Syncope, BVM in RSI, and post ROSC Cath Lab activation! Find out more by listening to our Drexel EM Journal Club for April 2019

Welcome to April Journal Club! Today we tackle the question of observing patients in the ED on a monitor after a syncopal episode, BVM ventilation and intubation, and whether to activate the cath lab immediately after ROSC. These issues represent dilemmas we face everyday in the ED and these articles help shed light on practice.

Duration of Electrocardiographic Monitoring of Emergency Department Patients With Syncope

Bag-Mask Ventilation during Tracheal Intubation of Critically Ill Adults

we also talk mention this article from 1970

Rapid induction-intubation for prevention of gastric-content aspiration. Which you can find free here

and finally

Coronary Angiography after Cardiac Arrest without ST-Segment Elevation

Hope you enjoy the podcast – and DON’T THROW OUT THE PEEP VALVE WHEN YOU OPEN A BVM KIT – USE IT!!!!


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!

Decision Science Rounds: Can we predict early deterioration in hospitalized patients?

In this podcast, I am joined by Ryan Arnold M.D. and Muga Capan Ph.D. who are directing our newly formed Center for Healthcare Analytics and Decision Science. They put together a graduate student team of Andrew Armstrong, Devanshi Dholakia, Karen Nwal, Karan Gandhi, Mallika Mhapankar, Matthew Shaw, Mihir Chheda, Parth Girme, Sharath Chandra, Zoya Khalife to analyze the hospital rapid response database created by EM Resident Mark Ramzy MD. Their goal was to use decision science tools to try to determine if there was a pattern that predicted early v late rapid response in patients admitted through the ED. The hope was that characteristics, identifiable in the ED, could predict who would deteriorate early. There was a pattern – but not what you’d expect! Listen in to find out more!

Screen Shot 2018-12-12 at 5.05.46 PM.pngListen here to the Podcast

Screen Shot 2018-12-12 at 5.23.55 PM.png

Drexel Business Dragons working with Drexel Medical Dragons!

November Journal Club for Drexel EM: Appy’s, Oxygen, and CT for Seizures


Reading the literature is not just a part of residency training – it’s an important habit of EM physicians who have an evidence based practice!

Here’s the articles we are reviewing!

Five-Year Follow-up of Antibiotic Therapy for Uncomplicated Acute Appendicitis in the APPAC Randomized Clinical Trial

Is every appendicitis case a surgical emergency – maybe not!

Mortality and morbidity in acutely ill adults treated with liberal versus conservative oxygen therapy (IOTA): a systematic review and meta-analysis 

Oxygen – too little is not so good. What about too much? Well that’s another matter…

Emergency department neuroimaging for epileptic seizures This article looks at whether imaging is really required in patients who have a seizure with a known history of epilepsy and no other concerns really need a head CT

Enjoy – thanks for listening as always and see you at the boathouse!

Find the podcast here:

Podcast for November Journal Club Drexel EM




Epinephrine, agitation, and pediatric DKA – important articles for August Journal Club

Clinical Trial of Fluid Infusion Rates for Pediatric Diabetic Ketoacidosis

Years in the making, this study finally establishes that a rapid resuscitation approach to pediatric DKA is appropriate and is not responsible for cerebral edema.

Intramuscular Midazolam, Olanzapine, Ziprasidone, or Haloperidol for Treating Acute Agitation in the Emergency Department

Single agents for acute agitation – is one better than the other?

A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest

Epinephrine saves lives, but at what cost?

Enjoy the podcast below: