Interventional therapy for acute ischemic stroke: the evidence

A summary of the evidence for endovascular therapy in stroke

In part 2 of our EM Cases Journal Jam, we explored the literature looking at endovascular therapy for acute ischemic stroke. (Part 1 on the evidence for thrombolytics can be found here.) The studies of interventional therapy for stroke tend to get broken down into the early (negative) studies and the later (positive) studies. For consistency, I’ll use the same break down. Continue reading “Interventional therapy for acute ischemic stroke: the evidence”

Articles of the month (June 2017 – #dasSMACC edition)

This month’s articles are a little special. Usually, I pick out the articles that catch my eye, but it’s easy to imagine that my biases filter out a lot of interesting medical literature. As there were a number of experts descending on Berlin this month for SMACC, Casey Parker and I invited a few people to suggest a paper and discuss it with us over a beer for our podcast. The conversation was great, and can be found here. These are the articles that were picked:

Continue reading “Articles of the month (June 2017 – #dasSMACC edition)”

Embracing Science: #dasSMACC Hardcore EM handout

A handout for the EBM portion of the Hardcore EM seminar at #dasSMACC

Continue reading “Embracing Science: #dasSMACC Hardcore EM handout”

Articles of the month (May 2017)

I took another month off, but the blog and accompanying podcast are back with what I think is an interesting collection of articles… Continue reading “Articles of the month (May 2017)”

Quick PESIT update

By now, everyone has (unfortunately) heard about the PESIT trial. Given the many commentaries in the FOAM community, we are all familiar with the many reasons that the widely quoted 1 in 6 figure probably does not apply to our patients. If you need a reminder, I summarize the paper as part of this post, or you can read a more elegant post by Rory Spiegel here. For me, the biggest issue was that PESIT never passed the sniff test. We see a ton of syncope patients. There are massive syncope databases. And nowhere have we seen massive numbers of patients returning with PE.

A research letter was just published yesterday in JAMA that gives us another take on the issue: Continue reading “Quick PESIT update”

Ultrasound for pediatric forearm fractures (SGEM HOP)

The most recent episode of the SGEM hot of the press series came out today. The article we reviewed was looking at the utility of point of care ultrasound in pediatric forearm fractures:

Poonai N, Myslik F, Joubert G et al. Point-of-care Ultrasound for Nonangulated Distal Forearm Fractures in Children: Test Performance Characteristics and Patient-centered Outcomes. Acad Emerg Med. 2017. Continue reading “Ultrasound for pediatric forearm fractures (SGEM HOP)”

Articles of the Month (March 2017)

A monthly collection of interesting emergency medicine articles appraised to keep your practice informed.

I decided to take a break last month, for the first time in a few years. I imagine some people were hoping I would take I much more extended vacation, but I am sorry to say, you are stuck with me. I might be a little rusty, though, after a month off, so cut me some slack…

As always, the audio version is available on the BroomeDocs podcast (if you can tolerate very poor quality banter that Casey and I produce).
Continue reading “Articles of the Month (March 2017)”