Hello all, This coming month’s journal club will look at the diagnostic accuracy and utility of CT angiogram in the evaluation of patients presenting to the ED with acute GI hemorrhage. The PGY-1, PGY-2, and PGY-4 articles will be appraised using the Diagnostic Test form; the PGY-3 article will be appraised using the Meta-Analysis form. […]
Author: Sang
Antibiotics in Uncomplicated Diverticulitis
Hello all, The first journal club of the academic year will be coming up on Thursday, the 18th. We are going to be trying some different times this year to see if we can boost attendance, so this month we will have journal club from 4:00 PM to 6:30 PM. Please make every effort to […]
Coronary CT Angiogram for Chest Pain in the ED
Washington University Emergency Medicine Journal Club – October 2025 Hello all, This month’s journal club will look at the use of CCTA (coronary CT angiogram) for low to moderate risk patients in the emergency department. Dr. Peter Fletcher will be joining us to help lead the discussion. The PGY-1, PGY-3, and PGY-4 papers will be […]
Ultra High Dose and IV Bolus Nitroglycerin for SCAPE
Washington University Emergency Medicine Journal Club – May 2024 Hello all, This month’s journal club will focus on ultra-high dose nitroglycerin and IV nitroglycerin bolus for SCAPE (sympathetic crashing acute pulmonary edema). Please see the attached articles and make every effort to attend. The PGY-1 and PGY-2 articles will be reviewed using the Therapy form; […]
The Diagnostic Evaluation of Pulmonary Embolism
Washington University Emergency Medicine Journal Club – September 2025 At this month’s journal club we will be discussing a variety of topics involving the diagnostic evaluation of PE, including the use of d-dimer in high-risk patients, pre-test clinical probabilit scores (i.e. Well’s and Geneva scores), and algorithms involving the YEARS criteria. The PGY-1 paper will […]
Restrictive vs. Liberal Transfusion in Myocardial Infarction
Washington University Emergency Medicine Journal Club – April 2024 This month’s journal club will look at the use of restrictive blood transfusion (Hgb < 7 to 8 g/dL) vs more liberal transfusion strategies (threshold Hgb < 10 g/dL) in patients with acute myocardial infarction. Given recent low attendance, I am making a plea to all […]
HINTS and the Sudbury Score for Vertigo
Washington University Emergency Medicine Journal Club – August 2025 This month we will be looking at the use of the HINTS exam and Sudbury score to diffferentiate central from peripheral causes of vertigo in the emergency department. For a detailed video demonstrating the HINTS exam please click here. For the previous journal club discussion on the […]
Restrictive vs. Liberal Transfusion in Myocardial Infarction
Vignette You’re working a shift on community medicine rotation in a medium-sized community-based ED one afternoon when you encounter Mr. S, a 62-year-old male here visiting his son from Florida, with a history of hypertension, hyperlipidemia, chronic iron-deficiency anemia, and coronary artery disease with a stent to his RCA ten years previously. He presents now […]
Albumin in Sepsis and Septic Shock
Washington University Emergency Medicine Journal Club – July 2025 This month’s journal club will look at the use of IV albumin in the management of sepsis and septic shock. As this is the first journal club of the academic year, we will ensure that the PGY-1 presenter gets to watch at least one other class […]
Calcium Channel Blockers for A-fib in CHF
Vignette You are working in TCC one morning when you encounter Mrs. D, a 64-year-old woman with a past medical history of paroxysmal atrial fibrillation, hypertension, and heart failure with reduced ejection fraction. Her last ECHO a few months prior revealed an EF of 40%. She presents with 3 days of weakness, shortness of breath, […]