JC – October 19, 2016

Date: October 19, 2016

Host: Dr. Kelly


  1. Zanuttini D, Armellini I, Nucifora G. Predictive value of electrocardiogram in diagnosing acute coronary artery lesions among patients with out-of-hospital-cardiac-arrest. Resuscitation. 84(9):1250-4. 2013.

    Junior: Leigh Sadler
    Senior: Tristan Jones
    Staff: Dr. Goulding

    Bottom Line: Given the retrospective nature, it is difficult to advocate for immediate cath lab activation without clear ST elevation on ECG. However, the group has agreed to always discuss the role of potential immediate cath versus a delayed cath stategy with the on-call cardiologist.

  2. Utter GH, Dhillon TS, Salcedo ES. Therapeutic Anticoagulation for Isolated Calf Deep Vein Thrombosis. JAMA surgery. 151(9):e161770. 2016.

    Junior: Donovan MacDonald
    Senior: Chris Lipp
    Staff: Dr. Rainier-Pope

    Bottom Line: The major flaw found with this retrospective study was the use of anti-coagulation in the control group (57%!!!). There are clear, systematic differences between the two groups. The group does not feel this population reflects our patient population. In other words… garbage in = garbage out.

  3. Stub D, Smith K, Bernard S. Air Versus Oxygen in ST-Segment-Elevation Myocardial Infarction. Circulation. 131(24):2143-50. 2015.

    Junior: Julia Hassler
    Senior: Adam Thomas
    Staff: Dr. Webber

    Bottom Line: Given the inability of this trial to meet predetermined endpoints and enrolment, the group will wait for the Swedish trial to come to an answer. However, local practice is overwhelmingly to titrate to normoxia.

  4. Ferguson I, Bell A, Treston G, New L, Ding M, Holdgate A. Propofol or Ketofol for Procedural Sedation and Analgesia in Emergency Medicine-The POKER Study: A Randomized Double-Blind Clinical Trial. Annals of emergency medicine. 2016. [pubmed]

    Junior: n/a
    Senior: n/a
    Staff: n/a

    Bottom Line: No new evidence added, the group does not feel that there is any evidence to change practice.

** The bottom lines recorded here are a synthesis of the discussion at our local journal club and are not intended to be construed as clinical advice.