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Home of the original Emergency Medicine Journal Club of the Eastern Virginia Medical School and the Emergency Physicians of Tidewater.

Each month we post critically appraised topics in subject areas appropriate to emergency medicine that were discussed in our monthly EM journal club at Eastern Virginia Medical School.  We appreciate comments and suggestions so feel free to contact us.

 April 2015: Central vs Peripheral Vertigo and the HINTS examination 

Diagnostic accuracy of acute vestibular syndrome at the bedside in a stroke unit.  J Neurol. 2011 May;258 (5):855-61

HINTS to diagnose stroke in the acute vestibular syndrome: three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging.  Stroke. 2009 Nov;40(11):3504-10

HINTS outperforms ABCD2 to screen for stroke in acute continuous vertigo and dizziness. Acad Emerg Med. 2013 Oct;20(10):986-96

Extra: Can life in a nursing home be made uplifting and purposeful?


March 2015: Ultrasound vs. CT for the Diagnosis of Acute Renal Colic

Ultrasonography versus computed tomography for suspected nephrolithiasis. N Engl J Med. 2014 Sep 18;371(12):1100-10

Effect of provider experience on clinician-performed ultrasonography for hydronephrosis in patients with suspected renal colic. Ann Emerg Med. 2014 Sep;64(3):269-76.

The utility of renal ultrasonography in the diagnosis of renal colic in emergency department patients. CJEM. 2010 May;12(3):201-6.


February 2015: ECMO in the POST-Cardiac Arrest Patient

 Outcome of accidental hypothermia with or without circulatory arrest: experience from the Danish Præstø Fjord boating accident. Resuscitation. 2012 Sep;83(9):1078-84.  

Refractory cardiac arrest treated with mechanical CPR, hypothermia, ECMO and early reperfusion (the CHEER trial). Resuscitation. 2014 Oct 2.

Outcome of patients with profound cardiogenic shock after cardiopulmonary resuscitation and prompt extracorporeal membrane oxygenation support. A single-center observational study. Circ J. 2012;76(6):1385-92. Epub 2012 Mar 13.

 Survival outcomes after extracorporeal cardiopulmonary resuscitation instituted during active chest compressions following refractory in-hospital pediatric cardiac arrest. Pediatr Crit Care Med. 2004 Sep;5(5):440-6.

 Extracorporeal membrane oxygenation for critically ill adults. Cochrane Database Syst Rev. 2015 Jan 22


January 2015: Carbon Monoxide Poisoning: Is Hyperbaric Therapy Necessary?

Delayed neuropsychologic sequelae after carbon monoxide poisoning: Prevention by treatment with hyperbaric oxygen, Ann Emerg Med 1995; 25: 474-480.

Hyperbaric oxygen for acute carbon monoxide poisoning, NEJM 2002; 347: 1057-1067.  

Hyperbaric oxygen therapy for acute domestic carbon monoxide poisoning: two randomized controlled trials, Intensive Care Med 2011

Clinical policy: Critical issues in the management of adult patients presenting to the emergency department with acute carbon monoxide poisoningAmerican College of Emergency Physicians. Ann Emerg Med. 2008 Feb;51(2):138-52




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