Weekly Content

See Journal Club Content below for reading requirements this week

• This week’s grand rounds will be an off site journal club. JOURNAL CLUB WILL BE HELD FROM 1100-1500. The only exemptions for journal club absence would be if you are on an out-of-town rotation, working nights, or are on leave. You will be able to leave early if you are on evening shift at 1500.
• You are encouraged to participate in mentor family wellness activities after journal club.
  • Journal Club and lunch will be hosted by GSEP Emergency Physicians at their San Antonio Office
    • Time: 1100-1500
    • UOD: Civies
    • Location: 4334 N Loop 1604 E, San Antonio, TX 78257 (BCMS New Office)

Journal Club Goals and Expectations

• Find your group below and the assigned material to review.
• Everyone will read one paper, and each group will then read one paper unique to their own groups. We will then have a large group discussion covering the paper assigned to everyone, and then go through our standard presentation for the papers assigned to individual groups. The theme will be meta analyses. Remember the goal of journal club is to teach critical appraisal, not just review cutting edge research.
• Projected Schedule:
  • 1100-1230: Small group discussion
  • 1230-1300: Lunch and GSEP Discussion (lunch will be provided)
  • 1300-1430: Large Group Discussion
• PGY Level Assignment/Goals
  • EM1: Big overview of the paper, and if applicable epidemiology/definitions/diagnosis/workup and PICO (if original study)
    • PICO Refresher
  • EM2: Key takeaways, what to focus on, and if applicable recommendations/treatments
  • EM3: How is this going to change your practice?
• Set Discussion Questions
  • 1) Where did the data for this meta analysis come from/what is the quality of evidence?
  • 2) Are there any strengths or limitations to how the data was compiled?
  • 3) Are there any strengths or limitations to how this study is designed?

Group Assignments: Mentor Families

All to Read: Prehospital Whole Blood in Traumatic Hemorrhage — a Randomized Controlled Trial

Group 1 (Gryffindor): Tranexamic Acid for Traumatic Injury in the Emergency Setting: A Systematic Review and Bias-Adjusted Meta-Analysis of Randomized Controlled Trials

Group 2 (Slytherin): Procedural sedation in emergency departments: Efficacy and adverse outcomes from a systematic review and meta-analysis

Group 3 (Hufflepuff): An updated review and meta-analysis of screening tools for stroke in the emergency room and prehospital setting

Group 4 (Ravenclaw): Effectiveness and Safety of Pharmacologic Therapies for Migraine in the Emergency Department: A Systematic Review and Bayesian Network Meta-analysis