Ultra sensitive troponin, the HOUR rule, and Double Sequential Defibrillation: The Drexel EM Journal Club for March

First, a heartfelt shout-out to Drexel EM3 Dr. Alin Gragossian and her wonderful new blog. We cherish this wonderful friend and colleague and we miss her each and every day. Can’t wait for her to be back by our side (as she soon will be) dealing with our challenging EM cases! Her journey from the brink and back again is unique and inspiring – and she is an excellent writer. Get back here soon, Alin!!!

Subscribe to updates and check it out here: a change of heart

Our March Journal Club looks at three articles of interest:

Ultrarapid Rule-out for Acute Myocardial Infarction Using the Generation 5 Cardiac Troponin T Assay: Results From the REACTION-US Study.
Hospital Observation Upon Reversal (HOUR) With Naloxone: A Prospective Clinical Prediction Rule Validation Study.
Double sequential external defibrillation for refractory ventricular fibrillation out-of-hospital cardiac arrest: A systematic review and meta-analysis.

Reading these three articles will help you with the clinical challenges we are tackling this month: Will the new ultra sensitive troponin change your practice? When can an opioid overdose reversed with naloxone can go home? How do you treat refractory ventricular fibrillation – can double sequential defibrillation make a difference? Listen in here to find out what we think – and see you at Journal Club!

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