Week 8 – Journal Club

Journal club will be held at Amanda’s house!

8507 Kallison arbor
San Antonio, TX 78254

The theme for this quarter’s journal club will be to focus on the process of critical research appraisal. We have chosen both good and bad articles and the goal in discussion will be to determine and discuss which articles fall in which category and why.

The schedule will roughly be as follows:
1700-1730: Meet/greet/food
1730-1830: Small group discussion and breakout
1830 until done: Large group discussion
Mentor family time after large group discussion

Roles for reviewing the articles will largely stay the same:
EM1: Big overview of the paper, PICO (if original study)
EM2: Comparison/dissection of methodology & implications for accepting conclusions
EM3: Key takeaways, applicable recommendations/treatments, how is this going to change your
practice?

We will split into four pre-determined groups. See groups here. Please come prepared having read the articles assigned to your group. While not required, you are encouraged to skim the articles in the other groups. This will likely make the large group discussion of what determines high quality research more high yield. Additionally the articles in Group 3/4 have optional supplemental materials found here if you would like additional context!

Remember Journal Club counts towards Grand Rounds attendance!

GROUP 1
Compare chart review methods

1. Comparison of nonoperative versus operative management in pediatric gustilo-anderson type I open tibia fractures.
2. Stercoral Colitis in the Emergency Department: A Retrospective Review of Presentation, Management, and Outcomes.

GROUP 2
Different conclusions on thrombolytics in OHCA

1. Thrombolysis during resuscitation for out-of-hospital cardiac
   arrest.
2. Pulseless electrical activity in pulmonary embolism treated with thrombolysis (from the “PEAPETT” study).

GROUP 3
Validation of decision-making instruments Multi-center validation of BIG

1. Validating the Brain Injury Guidelines: Results of an American Association for the Surgery of Trauma prospective multi-institutional trial.

2. A multicenter validation of the modified brain injury guidelines: Are they
   safe and effective?

GROUP 4
Limitations of post hoc data analysis

1. Confirming the Clinical Safety and Feasibility of a Bundled Methodology to Improve Cardiopulmonary Resuscitation Involving a Head-
   Up/Torso-Up Chest Compression Technique.
2. Head and thorax elevation during cardiopulmonary resuscitation using circulatory adjuncts is associated with improved survival.