April 2013 - Antibiotics in Acute Sinusitis
March 2013 - Impact of LEAN principles in the Emergency Department
February 2013- Utility of Bedside ECHO in Predicting Cardiac Arrest Outcomes
January 2013 - Succinylcholine Versus Rocuronium for RSI in the Emergency Department
November 2012 - Synovial Lactate and the Diagnosis of Septic Arthritis
October 2012 - Airway Management Techniques for Out of Hospital Cardiac Arrest
Sept 2012 - Supplemental Oxygen in the Management of Acute Myocardial Infarction
August 2012 - Risk of Delayed Intracranial Hemorrhage in Anticoagulated Patients Suffering Traumatic Head Injury
July 2012 - The Prognostic Accuracy of FAST Examin Hemodynamically Stable Blunt Trauma
May 2012 - Diagnostic Accuracy of CT for Subarachnoid Hemorrhage
April 2012 - ED Cardioversion for New Onset A-Fib
March 2012 - Civilian Trauma Hemorrhage Permissive Hypotension Predefined
November 2011 - Evidence Based Diagnosis of Spinal Epidural Abscess
October 2011 - Predicting Post-Contrast Nephropathy
September 2011 - Optimizing Outcomes of Potentially
August 2011 - Reducing PE Protocol CT ordering rates in the ED
July 2011 - Compression Only CPR is Appropriate for Bystander-Witnessed Adult Cardiac Arrest
June 2011 - Communicating Scientific Data to Heterogeneous Patient Populations - Health Numeracy
May 2011 - Kayexatate for Acute Hyper-Kalemia
April 2011 - Diagnosing Pulmonary Embolism
March 2011 - Cardiac Biomarkers and Acute Myocardial Infarction Troponin Beyond
February 2011 - Prognostic Risk Stratification Instruments for TIA
January 2011 - Diagnosing Ovarian Torsion
November 2010 - Diagnosing Diabetic Osteomyelitis in the Emergency Department
October 2010 - Optimizing Management of Sepsis in the ED
September 2010 - Bell's Palsy Medical Management - Antivirals, Steroids, Both or Neither?
August 2010 - Capnography to Augment ED Procedural Sedation
July 2010 - Thrombolysis for PE
May 2010 - Pre-hospital ECG for STEMI Cath Lab Activation
April 2010 - US vs. CT - Combined Approach for Pediatric Appendicitis Diagnosis
March 2010 - Etomidate RSI for Septic Patients in the ED
February 2010 - Absorbable vs. Non-absorbable Sutures for Traumatic Laceration
January 2010 - Advances in Hemodynamic Monitoring for Critically Ill Patients
November 2009 - Does BNP Augment Decompensated CHF ED Management?
August 2009 - Can D-Dimer Risk Stratify Potential Aortic Dissection Patients?
July 2009 - The Evidence Supports Thrombolytics & Stroke @ 4.5 Hours
May 2009 - Does Pre-hospital ALS Saves Lives in Trauma?
April 2009 - Steroids to Prevent Early Recurrence Following Migraine
March 2009 - Risk Stratification of Acute Upper GI Bleed Patients
February 2009 - Pre-hospital Termination of Life Support - New Decision Aids
January 2009 - ED Overcrowding - Measures & Interventions
The concept of Emergency Medicine Journal Club was first described by William Osler as a means for busy clinicians to maintain proficiency with ever evolving medical science. Today, over 5000 biomedical publications appear every day. Obviously, keeping current has not become any easier. Developing a skill set to find, appraise, and implement practice-changing advancements in the medical literature is fundamental to a successful residency.
On the third Thursday of every month, the Washington University Emergency Medicine attending physicians, faculty, residents, fellows, nurses and medical students meet at a local restaurant for journal club. During these three hour meetings the group, lead by the Journal Club Director, critically analyze recent literature using Evidence Based Medicine principles: patient preferences, clinician expertise, and scientific findings each weighted equally.
The Washington University Division of Emergency Medicine Journal Club has been published and presented at a variety of North American EM and non-EM academic programs. Residents receive a Journal Club Toolbox CD during their first days of residency. Each month's event is a focused question revolving around a single therapeutic, diagnostic, prognostic, or cost effectiveness topic. A vignette and search strategy are circulated electronically at least 3-weeks before the Journal Club evening along with critical appraisal forms derived from the User's Guide to the Medical Literature. After the Journal Club event, residents turn their completed appraisal form in for constructive feedback and additional instruction if concepts remain unclear. Faculty organize and administer this experience, not the residents.
As important as the intellectual considerations, however, are the social considerations. Journal Club provides an opportunity for residents and attendings physicians to interact in a relaxed setting away from the framework of medicine, patients, and academic rounds. Such interactions are well-catalyzed by good food and drink free of industry sponsorship.
Every December, the usual Journal Club is replaced by a well-attended and hotly contested faculty vs. resident trivia contest