5-Minute Journal

5-Minute Journal Club: A randomized controlled trial of ceftriaxone and doxycycline, with or without metronidazole, for the treatment of acute pelvic inflammatory disease

Feb 13, 20225-Minute Journal, OB/GYN, Uncategorized

Author: Dr. Ashley Penington Article: “A randomized controlled trial of ceftriaxone and doxycycline, with or without metronidazole, for the treatment of acute pelvic inflammatory disease” Wiesenfeld and colleagues (2019) Background: As with most things in the realm of infectious diseases, the treatment guidelines and recommendations for pelvic inflammatory disease (PID) have been constantly evolving through…

5-Minute Journal Club: Can obstructive urolithiasis be safely excluded on contrast CT? A retrospective analysis of contrast-enhanced and noncontrast CT

Jan 20, 20225-Minute Journal, Urology

Author: Dr. Tucker Matthews We see a whole lot of flank pain in the ED, and more and more, we go for non-contrast CT scans (19% of acute flank pain encounters in 2000 had NCCTs, whereas 45% did in 2008). And these NCCTs are pretty damn effective at detecting urolithiasis. Unfortunately, however, a lot of…

5-Minute Journal Club: High-Sensitivity Cardiac Troponin and the Risk Stratification of Patients with Renal Impairment Presenting With Suspected Acute Coronary Syndrome

Jan 12, 20225-Minute Journal, Cardiology

Author: Dr. Eric Moyer Background: It is often difficult to interpret high-sensitivity cardiac troponin values in patients with renal impairment given the reduced clearance by the kidneys. This study attempts to quantify ways to risk stratify patients with renal impairment and suspected acute coronary syndrome using high-sensitivity cardiac troponins. Design: Prospective, multicenter study Inclusion: All…

5-Minute Journal Club: Electrocardiographic differentiation of early repolarization from subtle anterior ST-segment elevation myocardial infarction

Aug 8, 20215-Minute Journal, Cardiology, EKG

Author: Dr. Hans Murcia Background: Early repolarization, also known as J-point elevation, may present with ST segment elevations similar to STEMI on ECG. Given the risks and expense of activating the Cath lab for every patient with ST elevation, it is important to recognize true STEMI from early repolarization. Study Question: How can we use…

5-Minute Journal Club: Association of Intravenous Radiocontrast With Kidney Function: A Regression Discontinuity Analysis

Jul 18, 20215-Minute Journal, Radiology, Renal

Post Author: Dr. Earl C. Williams, Jr. Citation: Goulden R, Rowe BH, Abrahamowicz M, Strumpf E, Tamblyn R. Association of Intravenous Radiocontrast With Kidney Function: A Regression Discontinuity Analysis. JAMA Intern Med. 2021 Jun 1;181(6):767-774. doi: 10.1001/jamainternmed.2021.0916. PMID: 33818606; PMCID: PMC8022267. Background Radiocontrast has long been thought of as nephrotoxic; however, a number of…

5 Minute Journal Club: Emergency Department Corticosteroid Use for Allergy or Anaphylaxis Is Not Associated With Decreased Relapses

Jun 25, 20215-Minute Journal

Author: Dr. Earl C. Williams, Jr. Article: Grunau BE, Wiens MO, Rowe BH, McKay R, Li J, Yi TW, Stenstrom R, Schellenberg RR, Grafstein E, Scheuermeyer FX. Emergency Department Corticosteroid Use for Allergy or Anaphylaxis Is Not Associated With Decreased Relapses. Ann Emerg Med. 2015 Oct;66(4):381-9. doi: 10.1016/j.annemergmed.2015.03.003. Epub 2015 Mar 25. PMID: 25820033. Background…

5 Minute Journal Club: To Pedialyte or not to Pedialyte?

Jun 19, 20215-Minute Journal, Pediatrics

Author: Dr. Jeanette Lorme, PGY-1 To Pedialyte or not to Pedialyte? Background: ○ In the Emergency Department, we see pediatric patients with vomiting and diarrhea frequently. We need to be able to give parents guidance about how to best combat dehydration and hopefully prevent any future pokes for IV hydration or potential hospitalization down the road.…

5-Minute Journal Club: Early head-to-pelvis computed tomography in out-of-hospital circulatory arrest without obvious etiology

May 20, 20215-Minute Journal, Resuscitation

Author: Joshua Ruff, MD – PGY2 Go ahead, scan them head to toe. Background The CT scanner: aka ‘donut of truth’ aka ‘answer box’ The stigma of over-scanning is real We are taught to be thoughtful and judicious with diagnostics CT scans are expensive, resource heavy Risks: contrast nephropathy, radiation exposure, etc. The EM physician:…

HALT IT trial: TXA for GI bleeds?… In a Rush

Apr 22, 20215-Minute Journal, Gastroenterology

Author: Dr. Harrison Pidgeon Background: TXA, or tranexamic acid, has been used for everything from traumatic hemorrhage and post-partum bleeding to post tonsillectomy bleeding and angioedema. But what about for GI bleeding? TXA can bind to a lysine binding site on plasminogen which can stabilize and prevent break down of clots. So this should, in…

5 Minute Journal: Wait-and-see Prescription for the Treatment of Acute Otitis Media: A Randomized Controlled Trial

Apr 15, 20215-Minute Journal, Pediatrics

Author: Dr. Dainis Berzins An overview of the journal article titled Wait-and-See Prescription for the Treatment of Acute Otitis Media, a Randomized Controlled Trial (JAMA, Sept. 13, 2006) While practicing medicine today we are constantly reminded of the importance of antibiotic stewardship while simultaneously feeling the pressure from our patients (and their parents) to unnecessarily…