Strokes

UF/EM Journal Club
December 18, 2007
7:00-9:00 pm

To be hosted by
Joel Moll, MD

ARTICLES:
Association of outcome with early stroke treatment: pooled analysis of ATLANTIS, ECASS and NINDS rt-PA stroke trials.
Lancet.2004 Mar 6;363(9411):768-74.

Outcome and symptomatic bleeding complications of intravenous thrombolysis withint 6 hrs in MRI-selected stroke patients: comparison of a German multicenter study with the pooled data of ATLANTIS, ECASS and NINDS tPA trials.
Stroke.2006 Mar;37(3):852-8.

Tissue plasminogen activator for acute ischemic stroke.
N Engl J Med, 1995 Dec 14;333(24):1581-7.


All residents should be prepared to discuss all of the articles.
There will be no advanced notice given to residents who will be chosen to present on Tuesday.

The Impact of Emergency Department and Physician

UF/EM Journal Club

ARTICLES:

The Impact of Emergency Physician-Initiated Primary Percutaneous Coronary Intervention on Mean Door-to-Balloon Time in Patients with ST-Segment-Elevation Myocardial Infarction.
Annals of Emergency Medicine, Vol 50, No. 5, pp 527-534.

The Impact of Emergency Department Crowding Measures on Time to Antibiotics for Patients with Community-Acquired Pneumonia.
Annals of Emergency Medicine, Vol. 50, No. 5, pp 510-516.

An Expedited Code Stroke Protocol is Feasible and Safe.
Stroke. Vol. 37; No.12, pp 2935-2939.

JOURNAL CLUB ASSESSMENT FORM

All residents should be prepared to discuss all of the articles.
There will be no advanced notice given to residents who will be chosen to present on Tuesday.

Severe Sepsis

Here are the links to the websites for next Tuesday’s Journal Club.

EFFICACY AND SAFETY OF RECOMBINANT HUMAN ACTIVATED PROTEIN C FOR SEVERE SEPSIS

EARLY GOAL-DIRECTED THERAPY IN THE TREATMENT OF SEVERE SEPSIS

prospective_trial_of_supranormal_values_of_survivors_as_therapeutic_goals_in_high-risk_surgical_patients

Journal Club Assessment Form

Intravenous Nesiritide vs nitroglycerin for treatment of decompensated congestive heart failure.

Here are the links to the websites for next Tuesday’s Journal Club.

Intravenous Nesiritide vs nitroglycerin for treatment of decompensated congestive heart failure. http://jama.ama-assn.org/cgi/reprint/287/12/1531

Short-term risk of death after treatment with nesiritide for decompensated heart failure.
http://jama.ama-assn.org/cgi/reprint/293/15/1900

Risk of cardiovascular events associated with selective COX-2 inhibitors.
http://jama.ama-assn.org/cgi/reprint/286/8/954

How to use an article about harm.
http://www.cche.net/usersguides/harm.asp

Bacteremia and Blood Culture use in the ED

Hi Group

I’ve attached the Journal Club Articles for Journal Club which will be held at Dr. Holtzman’s on Tuesday, August 21st at 7:00pm
Hard copies of these articles will be in your mail boxes Monday August 20th by 12 noon. Directions to Dr. Holtzman’s house will also be communicated via E-mail and with the journal article distribution.

I think this time you will find the articles relatively light reading.
1) Increasing Blood cultures use at US Hospitals ED ( Annals)
2) Do ED Blood Cultures Change Practice in Patients with Pneumonia
3) Pneumococcal Bacteremia in febrile infants
4) Procalcitonin Test in the Diagnosis of Bacteremia
5) Are Blood Cultures necessary in Adults with Pyelonephritis

The obvious theme for this session will be “ Bacteremia and Blood Culture use in the ED”.

As you may see, our practice pattern at Shands UF clearly reflects a national trend. The purpose of this journal club will be to discuss some of the evidence with regard to blood culture use and bacteremia in the ED patient population. We will skip the JAMA article series this time and perhaps explore areas of research that may change our practice patterns in the Emergency Department

In keeping with the most recent trend, there will be no advanced notice given to residents who will be chosen to present on Tuesday.
In a reversal of the trend over the last year, I will not be working clinically and will be present at Journal club on Tuesday.

See you then.

JAT

Joseph A Tyndall, M.D., M.P.H., FACEP
Chief of Emergency Services
Shands at the University of Florida
Associate Professor and Interim Chairman
Department of Emergency Medicine
University of Florida College of Medicine

EM Journal Club Meeting 07/17/2007

EM Journal Club Meeting 07/17/07