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Last update: 2013-06-24

The INTERACT2 Trial- Blood Pressure Reduction in Spontaneous Intracerebral Hemorrhage

2013-06-24 :: Brian Cohn

June 2013 - Article of the Month Podcast #2 Anderson CS, et al. Rapid Blood-Pressure Lowering in Patients with Acute Intracerebral Hemorrhage. N Engl J Med. 2013 June 20. Context: Patients with hemorrhagic stroke, or intracerebral hemorrhage (ICH), are common in emergency medicine and frequently present to the emergency department with significantly elevated blood pressures requiring urgent treatment. The correct goal blood pressure is debatable. On one hand...…

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Asymptomatic Hypertension in the Emergency Department

2013-06-12 :: Brian Cohn

Journal Club Podcast #2 My good friend Greg Polites and I sit down and discuss the evaluation and management of patients with asymptomatic severely elevated hypertension in the emergency department... Bottom Line: Elevated blood pressure remains a common finding in patients presenting to the emergency department (Karras 2005). While the detrimental effects of long-standing untreated hypertension have been well-documented with respect to the risk of stroke, myocardial infarction, and chronic kidney disease, the risks of untreated hypertension in the short-term...…

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Synovial Lactate in the Diagnosis of Septic Arthritis

2013-06-01 :: Brian Cohn

Journal Club Podcast #1 This month, I sit down with Chris Carpenter, evidence-based medicine guru, and talk about the diagnostic accuracy of synovial lactate in septic arthritis... Bottom Line: The differential diagnosis for acute monoarticular arthritis presenting to the emergency department is broad and includes infections (bacterial, fungal, mycobacterial, viral), crystalloid arthropathy (gout, pseudogout), rheumatoid arthritis, and trauma. Based upon the sole ED-centric systematic review available on this topic ...…

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Immediate Oral Beta-Blockers in STEMI

2013-06-01 :: Brian Cohn

May 2013 - Article of the Month Podcast #1 Benefit of Immediate Beta-Blocker Therapy on Mortality in Patients With ST-Segment Elevation Myocardial Infarction. Crit Care Med 2013 March 29. Context: Prior to 2005, standard practice in treatment of ST-elevation myocardial infarction in many emergency departments (EDs) included giving IV beta-blockers (typically metoprolol 5 mg IV q 5 minutes up to 3 doses, unless contraindicated by hypotension or bradycardia). Patients were then admitted and given oral beta-blockers....…

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EMJCLUB - The Washington University Emergency Medicine Journal Club Podcast

An emergency medicine podcast and journal club all in one. 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.

EMJCLUB - The Washington University Emergency Medicine Journal Club Podcast


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