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 […]
Category: Journal Club
HINTS and the Sudbury Score for Vertigo
Washington University Emergency Medicine Journal Club – August 2025 Dr. Brian Cohn 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 […]
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 Dr. Brian Cohn 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 […]
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, […]
Management of Distal DVTs
Washington University Emergency Medicine Journal Club – February 2024 Vignette Mr. M is a 53-year-old patient with a history of high blood pressure and high cholesterol who flew back to St. Louis from Shanghai five days ago. Two days after getting back he noted pain and swelling in his left calf, which he thought was due to […]
Amiodarone vs. Lidocaine for Refractory VF/VT Arrest
Washington University Emergency Medicine Journal Club – May 2025 Dr. Brian Cohn Vignette You are doing a ride along with EMS on your EMS rotation when your crew is called to the scene of a cardiac arrest. The patient is a 50-year woman with cardiac arrest witnessed by coworkers. Per bystanders the patient began complaining […]
Diagnostic Error in Emergency Medicine
Washington University Emergency Medicine Journal Club – April 2025 Dr. Brian Cohn Vignette You are working in D-pod. Volumes are high and you feel some pressure to move patients through. Some cases are easy for you. Others make you stop and think but. You are pleased with your efficiency, but wonder whether you missed anything? […]
The Utility of Troponin Testing for SVT
Washington University Emergency Medicine Journal Club- October 2023 VignetteYou are working a shift in EM1 one afternoon when you encounter Mr. Steven VonTrachtenberg, a pleasant 45-year old male who presents with palpitations thatbegan one hour prior to arrival. He notes a sense of his heart racing and hasshortness of breath with no chest pain. He […]
Prehospital Blood Product Transfusion in Trauma
Washington University Emergency Medicine Journal Club- September 2023 Vignette: During an EMS rotation, you are riding on a Christian Hospital EMS ambulance, 3017. While driving around North Saint Louis County, the radio tone rings out andthe female computer voice states the following: “4610 and 3017. Gunshot Wound.Scene is not secure. Shell Gas Station. 2331 Chambers […]