EM Cases Journal Club – Taking the boring out of Journal Club is a monthly blog by Rohit Mohindra (@EMRoMo), a Toronto emergency physician and researcher with an interest in critical appraisal of clinical studies, quality improvement and education. Each post features a short, concise, clear interpretation of an important Emergency Medicine journal article – not too much detail, not too superficial – just Goldilocks style. Peer review is provided by clinical epidemiologist Shelley McLeod (@SMcLeod_SREMI).
Email us with suggestions for which EM articles to cover on Journal Club
Send to Rohit@emergencymedicinecases.com
Journal Club 5 Appendicitis Delay to Appendectomy – Safe?
You diagnose uncomplicated appendicitis in the ED. The on call General Surgery team wants to wait until the next morning to perform an appendectomy. Is your patient at risk for appendiceal perforation with a delay to surgery? Dr. Rohit Mohindra and Dr. Shelley McLeod analyze the latest RCT that attempts to answer this question, the PERFECT study, on this EM Cases Journal Club...
Journal Club 4 PoCUS or X-ray for Distal Forearm Fractures
You are working the ambulatory section of your ED and evaluating a 6-year boy with a possible distal radius injury. He lives with autism spectrum disorder and is uncomfortable in X-ray rooms, and you wonder if there is a role for PoCUS to help exclude a fracture. With expert clinical commentary by Dr. Arun Sayal and Research Methodology Hot Take by Dr. Shelley Mcleod...
Journal Club 3 – Dexamethasone and Ketorolac in Acute Renal Colic
Does the addition of dexamethasone to ketorolac improve pain scores in patients suffering from renal colic? Find out through this critical appraisal of a recent RCT on this EMC Journal Club...
Journal Club 2 – Diltiazem Dosing in Atrial Fibrillation with Rapid Ventricular Response
Is low dose diltiazem as effective and safer than standard dose diltiazem for rate control in patients with atrial fibrillation with rapid ventricular response? Dr. Rohit Mohindra and Dr. Shelley McLeod critically appraise the latest study on diltiazem dosing and deliver a research methodology hot take on this month's EM Cases Journal Club...
EMC Journal Club 1 – Does Treating Fever Make A Difference?
In this first EMC Journal Club (where we take the "boring" out of journal clubs and deliver clear, concise, practical practice changing critical appraisal knowledge based on an Emergency Medicine journal article that may have passed your radar - not too detailed and not too brief), Dr. Rohit Mohindra, an Emergency Physician at North York General in Toronto and SREMI researcher works his critical appraisal magic on the article "Fever therapy in febrile adults: systematic review with meta-analyses and trial sequential analyses" by Holgersson et al. Plus, for the EBM keeners, we have Dr. Shelley McLeod, clinical epidemiologist at SREMI give us a research methodology hot take on the difference between a traditional meta-analysis and a network meta-analysis and why it matters...
