Journal Club - February 2, 2015

• What:  Weekly Journal Club
• Where:  MONOC Education Building, 1415 Wyckoff Road, Ground Floor, Wall Township, NJ
• When:  Monday, February 2, 2015 at 10:00 am

• Out-of-hospital spinal immobilization:  Its effect on neurologic injury.  http://www.ncbi.nlm.nih.gov/pubmed/9523928.  An oldie but a goodie.
• Inaccurate treatment decisions of automated external defibrillators used by emergency medical services personnel:  Incidence, cause and impact on outcome.  http://www.ncbi.nlm.nih.gov/pubmed/25556589.  Somewhat surprising analysis of AED error rates.
• Is Copeptin level Associated with 1-year Mortality After Out-of-Hospital Cardiac Arrest?  Insights From the Paris Registry.  http://www.ncbi.nlm.nih.gov/pubmed/25599466.  How well can we prognosticate those we get pulses back on?
• Endotracheal Intubation in Patients Treated for Prehospital Status Epilepticus.  http://www.ncbi.nlm.nih.gov/pubmed/25623785.  More debate on whether pre-hospital intubation helps or harms. 
• Should suspected cervical spinal cord injury be immobilised?: A systematic review.  http://www.ncbi.nlm.nih.gov/pubmed/25624270.  A nice systematic review on the evidence of cervical spine immobilization.

Live-tweeting of the journal club @CCareAnywhere.  #EMSJC

Journal Club - January 5, 2015

• What:  Weekly Journal Club
• Where:  MONOC Education Building, 1415 Wyckoff Road, Ground Floor, Wall Township, NJ
• When:  Monday, January 5, 2015 at 10:00 am

• Traumatic intra-abdominal hemorrhage control:  Has current technology tipped the balance toward a role for prehospital intervention?  http://www.ncbi.nlm.nih.gov/pubmed/25539217.  Do we have the ability to control intra-abdominal hemorrhage in the prehospital environment?  Does it matter with the new use of TXA?
• Apneic Oxygenation Was Associated With Decreased Desaturation Rates During Rapid Sequence Intubation by an Australian Helicopter Emergency Medicine Service.  http://www.ncbi.nlm.nih.gov/pubmed/25536868.  More evidence that this should be done on every patient needing intubation.
• EMS Patients and Walk-In Patients Presenting With Severe Sepsis:  Differences in Management and Outcome.  http://www.ncbi.nlm.nih.gov/pubmed/25502152.  We reviewed an article earlier this year showing improved outcomes in septic patients when brought by ambulance.  Does this study show the same thing?  Come to journal club and find out!
• AWARE - AWAreness during REsuscitation - A prospective study.  http://www.ncbi.nlm.nih.gov/pubmed/25301715.  As we improve our high-quality CPR, we are hearing more anecdotal reports of patients having consciousness during compressions.  Is this real life?!

Live-tweeting of the journal club @CCareAnywhere.  #EMSJC

Journal Club - December 29, 2014

• What:  Weekly Journal Club
• Where:  MONOC Education Building, 1415 Wyckoff Road, Ground Floor, Wall Township, NJ
• When:  Monday, December 29, 2014 at 10:00 am

• Tranexamic acid for traumatic brain injury: a systematic review and meta-analysis.  http://www.ncbi.nlm.nih.gov/pubmed/25447601.  Proof that we should get rid of the relative contraindication for isolated head trauma?
• Use of High-Flow Nasal Cannula Oxygen Therapy to Prevent Desaturation During Tracheal Intubation of Intensive Care Patients with Mild-to-Moderate Hypoxemia.  http://www.ncbi.nlm.nih.gov/pubmed/25479117.  If you're not putting a high-flow nasal cannula on every critically ill patient, you're doing something wrong!  NO DESAT.

Live-tweeting of the journal club @CCareAnywhere.

Journal Club - December 15, 2014

• What:  Weekly Journal Club
• Where:  Newark Beth Israel Medical Center, D-11, 201 Lyons Avenue, Newark, NJ
• When:  December 15, 2014 at 2:00 pm (note the later time!)

We have an exciting lineup of articles this week!  Come join us to discuss them.

• Tranexamic acid administration to pediatric trauma patients in a combat setting:  The pediatric trauma and tranexamic acid study (PED-TRAX).  http://www.ncbi.nlm.nih.gov/pubmed/?term=PED-TRAX. Forget the 16 year-old age cutoff for TXA!  Big implications for pre-hospital and trauma care.
• A randomized controlled trial of oxygen therapy in acute myocardial infarction Air Verses [sic] Oxygen In myocarDial infarction Study (AVOID Study). http://www.medscape.com/viewarticle/835297_print and http://www.ncbi.nlm.nih.gov/pubmed/22424003.  "MONA" takes another hit?  Join us Monday to find out!
• Outcomes After Out-of-Hospital Cardiac Arrest Treated by Basic vs Advanced Life Support.  http://www.ncbi.nlm.nih.gov/pubmed/25419698.  The much-discussed study about BLS vs ALS for OHCA.  Does this surprise any of us following the literature?

Live-tweeting of the journal club @CCareAnywhere.