Journal Club Forum
Alaska ACEP created the Journal Club discussion forum to facilitate information sharing between physicians practicing emergency medicine in Alaska.
Journal Club will be Sept. 26, 2018 at the Glacier Brewhouse at 6:30 pm.
Topic: : Medication Assisted Treatment for Opioid Use Disorder in the ED
Duber, H. C., Barata, I. A., Cioè-Peña, E., Liang, S. Y., Ketcham, E., Macias-Konstantopoulos, W., … Whiteside, L. K. (2018).
Identification, Management, and Transition of Care for Patients With Opioid Use Disorder in the Emergency Department. Annals of Emergency Medicine, 0(0). http://doi.org/10.1016/j.annemergmed.2018.04.007
This is a recent summary/review article that discusses screeining patient’s for opioid use disorder in ED, the available medications, and initiation of treatment in the ED.
D’Onofrio, G., O’Connor, P. G., Pantalon, M. V., Chawarski, M. C., Busch, S. H., Owens, P. H., … Fiellin, D. A. (2015). Emergency Department–Initiated Buprenorphine/Naloxone Treatment for Opioid Dependence. JAMA, 313(16), 1636. http://doi.org/10.1001/jama.2015.3474
Randomized controlled trial of screening and referral, vs. screening referral and brief intervention, vs screening, referral, and initiation of MAT with buprenorphine. The only trial thus far assessing the utility of initiating MAT in the ED.
Zheng, W., Nickasch, M., Lander, L., Wen, S., Xiao, M., Marshalek, P., … Sullivan, C. (2017). Treatment Outcome Comparison Between Telepsychiatry and Face-to-face Buprenorphine Medication-assisted Treatment for Opioid Use Disorder. Journal of Addiction Medicine, 11(2), 138–144. http://doi.org/10.1097/ADM.0000000000000287
Though not an Emergency Medicine Study, looks at comparing telemedicine to face to face MAT with buprenorphine. A relevant question for Alaska.
Journal Club – May 17, 2018
Journal Club Articles:
Dyson K, Bray JE et al; Paramedic exposure to out-of-hospital cardiac arrest resuscitaton is associated with patient suvival. Circ Cardiovasc Qual Outcomes 2016 Mar; 9(2)
Frerk C, Mitchell VS et al; Difficult airway society 2015 guidelines for management of unanticipated difficult intubations in adults. BJA 115(6) Dec 2015
Kudenchuk PJ, Siobhan PB et al; Amiodarone, lidocaine or placebo in out-of-hospital cardiac arrest; N Eng J Med 2016; 374:1711-1722
Jarvis JL, Gonzales J et al. Implementation of a clinical bundle to reduce out-of-hospital peri-intubation hypoxia; Ann Emerg Med. 2018 (published online Mar 9, 2018)
Journal Club – Nov. 8, 2017
Topic: Pediatric Minor Trauma Gamechangers
Crush Bistro & Wine Bar’s new location:
328 G St, Anchorage, AK 99501
630pm to 830pm
Past Journal Club information and materials
Topic: Opioid Prescribing in the ED
Topic: Hospital Cardiac Arrest
Manual Cardiopulmonary Resuscitation Versus CPR Including a Mechanical Chest Compression Device in Out-of-Hospital Cardiac Arrest: A Comprehensive Meta-analysis From Randomized and Observational Studies
Topic: Fluid Resuscitation in Sepsis
Articles for discussion:
Association of Fluid Resuscitation Initiation Within 30 Minutes of Severe Sepsis and Septic Shock Recognition With Reduced Mortality and Length of Stay.
Systematic review including re-analyses of 1148 individual data sets of central venous pressure as a predictor of fluid responsiveness.
Effect of bedside ultrasonography on the certainty of physician clinical decision making for septic patients in the emergency department.
Amiodarone, Lidocaine, or Placebo in Out-of-Hospital Cardiac Arrest.
Articles for discussion
January 2016 Journal Club Summary
Age-adjusted D-dimer cutoff levels to rule out pulmonary embolism: the ADJUST-PE study
Outpatient versus inpatient treatment for patients with acute pulmonary embolism: an international, open-label, randomised, non-inferiority trial
The use of D-dimer with new cutoff can be useful in diagnosis of venous thromboembolism in pregnancy
ACP PE Policy