risk for Testicular Torsion .Academic Emergency Medicine. 2013; 20:271-278. (.pdf)


  • DeSouza et al. Antidysrhythmic drug therapy for the termination of stable, monomorphic ventricular tachycardia: A systematic review. Emergency Medicine Journal (2013) 0: 1-7. (.pdf)
  • Dorian, Paul, Dan Cass, Brian Schwartz, Richard Cooper, Robert Gelaznikas, and Aiala Barr. "Amiodarone as Compared with Lidocaine for Shock-Resistant Ventricular Fibrillation."New England Journal of Medicine. 346.12 (2002): 884-90. (.pdf)
  • D R Tomlinson, P Cherian, T R Betts, et al. Intravenous amiodarone for the pharmacological termination of hemodynamically-tolerated sustained ventricular tachycardia: is bolus dose amiodarone an appropriate first-line treatment? Emerg Med J 2008 25: 15-18. (.pdf)


  • September 2014 journal club summary-anaphylaxis (.pdf)
  • "Runge J.W., et al., Histamine antagonists in the treatment of acute allergic reactions.” Annals of Emergency Medicine 1992 Mar;(3):237-242(.pdf)
  • Lin et al, Improved Outcomes in Patients With Acute Allergic Syndromes Who Are Treated With Combined H1 and H2 Antagonists November 2000 (.pdf)


  • Gabapentin reduces preoperative anxiety and pain catastrophizing in highly anxious patients prior to major surgery: a blinded randomized placebo-controlled trial. Canadian Journal of Anesthesiology (2013) 60: 432-443. (.pdf)

Career Satisfaction

  • Uncertainty Tolerance and Burnout (.pdf)

Choosing Wisely Campaign

  • Choosing Wisely Campaign

Coronary Computed Tomography Angiography

  • CCTA Versus Standard Evaluation in Acute Chest Pain (.pdf
  • CCTA Journal Club Summary (.pdf)


  • FDA Dosing(.pdf)
  • Direct Thrombin Inhibitors(.pdf)
  • New Events RE-LY Trial (.pdf)

Esophageal Foreign Body

  • Al-Haddad - Glucagon for the relief of esophageal food impaction: Does it really work? (.pdf)
  • July 2013 Journal Club Summary(.pdf)
  • July 2013 Journal Club Summary Notes (.pdf)
  • Leopard - The management of esophageal soft food bolus obstruction: a systematic review (.pdf)
  • Sodeman - Predictors of Glucagon success in Acute Esophageal Food Bolus Impaction (.pdf)
  • Tibbling - Effect of spasmolytic drugs on esophageal foreign bodies (.pdf)


  • Mathiasen, Ronald A., and Raul M. Cruz. "Prospective, randomized, controlled clinical trial of a novel matrix hemostatic sealant in patients with acute anterior epistaxis." The Laryngoscope 115.5 (2005): 899-902
  • Novel Treatments for Epistaxis

Febrile Seizures



  • Antibiotic Prophylaxis for Cirrhotic Gastrointestinal Bleeding(.pdf)
  • Factor VIIa for Variceal Bleeding(.pdf)
  • Emergency sclerotherapy versus vasoactive drugs for bleeding oesophageal varices in cirrhotic patients (.pdf)

Geriatric ACS

  • Johnman et al, Quality of life following percutaneous coronary interventions in octogenarians: a systematic review. Heart 2013; 99: 779-784 (.pdf)


  • Rainer TH, Cheng CH, Janssens HJ, Man CY, Tam LS, Choi YF, et al. Oral Prednisolone in the Treatment of Acute Gout: A Pragmatic, Multicenter, Double-Blind, Randomized Trial. Ann Intern Med. 2016;164:464-471. doi:10.7326/M14-2070

Hip Fracture

  • Single Fascia Iliaca Compartment Block For Post-hip Fracture Pain Relief (.pdf)
  • Foss - Fascia Iliaca Compartment Blockade for Acute Pain Control in Hip Fracture Patients (.pdf)
  • Fletcher - Three-in-one femoral nerve block as analgesia for fractured neck of femur in the emergency department (.pdf)
  • September 2013 Journal Club Summary - Regional Anesthesia for Hip Fractures (.pdf)

Infectious Disease

Abscess Summary(.pdf)

Bactrim in Abscess (.pdf)

Cephalexin in Abscess(.pdf)

Packing in Abscess (.pdf)


February 2013 Journal Club Summary (.pdf)

Patanwala A. - Succinylcholine Versus Rocuronium for First-attempt Intubation Success (.pdf)

Low Risk Chest Pain

July 2012 Low Risk Chest Pain Summary(.pdf)

TIMI Risk Score Applied to ED Patients (.pdf)

Low Risk Pulmonary Embolism

Aujesky, D et al. Outpatient vs Inpatient Treatment for Patients with Acute Pulmonary Embolism: An International, Open-Label, Randomised, Non-Inferiority Trial. Lancet (2011) 378: 41-48.(.pdf)

Outpatient versus inpatient treatment in patients with pulmonary embolism: a meta-analysis. Wendy Zondag. ERJ July 1, 2013 vol. 42 no. 1 134-144. (.pdf)

Zondag W, et. Al. Outpatient treatment in patients with acute pulmonary embolism: the Hestia Study. J thrombosis and haemostasis, 9: 1500-1507, April 2011. (.pdf)

Magnesium and Myocardial

Magnesium and Myocardial Infraction (.pdf)

Magnesium and Myocardial Infraction - Meta-analysis (.pdf)

Medical Marijuana

Bell C. et al. Butane Hash Oil Burns Associated with Marijuana Liberalization in Colorado.  J. Med. Toxicol. (2015) 11:422–425

July 2016 Journal Club Summary - Unintended side effects of MJ legalization

Meningitis and Complex Febrile Seizures

LP and First Simple Febrile Seizure Guidelines(.pdf)

Meningitis and Complex Febrile Seizures (.pdf)

Simple Febrile Seizure Guidelines (.pdf)


Ultrasound Versus Computerized Tomography for Evaluating Urolithiasis Passerotti (.pdf)

October 2013 Journal Club Summary (.pdf)

Bo Fan, Deyong Yang, Jianbo Wang, Xiangyu Che, Xiancheng Li, Lina Wang, Feng Chen, Tiezheng Wang and Xishuang Song. Can tamsulosin facilitate expulsion of ureteral stones? A meta-analysis of randomized controlled trials. International Journal of Urology (2013) 20, 818-830. (.pdf)

Parsons et al. Efficacy of Alpha Blockers for the treatment of Ureteral Stones. The Journal of Urology. Vol. 177, 983-987, March 2007. (.pdf)

Ferre et al.-Tamsulosin for Ureteral Stones in the Emergency Department: A Randomized, Controlled Trial. Annals of Emergency Medicine. 2009; 54:432-439. (.pdf)

Obesity Intervention

Obesity Intervention

Pain Management

Pain Management Protocols in the Netherlands(.pdf)

Intravenous Opiods for Severe Acute Pain(.pdf)

Patient Controlled Analgesia

Birnbaum - Efficacy of Patient-controlled Analgesia for Patients With Acute Abdominal Pain in the Emergency Department(.pdf)

Rahman - Randomized controlled trial of patient-controlled analgesia compared with boluses of analgesia for the control of acute traumatic pain in the emergency(.pdf)

PCI after ROSC

December 2012 JC Summary (.pdf)

Larsen et al. Acute Coronary Angiography After ROSC - A Systematic Review and Meta-analysis (.pdf)

Zanuttini, D. et al. Emergency Coronary Angiography After Out-of-Hospital Cardiac Arrest (.pdf)

Pediatric Appendicitis

Manoj K. Mittal, MD, et al., for the Pediatric Emergency Medicine Collaborative Research Committee of the American Academy of Pediatrics (.pdf)

August 2014 Journal Club Summary - Pediatric Appendicitis (.pdf)

Goldman et al., Prospective Validation of the Pediatric Appendicitis Score, The Journal of Pediatrics, August 2008 (.pdf)

Pediatric Head Trauma

CHALICE Score(.pdf)

PECARN Head Trauma (.pdf)

Pediatric Head Trauma Quick Reference (.pdf)

SCALP Score (.pdf)

Skull Radiographs and Pediatric Emergency Physician Interpretation (.pdf)

Peripheral Vasopressors

Cardenas - Garcia J et al.  J Hosp Med. 2015 Sep;10(9):581-5. doi: 10.1002/jhm.2394. Epub 2015 May 26


Etomidate and Adrenal Suppression (.pdf)

Etomidate on Septic Patient Mortality and Length of Stay (.pdf)

Etomidate and Midazolam on hospital length of stay in patients with suspected sepsis (.pdf)

Journal Club Summary (.pdf)


Pneumonia Severity Index and Admission (.pdf)

Clinical Judgment vs. Pneumonia Severity Index(.pdf)

Aug 2012 Pneumonia Summary (.pdf)

Pulmonary Embolism

Prognostic Model for PE (.pdf)

Patient selection for outpatient treatment of PE(.pdf)

PE Risk Score (.pdf)

November 2013/Pulmonary Embolism Treatment Journal Club Summary (.pdf)

Radiation Risks

CT Radiation Risk (.pdf)

Radiation Risk Summary(.pdf)

National Trends in ED CT Use (.pdf)

Resuscitation Fluids

Chowdhury AH, Cox EF, Francis ST, Lobo DN. A Randomized, Controlled, Double-Blind Crossover Study on the Effects of 2-L Infusions of 0.9% Saline and Plasma-Lyte148 on Renal Blood Flow Velocity and Renal Cortical Tissue in HealthyVolunteers. Ann Surg 2012;256:18–24(.pdf)

Young JB, et al. Saline Versus Plasma-Lyte A in Initial Resuscitation of Trauma Patients: A Randomized Trial Annals of Surgery 2014; 259(2):255-262

March 2014 Journal Club Summary - Resuscitation Fluids

RUQ Ultrasound

January 2015 Journal Club Summary - Right Upper Quadrant Ultrasound (.pdf)

Jang et al: The Learning Curve of Resident Physicians Using Emergency Ultrasonography for Cholelithiasis and Cholecystitis. Acad Emerg Med; November 2010, Volume 17, No. 11. (.pdf)

Summers et al: A Prospective Evaluation of Emergency Department Bedside Ultrasonography for the Detection of Acute Cholecystitis. Annals of Emergency Medicine August 2010; Volume 56, No.2. (.pdf)

Kendal et al. Performance and interpretation of focused right upper quadrant ultrasound by emergency physicians. J Emerg Med. 2001; 21 (1): 7-13. (.pdf)


Midazolam, ketamine and recovery agitation (.pdf)


Abnormal Vital Signs Trigger(.pdf)

Sepsis Deterioration in Wards (.pdf)

Sepsis 2011 Summary (.pdf)

Nonadherence to EGDT (.pdf)

Skin & Soft Tissue Infection

Arthur Jeng, MD, Manie Beheshti, MD, John Li, MD, and Ramesh Nathan, MD. The Role of A-Hemolytic Streptococci in Causing Diffuse, Nonculturable Cellulitis A Prospective Investigation. Medicine, Vol 89:4, July 2010. (.pdf)

Streptococcal Pharyngitis Treatment

Little P, Stuart B, Hobbs FD, Butler CC, Hay AD, Campbell J, et al; DESCARTE investigators. Predictors of suppurative complications for acute sore throat in primary care: prospective clinical cohort study. BMJ 2013;347:f6867

Role of antibiotics in suspected Group A Strep Pharyngitis: Journal Club Summary

Resident Summary of Streptococcal Pharyngitis Journal Club


Endovascular Therapy for Stroke (.pdf)

Sept 2012 Stroke Summary(.pdf)

TPA For Acute Ischemic Stroke(.pdf)

Subarachnoid Hemorrhage

Subarachnoid Hemorrhage January 2013 Journal Club Summary (.pdf)

McCormack et al. - Can CT/CTA replace CT/LP for SAH?(.pdf)

Backes et al, Time-Dependent Test Characteristics if Head Computed Tomography in Patients Suspected of Nontraumatic Subarachnoid Hemorrhage. Stroke AHA Journals, DOI: 10.1161/StrokeAHA.112.658880


Suominen - Health-related quality of life after a drowning incident as a child (.pdf)

Tipton - Decision making guide for search, rescue and resuscitation of submersion victims (.pdf)

August 2013 Journal Club Summary (.pdf)

Surgery vs Antibiotics Alone for Appendicitis

Du Saveruio, S. et al. The NOTA Study (Non Operative Treatment for Acute Appendicitis):  prospective study on the efficacy and safety of antibiotics (amoxicillin and clavulanic acid) for treating patients with right lower quadrant abdominal pain and long term follow-up of conservatively treated suspected appendicitis. Annals of Surgery, 2014 Jul; 260(1), 109-117.

Therapeutic Hypothermia

Therapeutic Hypothermia

Ventricular Tachycardia and Antiarrhythmics

Ventricular Tachycardia and Antiarrhythmics