The SGEM Paper in a Pic

SGEM#239: Febrile Seizure Recurrence – With or Without You Acetaminophen? Murata et al. Acetaminophen and febrile seizure recurrences during the same fever episode. Pediatrics. 2018

SGEM#238: The Epi Don’t Work for OHCA. Perkins et al. A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest. NEJM 2018.

SGEM#237: Screening Tool for Child Sex Trafficking. Kaltiso et al. Evaluation of a Screening Tool for Child Sex Trafficking Among Patients with High-Risk Chief Complaints in a Pediatric Emergency Department. AEM October 2018.

SGEM#236: TXA – Not for Brain Bleeds. Sprigg et al. Tranexamic acid for hyperacute primary IntraCerebral Haemorrhage (TICH-2): an international randomised, placebo-controlled, phase 3 superiority trial. Lancet. 2018

SGEM#235: Edoxaban for Cancer Associated VTE – Would the NEJM Lie to You? Raskob GE et al. Edoxaban for the Treatment of Cancer-Associated Venous Thromboembolism. NEJM 2018

SGEM#234: Contrast Induced Nephropathy – A Unicorn?

• Aycock, Westafer et al. Acute Kidney Injury After Computed Tomography: A Meta-analysis. Ann Emerg Med 2018 (CRD42017056195)
• Weisbord SD, Gallagher M, Jneid H, et al; PRESERVE Trial Group. Outcomes after Angiography with Sodium Bicarbonate and Acetylcysteine. NEJM 2018 (ClinicalTrials.gov NCT01467466.)

SGEM#233: Larry in the Den with Kiwis (LDK) – Low Dose Ketamine vs. Opioids for Acute Pain. Karlow et al. A Systematic Review And Meta-Analysis of Ketamine as an Alternative to Opioids for Acute Pain in the Emergency Department. AEM Oct 2018.

SGEM#232: I Can See Clearly Now the Collar is Gone – Thanks to the Triage Nurse. Stiell et al. A Multicenter Program to Implement the Canadian C-Spine Rule by Emergency Department Triage Nurses. Annals of EM Oct 2018

SGEM#231: You’re So Vein – IO vs. IV Access for OHCA. Kawano et al. Kawano et al. Intraosseous Vascular Access Is Associated With Lower Survival and Neurologic Recovery Among Patients With Out-of-Hospital Cardiac Arrest. Annals of EM May 2018

SGEM#230: Tamsulosin – You’ve Lost that Loving Feeling – For Renal Colic. Meltzer, A. et al. Effect of Tamsulosin on Passage of Symptomatic Ureteral Stones: A Randomized Clinical Trial. JAMA Internal Med, 2018.

SGEM#229: I Fought the Law and the Law Won – But Would it Matter if I had a Resident? Gurley et al. Comparison of Emergency Medicine Malpractice Cases Involving Residents to Non-Resident Cases. AEM September 2018

SGEM#228: Winds of Change – High Flow Nasal Oxygen for Acute Bronchiolitis?  Franklin et al. A Randomized Trial of High-Flow Oxygen Therapy in Infants with Bronchiolitis. NEJM March 2018.

SGEM#227: A Message to you Rudy – About Rudeness. Riskin A, Erez A, Foulk TA, et al. Rudeness and Medical Team Performance. Pediatrics. February 2017

SGEM#226: I Want A New Drug – One that Doesn’t Cause an Adverse Drug Event. Hohl C et al. Prospective Validation of Clinical Criteria to Identify Emergency Department Patients at High Risk for Adverse Drug Events. AEM Aug 2018.

SGEM#225: NEXUS II – Validation of the Pediatric Head CT Decision Instrument. Gupta M et al. Validation of the Pediatric NEXUS II Head Computed Tomography Decision Instrument for Selective Imaging of Pediatric Patients with Blunt Head Trauma. AEM July 2018

SGEM#224: Battlefield Acupuncture – Don’t Do Me Like That. Fox LM et al. Battlefield acupuncture to treat low back pain in the emergency department. Am J  EM 2018

SGEM#223: Haven’t Got Time for the Pain – What about IV Lidocaine? Silva et al. Safety and Efficacy of Intravenous Lidocaine for Pain Management in the Emergency Department: A Systematic Review. Ann Emerg Med. 2018

SGEM#222: Rhythm is Gonna Get You – Into an Atrial Fibrillation Pathway. DeMeester S et al. Implementation of a Novel Algorithm to Decrease Unnecessary Hospitalizations in Patients Presenting to a Community Emergency Department With Atrial Fibrillation. AEM June 2018

SGEM#221: Smells Like Isopropyl Alcohol for Nausea. April MD, et al. Aromatherapy Versus Oral Ondansetron for Antiemetic Therapy Among Adult Emergency Department Patients: A Randomized Controlled Trial. Ann Emerg Med 2018

SGEM#220: Acupuncture vs. Morphine for Renal Colic. Beltaief K et al. Acupuncture versus titrated morphine in acute renal colic: a randomized controlled trial. J Pain Res. 2018

SGEM#219: Shout, Shout, PERC Rule Them Out. Freund et al. Effect of the Pulmonary Embolism Rule-Out Criteria on Subsequent Thromboembolic Events
 Among Low-Risk Emergency Department Patients: The PROPER Randomized Clinical Trial. JAMA February 2018.

SGEM#218: Excited Delirium Syndrome. Gonin P et al. Excited Delirium: A Systematic Review. AEM May 2018.

SGEM#217: The Batman Effect on Improving Perseverance. White et al. The “Batman Effect”: Improving Perseverance in Young Children. Child Development December 2016.

SGEM#216: Pump It Up – Corticosteroids for Patients with Pneumonia Admitted to Hospital. Stern A et al, Corticosteroids for pneumonia (Review). Cochrane Database of Systematic Reviews. December 2017.

SGEM#215: Love Will Tear Us Apart – Diagnostic Challenges of Aortic Dissection. Ohle R et al. Clinical Examination for Acute Aortic Dissection: A Systematic Review and Meta-analysis. AEM April 2018

SGEM#214: Woman – The TXA Trial for Post-Partum Hemorrhage. Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum haemorrhage (WOMAN): an international, randomised, double-blind, placebo-controlled trial. The Lancet 2017

SGEM#213: Upside Down You Convert Me Out of SVT? Bronzetti et al. Upside-down position for the out of hospital management of children with supraventricular tachycardia.  International Journal of Cardiology. February 2018.

SGEM#212: Holding Back the Years – Risk Factors for Adverse Outcomes in Older Adults with Blunt Chest Trauma. Sawa et al. Risk factors for adverse outcomes in older adults with blunt chest trauma: A systematic review. CJEM March 2018

SGEM#211: Pins and Needles – Acupuncture for Migraine Prophylaxis. Zhao et al. The Long-Term Effect of Acupuncture for Migraine Prophylaxis: A Randomized Clinical Trial. JAMA Internal Medicine 2017

SGEM#210: (Don’t) Let it Bleed – TXA for Epistaxis in Patients on Anti-Platelet Drugs. Zahed et al. Topical Tranexamic Acid Compared With Anterior Nasal Packing for Treatment of Epistaxis in Patients Taking Antiplatelet Drugs: Randomized Controlled Trial. AEM March 2018.

SGEM#209: Cephalexin – You Are My Only One for Uncomplicated Cellulitis. Moran et al. Effect of Cephalexin plus Trimethoprim-Sulfamethoxazole vs Cephalexin Alone on Clinical Cure of Uncomplicated Cellulitis – A Randomized Clinical Trial. JAMA May 2017.

SGEM#208: It Makes No Difference – Glucocorticoids for the Treatment of Septic Shock. Venkatesh S et al. Adjunctive Glucocorticoid Therapy in Patients with Septic Shock. NEJM January 2018.

SGEM#207: Ahh (Don’t) Push It – Pre-Hospital IV Antibiotics for Sepsis. Alam N et al. Prehospital antibiotics in the ambulance for sepsis: a multicentre, open label, randomised trial. The Lancet Nov 2017.

SGEM#206: I’m Wheezy Like A Pre-Schooler – Prednisolone for Wheezy Children. Foster SJ et al. Oral prednisolone in preschool children with virus-associated wheeze: a prospective, randomised, double-blind, placebo-controlled trial. Lancet January 2018

SGEM#205: Twist & Shout – Testicular Torsion. Frohlich LC, et al. Prospective validation of clinical score for males presenting with an acute scrotum. AEM Dec 2017.

SGEM#204: Hold the Line – IVs Aren’t Always Required. Hawkins et al. Peripheral Intravenous Cannula Insertion and Use in the Emergency Department: An Intervention Study. AEM Jan 2018

SGEM#203: Let Me Clear My Sore Throat with a Corticosteroid. Sadeghirad B, et al. Corticosteroids for treatment of sore throat: systematic review and meta-analysis of randomised trials. BMJ 2017

SGEM#202: Lidocaine for Renal Colic? Soleimanpour H et al. Effectiveness of intravenous lidocaine versus intravenous morphine for patients with renal colic in the emergency department. Urology 2012

SGEM#201: It’s in the Way That You Use It – Ottawa SAH Tool. Perry J et al. Validation of the Ottawa Subarachnoid Hemorrhage Rule in patients with acute headache. CMAJ Nov 2017

SGEM#199: Therapeutic Hypothermia – What is it Good For? Legriel et al. Hypothermia for Neuroprotection in Convulsive Status Epilepticus. NEJM Dec 2016

SGEM#198: Better Slow Down – Push vs. Short Infusion of Low Dose Ketamine for Pain in the Emergency Department. Motov S et al. A Prospective Randomized, Double-Dummy Trial Comparing Intravenous Push Dose of Low Dose Ketamine to Short Infusion of Low Dose Ketamine for Treatment of Moderate to Severe Pain in the Emergency Department. AJEM 2017.

SGEM#197: Die Trying – Intubation of In-Hospital Cardiac Arrests. Andersen et al. Association Between Tracheal Intubation During Adult In-Hospital Cardiac Arrest and Survival. JAMA 2017

 

SGEM#196: Gastroparesis – I Feel Like Throwing Up. Roldan et al. Trial Comparing Haloperidol Combined With Conventional Therapy to Conventional Therapy Alone in Patients With Symptomatic Gastroparesis. AEM November 2017

SGEM#195: Some Like It Hot – ED Temperature and ICU Survival. Sundén-Cullberg et al. Fever in the Emergency Department Predicts Survival of Patients With Severe Sepsis and Septic Shock Admitted to the ICU. Critical Care Medicine 2017.

SGEM#194: Highway to the Dexamethasone – For Pediatric Asthma Exacerbations. Cronin JJ et al. A Randomized Trial of Single-Dose Oral Dexamethasone Versus Multidose Prednisolone for Acute Exacerbations of Asthma in Children Who Attend the Emergency Department. Ann Emerg Med 2016

SGEM#193: Stop, In the Name of Love. Harrison et al. Sweet Solutions to Reduce Procedural Pain in Neonates: A Meta-analysis. Pediatrics 2017

SGEM#192: Sometimes, All You Need is the Air that You Breathe. Hofmann et al. Oxygen Therapy in Suspected Acute Myocardial Infarction. NEJM Sept 2017.

SGEM#191: No Time for Physio – Roll With It. Brison et al. Effect of early supervised physiotherapy on recovery from acute ankle sprain: randomised controlled trial. BMJ Nov 2016.

SGEM#190: Wee are the Champions of Pediatric Urine Samples. Kaufman, et al. Faster clean catch urine collection (Quick-Wee method) from infants: randomised controlled trial. BMJ April 17.

SGEM#189: Bring Me To Life in OHCA. Cournoyer et al. Prehospital advanced cardiac life support for out-of-hospital cardiac arrest: a cohort study. Academic Emergency Medicine. September 2017.

SGEM#188: Icatibant Bites the Dust – For ACE-I Induced Angioedema. Sinert et al. Randomized Trial of Icatibant for Angiotensin-Converting Enzyme Inhibitor-Induced Upper Airway Angioedema. J Allergy Clin Immunol Pract 2017.

SGEM#187: Pin Cushion – Acupuncture in the Emergency Department. Cohen et al. Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non-inferiority trial. MJA 2017

SGEM#186:Apneic and the O, O, O2 for Rapid Sequence Intubation.  Caputo et al. EmergeNcy Department use of Apneic Oxygenation versus usual care during rapid sequence intubation: A randomized controlled trial (The ENDAO Trial). AEM 2017.

SGEM#185: Every EHR Wants to “Rule” the World. Bookman K et al. Embedded Clinical Decision Support in Electronic Health Record Decreases Use of High-cost Imaging in the Emergency Department: EmbED study. AEM July 2017.

SGEM#184: We Weren’t Born to Follow-Up – The PEITHO Long-Term Follow-up Study. Konstantinides et al. Impact of Thrombolytic Therapy
 on the Long-Term Outcome of Intermediate-Risk Pulmonary Embolism. JACC March 2017.

SGEM#183: Don’t RINSE, Don’t Repeat. Bernard et al. Induction of Therapeutic Hypothermia During Out-of-Hospital Cardiac Arrest Using a Rapid Infusion of Cold Saline
The RINSE Trial (Rapid Infusion of Cold Normal Saline). Circulation 2016.

SGEM#182: Platelet Transfusions for Intracerebral Hemorrhage (PATCH) – Don’t Do It. Baharoglu et al. Platelet transfusion versus standard care after acute stroke due to spontaneous cerebral haemorrhage associated with antiplatelet therapy (PATCH): a randomised, open-label, phase 3 trial. Lancet 2016.

SGEM#181: Did You Ever Have to Make Up Your Mind, Pan Scan or Leave Other Scans Behind? Sierink et al. Immediate total-body CT scanning versus conventional imaging and selective CT scanning in patients with severe trauma (REACT-2): a randomised controlled trial. Lancet August 2016.

SGEM#180: The First Cut is the Deepest – N.O.T. for Paediatric Appendicitis. Georgiou et al. Efficacy and Safety of Nonoperative Treatment for Acute Appendicitis: A Meta-analysis. Pediatrics 2017.

SGEM#178: Mindfulness – It’s not Better to Burnout than it is to Rust. Ireland et al. A randomized controlled trial of mindfulness to reduce stress and burnout among intern medical practitioners. Medical Teacher 2017.

SGEM#179: Chase the Dragon and Naloxone. Willman et al. Do heroin overdose patients require observation after receiving naloxone? Clinical Toxicology 2017.

SGEM#177: POCUS – A New Sensation for Diagnosing Pediatric Fractures. Poonai et al. Point-of-care ultrasound for non-angulated distal forearm fractures in children: test performance characteristics and patient-centered outcomes. Acad Emerg Med May 2017.

SGEM#176: Somebody’s Watching Me – Cardiac Monitoring for Chest Pain. Syed et al. Prospective validation of a clinical decision rule to identify patients presenting to the emergency department with chest pain who can safely be removed from cardiac monitoring. CMAJ Jan 2017

SGEM#175: Dancing on the Ceiling with Ketorolac for Pain. Motov et al. Comparison of Intravenous Ketorolac at Three Single-Dose Regimens for Treating Acute Pain in the Emergency Department: A Randomized Controlled Trial. Ann Emerg Med Dec 2016

SGEM#174: Don’t Believe the Hype – Vitamin C Cocktail for Sepsis. Marik et al. Hydrocortisone, Vitamin C and Thiamine for the Treatment of Severe Sepsis and Septic Shock: A Retrospective Before-After Study. Chest Dec 2016.

SGEM:173: Diazepam Won’t Get Back Pain Down. Friedman BW et al. Diazepam is no better than placebo when added to naproxen for acute low back pain. Ann Emerg Med 2017.

SGEM#172: Don’t Bring My Blood Pressure Down (Intensively) – The ATACH2 Trial. Qureshi et al. Intensive Blood-Pressure Lowering in Patients with Acute Cerebral Hemorrhage. NEJM June 2016

SGEM#171: Step-by-Step Approach to the Febrile Infant. Gomez et al. Validation of the “Step-by-Step” Approach in the Management of Young Febrile Infants. Paediatrics July 2016

SGEM#170: Don’t Go Breaking My Heart – Ottawa Heart Failure Risk Scale. Stiell et al. Prospective and Explicit Clinical Validation of the Ottawa Heart Failure Risk Scale, With and Without Use of Quantitative NT-proBNP. AEM March 2017

SGEM#169: Stuck in the Middle with Food (Glucagon for Esophageal Foreign Body Impaction). Bodkin et al. Effectiveness of glucagon in relieving esophageal foreign body impaction: a multicenter study. AJEM June 2016

SGEM#168: HYPRESS – Doesn’t Got the Power. Keh D et al. Effect of Hydrocortisone on Development of Shock Among Patients With Severe Sepsis: The HYPRESS Randomized clinical Trial. JAMA 2016

SGEM#167: The Management of Bronchiolitis in Community Hospitals. Plint et al. Management of Bronchiolitis in Community Hospitals in Ontario: a Multicentre Cohort Study. CJEM November 2016

SGEM#166: Which febrile child with sickle cell disease should get a chest x-ray? Eisenbrown et al. Which Febrile Children with Sickle Cell Disease Need a Chest X-Ray? AEM November 2016.

SGEM#165: I Wanna Be Sedated – But Do I Need To Be NPO? Beach et al. Major Adverse Events and Relationship of Nil per Os Status in Pediatric Sedation/Anesthesia Outside the Operating Room. Anesthesiology January 2016

SGEM#164: Cuts Like a Knife – But you Might Also Need Antibiotics for Uncomplicated Skin Abscesses. Talan et al. Trimethoprim–Sulfamethoxazole versus Placebo for Uncomplicated Skin Abscess. NEJM March 2016.

SGEM#163: Shuffle off to Buffalo to Talk Thrombolysis for Acute Pulmonary Embolism. Piazza et al. A Prospective, Single-Arm, Multicenter Trial of Ultrasound-Facilitated, Catheter-Directed, Low-Dose Fibrinolysis for Acute Massive and Submassive Pulmonary Embolism. JACC Aug 2015

SGEM#162: Not Stayin’ Alive More Often with Amiodarone or Lidocaine in OHCA. Kudenchuk et al. Amiodarone, Lidocaine, or Placebo in Out-of-Hospital Cardiac Arrest. NEJM April 2016

SGEM#161: Sternal Fractures – Break on Through to the Other Side – Delayed Complications and Functional Outcomes. Racine et al. Delayed complications and functional outcome of isolated sternal fracture after emergency department discharge: a prospective, multicentre cohort study. CJEM Sept 2016

SGEM#160: Oh Baby, You’re Too Sensitive – High Sensitivity Troponin. Body et al. The use of very low concentrations of high sensitivity troponin T to rule out acute myocardial infarction using a single blood test. AEM Sept 2016

SGEM#159: Computer Games – Computer Provider Order Entry (CPOE). Gray A et al. The impact of computerized provider order entry on emergency department flow. CJEM 2016

SGEM#158: Tempted by the Fruit of Another – Dilute Apple Juice for Pediatric Dehydration. Freedman et al. Effect of dilute apple juice and preferred fluids vs. electrolyte maintenance solution on treatment failure among children with mild gastroenteritis: A randomized clinical trial. JAMA 2016

SGEM#157: Nebulized Hypertonic Saline for Acute Bronchiolitis. Zhang et al. Nebulized Hypertonic Saline for Acute Bronchiolitis: A Systematic Review. Pediatrics 2015

SGEM#156: Working at the Abscess Wash – Irrigation of Cutaneous Abscesses? Chinnock and Hendey. Irrigation of Cutaneous Abscesses Does Not Improve Treatment Success. Ann Emerg Med 2016

SGEM#155: Girls Just Want To Have Fun – Not Appendicitis. Scheller et al. Utility of Pediatric Appendicitis Score in Female Adolescent Patients. AEM 2016

SGEM#154: Here I Go Again, Kidney Stone. Pickard et al. Medical expulsive therapy in adults with ureteric colic: a multicentre, randomised, placebo-controlled trial. Lancet 2015. Furyk et al. Distal Ureteric Stones and Tamsulosin: A Double-Blind, Placebo-Controlled, Randomized, Multicenter Trial. Annals of EM 2016

SGEM#153: Simulation for Ultrasound Education. Olszynski et al. Ultrasound during Critical Care Simulation: A Randomized Crossover Study. CJEM 2016

SGEM#152: Movin’ on Up – Higher Floors, Lower Survival for OHCA. Drennan et al. Out-of-hospital cardiac arrest in high-rise buildings: delays to patient care and effect on survival. CMAJ 2016

SGEM#151: Groove is in the HEART Pathway. Mahler SA et al. The HEART Pathway Randomized Trial Identifying Emergency Department Patients with Acute Chest Pain for Early Discharge. Circ Cardiovasc Qual Outcomes 2015

SGEM#150: Hypertonic Saline for Traumatic Brain Injury. Pelletier et al. Hypertonic saline in severe traumatic brain injury: a systematic review and meta-analysis of randomized controlled trials. CJEM 2016

SGEM#147: This is a SVT and I’m Gonna REVERT It – Using a Modified Valsalva Manoeuvre. Appelboam et al. Postural modification to the standard Valsalva manoeuvre for emergency treatment of supraventricular tachycardias (REVERT): a randomised controlled trial. Lancet 2015

SGEM#146: The HEAT is On – IV Acetaminophen for Fever in the ICU. Young P et al. Acetaminophen for Fever in Critically Ill Patients with Suspected Infection. NEJM 2015

SGEM#144: That Smell of Isopropyl Alcohol for Nausea in the Emergency Department.  Beadle, et al. Isopropyl alcohol nasal inhalation for nausea in the emergency department: a randomized controlled trial. Ann Emerg Med 2015

SGEM#143: Call Me Maybe for Bystander CPR. Ringh et al. Mobile-Phone dispatch of Laypersons for CPR in Out-of-Hospital Cardiac Arrest. NEJM 2015

SGEM#139: One Thing Leads to Another – Idarucizumab for Dabigatran Reversal? Pollack CV et al. Idarucizumab for Dabigatran Reversal. NEJM 2015

SGEM#138: Hip to be Blocked – Regional Nerve Blocks for Hip and Femoral Neck Fractures. Ritcey et al. Regional Nerve Blocks for Hip and Femoral Neck Fractures in the Emergency Department: A Systematic Review. CJEM 2015

SGEM#135: The Answer My Friend is Blowin’ in your Nose – High Flow Nasal Oxygen. Frat JP et al. High-Flow Oxygen through Nasal Cannula in Acute Hypoxemic Respiratory Failure. NEJM 2015

SGEM#134: Listen, to what the British Doctors Say about LPs post CT for SAH. Sayer et al. An Observational Study of 2248 Patients Presenting with Headache, Suggestive of Subarachnoid Hemorrhage, that Received a Lumbar Puncture Following a Normal CT Head. Acad Emerg Med 2015

SGEM#133: Just Beat It (Atrial Fibrillation) with Diltiazem or Metoprolol? Fromm C et al. Diltiazem vs. metoprolol in the management of atrial fibrillation or flutter with rapid ventricular rate in the emergency department. J Emerg Med 2015.

SGEM#131: Gimme Some Antibiotics for Uncomplicated Skin Infections. Miller LG, et al. Clindamycin versus trimethoprim-sulfamethoxazole for uncomplicated skin infections. NEJM 2015

SGEM#130: Low Dose Ketamine for Acute Pain Control in the Emergency Department. Motov et al. Intravenous Subdissociative-Dose Ketamine Versus Morphine for Analgesia in the Emergency Department: A Randomized Controlled Trial. Ann Emerg Med 2015. Beaudoin et al. Low-dose ketamine improves pain relief in patients’ receving intravenous opiods for acute pain in the emergency department: results of a randomized, double-blind, clinical trial. Acad Emerg Med 2014

SGEM#129: That Chest Tube…She’s a Beauty. Kong et al. What is the yield of routine chest radiography following tube thoracostomy for trauma? Injury 2015

SGEM#127: Suspicious Minds vs. Clinical Prediction Rule in Children with Trauma. Mahajan P et al. Comparison of clinical suspicion versus a clinical prediction rule in identifying children at risk for intra-abdominal injuries after blunt torso trauma. Acad Emerg Med 2015

SGEM#124: Ultrasound for Skull Fractures – Little Bones. Rabiner JE et al. Accuracy of point-of-care ultrasound for diagnosis of skull fractures in children. Pediatrics 2013