Sinai EM Journal Club

This month’s journal club presentation began with what I believe was a discussion of blood clots in Cro-Mags before touching upon late 19th century versions of CPR, the landmark closed-chest cardiac massage paper, and eventually, a comparison of ROSC (return of spontaneous circulation) in real patients vs. as seen on television. Chad then led the group in a discussion of a new meta-analysis by Xin Li et al appearing in a recent issue of Resuscitation (2006: Vol 70, pp31-36) on the topic of CPR with and without thrombolytics.

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Annals was mostly about airway this month, and felt a little sparse (Levitan showed that BURP and cricoid pressure worsen the view compared to bimanual laryngoscopy– stop the presses! Also, a letter to the editor advocated for the mnemonic LEMONS over LEMON — the extra S is for O2 saturation, which of course you might otherwise fail to consider as you're prepping to intubate… sheesh).

So, instead, I thought I'd hit up that other noteworthy periodical, the New England Journal of Medicine. This week (June 1, 2006, Vol 354, No. 22) they've got an article (pdf) from the PIOPED II study about the diagnostic value of CT angio alone, vs. CT angio plus CT venography of leg veins. Read more »