Journal Club
Annals of Emergency Medicine Journal Club is a bi-monthly feature that seeks to improve the critical appraisal skills of emergency physicians and other interested readers through a guided critique of actual Annals of Emergency Medicine articles. The questions appear along with the article on which they comment. Answers are published in print 5 months later. U.S. residency directors have immediate access to the answers through the Council of Emergency Medicine Residency Directors Share Point Web site. International residency directors can gain access to the answers by going to http://www.emergencymedicine.ucla.edu/annalsjc/ and following the directions. We are interested in receiving feedback about this feature. Please e-mail your comments to journalclub@acep.org.
May 2012
Article
This month¹s Journal Club is based on Garbutt et al. "Amoxicillin for Acute Rhinosinusitis A Randomized Controlled Trial" JAMA. 2012;307(7):685-692. Available at: http://jama.ama-assn.org/content/307/7/685.abstractQuestions
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May 2012 (Vol. 59 | No. 5 | Pages 440-441)
Some Think Antibiotics are Candy, But We Know They're Not
Answers
These will appear in the October 2012 issueMarch 2012
Article
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March 2012 (Vol. 59 | No. 3 | Pages 209-218)
S100-B Protein as a Screening Tool for the Early Assessment of Minor Head Injury
Questions
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Biomarkers Revisited: Study Design, Validity and STARD. Will S100-B Impact Computed Tomography Use In Head Injury Patients?March 2012 (Vol. 59 | No. 3 | Pages 221-222)
Answers
These will appear in the August 2012 issueJanuary 2012
Article
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January 2012 (Vol. 59 | No. 1 | Pages 1-10.e2)
A Field Test of Time-Based Emergency Department Quality Measures
Questions
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January 2012 (Vol. 59 | No. 1 | Pages 11-12)
Preparing Your Emergency Department for the New CMS Metrics: Collecting and Comparing the Data
Answers
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June 2012 (Vol. 59 | No. 6 | Pages 549-555)
Preparing Your Emergency Department for the New CMS Metrics: Collecting and Comparing the Data: Answers to the January 2012 Journal Club Questions
November 2011
Article
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November 2011 (Vol. 58 | No. 5 | Pages 452-462.e3)
National Trends in Use of Computed Tomography in the Emergency Department
Questions
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Computed Tomography Imaging in the Emergency Department: Benefits, Risks and Risk RatiosNovember 2011 (Vol. 58 | No. 5 | Pages 463-464)
Answers
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April 2012 (Vol. 59 | No. 4 | Pages 328-334)
Computed Tomography Imaging in the Emergency Department: Benefits, Risks and Risk Ratios: Answers to the November 2011 Journal Club Questions
September 2011
Article
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Two Days of Dexamethasone Versus 5 Days of Prednisone in the Treatment of Acute Asthma: A Randomized Controlled TrialAugust 2011 (Vol. 58 | No. 2 | Pages 200-204)
Questions
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September 2011 (Vol. 58 | No. 3 | Pages 307-309)
A Tale of Two Steroids
Answers
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A Tale of Two Steroids: Answers to the September 2011 Journal Club QuestionsFebruary 2012 (Vol. 59 | No. 2 | Pages 147-155)
July 2011
Article
This month¹s Journal Club is based on Hoberman A, Paradise JL, Rockette HE, et al. "Treatment of acute otitis media in children under 2 years of age." N Eng J Med. 2011;364:105-115.1 Available at: http://www.nejm.org/doi/full/10.1056/NEJMoa0912254Questions
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July 2011 (Vol. 58 | No. 1 | Pages 103-104)
Trial Registration and Wandering Outcomes
Answers
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January 2012 (Vol. 59 | No. 1 | Pages 76-80)
Trial Registration and Wandering Outcomes
May 2011
Article
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May 2011 (Vol. 57 | No. 5 | Pages 435-441)
A Randomized Controlled Trial of Ketamine/Propofol Versus Propofol Alone for Emergency Department Procedural Sedation
Questions
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Procedural Sedation: Is Two Better Than One?May 2011 (Vol. 57 | No. 5 | Pages 442-443)
Answers
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October 2011 (Vol. 58 | No. 4 | Pages 383-394)
Procedural Sedation: Is Two Better Than One? Answers to the May 2011 Journal Club Questions
March 2011
Article
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March 2011 (Vol. 57 | No. 3 | Pages 234-237)
Pupillary Response to Light Is Preserved in the Majority of Patients Undergoing Rapid Sequence Intubation
Questions
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Shining Light on Pupillary Response After Paralysis and the Role of Case Series in Clinical ResearchMarch 2011 (Vol. 57 | No. 3 | Pages 238-239)
Answers
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August 2011 (Vol. 58 | No. 2 | Pages 210-215)
Shining Light on Pupillary Response After Paralysis and the Role of Case Series in Clinical Research: Answers to the March 2011 Journal Club Questions
January 2011
Article
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January 2011 (Vol. 57 | No. 1 | Pages 13-21)
Variation in Management of Recent-Onset Atrial Fibrillation and Flutter Among Academic Hospital Emergency Departments
Questions
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To Shock or Not to Shock: That is the Question; is There an Answer?January 2011 (Vol. 57 | No. 1 | Pages 22-23)
Answers
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June 2011 (Vol. 57 | No. 6 | Pages 694-702)
To Shock or Not to Shock: That is the Question; Is There an Answer? Answers to the January 2011 Journal Club Questions
November 2010
Article
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November 2010 (Vol. 56 | No. 5 | Pages 455-462)
Safety of Assessment of Patients With Potential Ischemic Chest Pain in an Emergency Department Waiting Room: A Prospective Comparative Cohort Study
Questions
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November 2010 (Vol. 56 | No. 5 | Pages 463-464)
Investigating Rare Events and a Discussion on Waiting Room Chest Pain Evaluations
Answers
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April 2011 (Vol. 57 | No. 4 | Pages 410-416)
Investigating Rare Events and a Discussion on Waiting Room Chest Pain Evaluations: Answers to the November 2010 Journal Club Questions
September 2010
Article
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September 2010 (Vol. 56 | No. 3 | Pages 283-287)
Randomized Controlled Trial of Trimethoprim-Sulfamethoxazole for Uncomplicated Skin Abscesses in Patients at Risk for Community-Associated Methicillin-Resistant Staphylococcus aureus Infection
Questions
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September 2010 (Vol. 56 | No. 3 | Pages 303-304)
Does “Not Different” Equal “The Same”?
Answers
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February 2011 (Vol. 57 | No. 2 | Pages 175-181)
Does “Not Different” Equal “The Same”? Answers to the September 2010 Journal Club Questions
July 2010
Article
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July 2010 (Vol. 56 | No. 1 | Pages 52-59.e1)
The Diagnostic Accuracy of Plasma Neutrophil Gelatinase–Associated Lipocalin in the Prediction of Acute Kidney Injury in Emergency Department Patients With Suspected Sepsis
Questions
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Novel Biomarkers: Help or Hindrance to Patient Care in the Emergency Department?July 2010 (Vol. 56 | No. 1 | Pages 60-61)
Answers
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December 2010 (Vol. 56 | No. 6 | Pages 692-700)
Novel Biomarkers: Help or Hindrance to Patient Care in the Emergency Department? Answers to the July 2010 Journal Club Questions
May 2010
Article
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May 2010 (Vol. 55 | No. 5 | Pages 449-457.e2)
Pregnancy Testing in Women of Reproductive Age in US Emergency Departments, 2002 to 2006: Assessment of a National Quality Measure
Questions
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Journal Club: The NHAMCS Database, Chart Review Methods, and More on Regression ModelingMay 2010 (Vol. 55 | No. 5 | Pages 458-459)
Answers
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October 2010 (Vol. 56 | No. 4 | Pages 431-437)
The NHAMCS Database, Chart Review Methods, and More on Regression Modeling: Answers to the May 2010 Journal Club Questions
March 2010
Article
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March 2010 (Vol. 55 | No. 3 | Pages 235-246.e4)
Emergency Medical Services Intervals and Survival in Trauma: Assessment of the “Golden Hour” in a North American Prospective Cohort
Questions
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Journal Club: Is the Golden Hour Tarnished? Registries and Multivariable RegressionMarch 2010 (Vol. 55 | No. 3 | Pages 247-248)
Answers
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August 2010 (Vol. 56 | No. 2 | Pages 188-200)
Is the Golden Hour Tarnished? Registries and Multivariable Regression: Answers to the March 2010 Journal Club Questions
January 2010
Article
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January 2010 (Vol. 55 | No. 1 | Pages 51-59.e1)
Diagnostic Accuracy of Noncontrast Computed Tomography for Appendicitis in Adults: A Systematic Review
Questions
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Journal Club: The Conduct and Reporting of Meta-Analyses of Studies of Diagnostic Tests, and a Consideration of ROC CurvesJanuary 2010 (Vol. 55 | No. 1 | Pages 60-61)
Answers
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June 2010 (Vol. 55 | No. 6 | Pages 570-577)
The Conduct and Reporting of Meta-Analyses of Studies of Diagnostic Tests, and a Consideration of ROC Curves: Answers to the January 2010 Journal Club Questions
November 2009
Article
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November 2009 (Vol. 54 | No. 5 | Pages 663-671.e1)
The Out-of-Hospital Validation of the Canadian C-Spine Rule by Paramedics
Questions
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Journal Club: Clinical Prediction RulesNovember 2009 (Vol. 54 | No. 5 | Pages 672-673)
Answers
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April 2010 (Vol. 55 | No. 4 | Pages 380-389)
Clinical Prediction Rules: Answers to the November 2009 Journal Club
September 2009
Article
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September 2009 (Vol. 54 | No. 3 | Pages 432-439.e2)
Tamsulosin for Ureteral Stones in the Emergency Department: A Randomized, Controlled Trial
Questions
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Journal Club: Outcome Measures, Interim Analyses, and Bayesian Approaches to Randomized TrialsSeptember 2009 (Vol. 54 | No. 3 | Pages 440-441)
Answers
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February 2010 (Vol. 55 | No. 2 | Pages 216-224.e1)
Outcome Measures, Interim Analyses, and Bayesian Approaches to Randomized Trials: Answers to the September 2009 Journal Club Questions
July 2009
Article
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July 2009 (Vol. 54 | No. 1 | Pages 1-7)
Interrater Reliability and Accuracy of Clinicians and Trained Research Assistants Performing Prospective Data Collection in Emergency Department Patients With Potential Acute Coronary Syndrome
Questions
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Journal Club: The Measurement of ReliabilityJuly 2009 (Vol. 54 | No. 1 | Pages 9-11)
Answers
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December 2009 (Vol. 54 | No. 6 | Pages 843-853)
A Consideration of the Measurement and Reporting of Interrater Reliability: Answers to the July 2009 Journal Club Questions
May 2009
Article
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May 2009 (Vol. 53 | No. 5 | Pages 587-593)
Comparisons of High Versus Low Emergency Department Utilizers in Sickle Cell Disease
Questions
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Journal Club: Frequent Fliers, Internal and External Validity, and the Problem With Making Continuous Variables BinaryMay 2009 (Vol. 53 | No. 5 | Pages 594-595)
Answers
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October 2009 (Vol. 54 | No. 4 | Pages 628-634)
Frequent Fliers, Internal and External Validity, and Problems With Making Continuous Variables Binary: Answers to the May 2009 Journal Club Questions
March 2009
Article
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March 2009 (Vol. 53 | No. 3 | Pages 329-338)
Clevidipine, an Intravenous Dihydropyridine Calcium Channel Blocker, Is Safe and Effective for the Treatment of Patients With Acute Severe Hypertension
Questions
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Pollack CV, Varon J, Garrison NA, et al. Clevidipine, an Intravenous Dihydropyridine Calcium Channel Blocker, Is Safe and Effective for Treatment of Patients With Acute Severe HypertensionMarch 2009 (Vol. 53 | No. 3 | Pages 339-340)
Answers
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Clevidipine, an Intravenous Dihydropyridine Calcium Channel Blocker, Is Safe and Effective for Treatment of Patients With Acute Severe Hypertension: Answers to the March 2009 Journal Club QuestionsAugust 2009 (Vol. 54 | No. 2 | Pages 301-307)
January 2009
Article
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The National Report Card on the State of Emergency Medicine: Evaluating the Emergency Care Environment State by State 2009 EditionJanuary 2009 (Vol. 53 | No. 1 | Pages 4-148)
Questions
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The National Report Card on the State of Emergency Medicine: Evaluating the Emergency Care Environment State by State 2009 EditionJanuary 2009 (Vol. 53 | No. 1 | Pages 149-150)
Answers
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June 2009 (Vol. 53 | No. 6 | Pages 828-834)
The National Report Card on the State of Emergency Medicine: Answers to the January 2009 Journal Club Questions
November 2008
Article
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Empiric Antibiotic Therapy for Sepsis Patients: Monotherapy With β-Lactam or β-Lactam Plus an Aminoglycoside?November 2008 (Vol. 52 | No. 5 | Pages 557-560)
Questions
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Sinert R, Bright L. Empiric Antibiotic Therapy for Sepsis Patients: Monotherapy With β-Lactam or β-Lactam Plus an Aminoglycoside? Ann Emerg Med 2008;52:557-560; doi:10.1016/j.annemergmed.2007.12.013November 2008 (Vol. 52 | No. 5 | Pages 561-562)
Answers
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April 2009 (Vol. 53 | No. 4 | Pages 536-543)
Empiric Antibiotic Therapy for Sepsis Patients: Monotherapy With β-Lactam or β-Lactam Plus an Aminoglycoside? Answers to the November 2008 Journal Club Questions
September 2008
Article
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September 2008 (Vol. 52 | No. 3 | Pages 232-241.e1)
Out-of-Hospital Continuous Positive Airway Pressure Ventilation Versus Usual Care in Acute Respiratory Failure: A Randomized Controlled Trial
Questions
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Thompson J, Petrie DA, Ackroyd-Stolarz S, Bardua DJ Out-of-Hospital Continuous Positive Airway Pressure Ventilation Versus Usual Care in Acute Respiratory Failure: A Randomized Controlled TrialSeptember 2008 (Vol. 52 | No. 3 | Pages 242-243)
Answers
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February 2009 (Vol. 53 | No. 2 | Pages 272-283)
Out-of-Hospital Continuous Positive Airway Pressure Ventilation Versus Usual Care in Acute Respiratory Failure: A Randomized Controlled Trial: Answers to the September 2008 Journal Club Questions
July 2008
Article
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July 2008 (Vol. 52 | No. 1 | Pages 48-58.e2)
Risk Prediction With Procalcitonin and Clinical Rules in Community-Acquired Pneumonia
Questions
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Huang DT, Weissfeld LA, Kellum JA, et al Risk Prediction With Procalcitonin and Clinical Rules in Community-Acquired PneumoniaJuly 2008 (Vol. 52 | No. 1 | Pages 59-60)
Answers
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December 2008 (Vol. 52 | No. 6 | Pages 754-763)
Risk Prediction With Procalcitonin and Clinical Rules in Community-Acquired Pneumonia: Answers to the July 2008 Journal Club Questions
May 2008
Article
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May 2008 (Vol. 51 | No. 5 | Pages 571-578)
Acutely Decompensated Heart Failure in a County Emergency Department: A Double-Blind Randomized Controlled Comparison of Nesiritide Versus Placebo Treatment
Questions
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Miller AH, Nazeer S, Pepe P, et al Acutely Decompensated Heart Failure in a County Emergency Department: A Double Blind Randomized Controlled Comparison of Nesiritide Versus Placebo TreatmentMay 2008 (Vol. 51 | No. 5 | Pages 580-582)
Answers
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Acutely Decompensated Heart Failure in a County Emergency Department: A Double-Blind Randomized Controlled Comparison of Nesiritide Versus Placebo Treatment: Answers to May 2008 Journal Club QuestionsOctober 2008 (Vol. 52 | No. 4 | Pages 458-472)
March 2008
Article
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Patient Acceptance of Rapid HIV Testing Practices in an Urban Emergency Department: Assessment of the 2006 CDC Recommendations for HIV Screening in Health Care SettingsMarch 2008 (Vol. 51 | No. 3 | Pages 303-309.e1)
Questions
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Haukoos JS, Hopkins E, Byyny, RL, For the Denver Emergency Department HIV Testing Study Group Patient Acceptance of Rapid HIV Testing Practices in an Urban Emergency Department: Assessment of the 2006 CDC Recommendations for HIV Screening in Health Care SettingsMarch 2008 (Vol. 51 | No. 3 | Pages 310-311)
Answers
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August 2008 (Vol. 52 | No. 2 | Pages 170-181)
Practical Considerations in HIV Testing in the Emergency Department, Characteristics of Diagnostic Tests, and the Role of Sensitivity Analysis in Observational Studies: Answers to March 2008 Journal Club Questions
January 2008
Article
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Emergency Department Crowding Is Associated With Poor Care for Patients With Severe PainJanuary 2008 (Vol. 51 | No. 1 | Pages 1-5)
Questions
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Pines JM, Hollander JE Emergency Department Crowding is Associated with Poor Care for Patients with Severe PainJanuary 2008 (Vol. 51 | No. 1 | Pages 6-7)
Answers
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Measures of Emergency Department Crowding, Odds Ratios, and the Dangers of Making Continuous Data Categorical: Answers to January 2008 Journal Club QuestionsJune 2008 (Vol. 51 | No. 6 | Pages 782-789)
