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; […]

Washington University Emergency Medicine Journal Club – September 2025 Dr. Brian Cohn 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 […]

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 […]

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 […]

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 […]

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 […]

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, […]

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 […]