Journal Club

Journal Club Forum

Alaska ACEP created the Journal Club discussion forum to facilitate information sharing between physicians practicing emergency medicine in Alaska.

Go to the Journal Club Forum

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

Article 1:

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

https://www.annemergmed.com/article/S0196-0644(18)30352-4/fulltext

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.

Article 2:

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

https://jamanetwork.com/journals/jama/fullarticle/2279713/?utm_campaign=articlePDF%26utm_medium=articlePDFlink%26utm_source=articlePDF%26utm_content=jama.2018.0058

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.

Article 3:

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

https://www.ncbi.nlm.nih.gov/pubmed/28107210

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)

https://www.ncbi.nlm.nih.gov/pubmed/26812932

Frerk C, Mitchell VS et al; Difficult airway society 2015 guidelines for management of unanticipated difficult intubations in adults. BJA 115(6) Dec 2015

https://academic.oup.com/bja/article/115/6/827/241440.

Kudenchuk PJ, Siobhan PB et al; Amiodarone, lidocaine or placebo in out-of-hospital cardiac arrest; N Eng J Med 2016; 374:1711-1722

https://www.nejm.org/doi/full/10.1056/NEJMoa1514204

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)

https://www.annemergmed.com/article/S0196-0644(18)30071-4/fulltext

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

Articles:

Radiograph-Negative Lateral Ankle Injuries in Children: Occult Growth Plate Fracture or Sprain?

A randomized controlled trial of cast versus splint for distal radial buckle fracture: an evaluation of satisfaction, convenience, and preference.

Association Between Early Participation in Physical Activity Following Acute Concussion and Persistent Postconcussive Symptoms in Children and Adolescents.

Past Journal Club information and materials

May 2017

Topic: Opioid Prescribing in the ED

Articles:
Opioid Prescribing Patterns of Emergency Physicians and Risk of Long-Term Use

Naproxen With Cyclobenzaprine,Oxycodone/Acetaminophen, or Placebo for Treating Acute Low Back Pain A Randomized Clinical Trial

Association of Emergency Department Opioid Initiation with Recurrent Opioid Use

November 2016

Topic: Hospital Cardiac Arrest

Articles:
Amiodarone, Lidocaine, or Placebo in Out-of-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

Effect of Dispatcher-Assisted Cardiopulmonary Resuscitation Program and Location of Out-of-Hospital Cardiac Arrest on Survival and Neurologic Outcome

Trial of Continuous or Interrupted Chest Compressions during CPR

May 2016

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.

http://www.ncbi.nlm.nih.gov/pubmed/27085369

Systematic review including re-analyses of 1148 individual data sets of central venous pressure as a predictor of fluid responsiveness.

http://www.ncbi.nlm.nih.gov/pubmed/26650057

Effect of bedside ultrasonography on the certainty of physician clinical decision making for septic patients in the emergency department.

http://www.ncbi.nlm.nih.gov/pubmed/22633342

Amiodarone, Lidocaine, or Placebo in Out-of-Hospital Cardiac Arrest.

http://www.ncbi.nlm.nih.gov/pubmed/27043165

January 2016

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