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The EMJClub Podcast
Summary: An evidence-based emergency medicine podcast. The Washington University Emergency Medicine Journal Club podcast provides an excellent way to keep up with the medical literature, improve patient care, and increase understanding of evidence-based medicine. Each month we ask a clinical or operational question pertinent to the practice of emergency medicine. We then discuss the four articles most relevant to that question in an attempt to determine the most evidence-based approach to patient care.
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- Artist: Brian Cohn, MD
Podcasts:
Outpatient Management of Acute PE
Clinical Decision Rules in Low-Risk Chest Pain
Naloxone remains the primary reversal agent in potential opiate overdose, though the optimal route of administration remains in question. We look at the evidence for the utility of intranasal naloxone in acute opiate overdose.
In patients presenting to the emergency department with cardiac arrest, predictors of outcome can assist with triage and decision-making. This months episode looks at the predictive value of cardiac standstill on bedside cardiac ultrasound in predicting futility of resuscitative efforts.
An analysis and discussion of the INTERACT2 trial, recently published in the New England Journal of Medicine, which compares a more intensive blood pressure lowering regimen to standard blood pressure lowering in patients with spontaneous intracerebral hemorrhage.
Greg Polites and I discuss the ins and outs of testing and management in the patients with elevated blood pressure presenting to the ED without signs or symptoms of end-organ damage.
A discussion of the utility of testing synovial lactate levels in diagnosing septic arthritis.
An in-depth analysis of a recent trial looking at the efficacy of immediate versus delayed oral beta-blocker administration in patients with acute ST-elevation myocardial infarction.