Journal Club

Annals of Emergency Medicine Journal Club is a bi-monthly feature that seeks to improve the critical appraisal skills of emergency physicians and other interested readers through a guided critique of actual Annals of Emergency Medicine articles. The questions appear along with the article on which they comment. Answers are published in print 5 months later. U.S. residency directors have immediate access to the answers through the Council of Emergency Medicine Residency Directors Share Point Web site. International residency directors can gain access to the answers by going to http://www.emergencymedicine.ucla.edu/annalsjc/ and following the directions. We are interested in receiving feedback about this feature. Please e-mail your comments to journalclub@acep.org.

September 2010

Article
  • Journal Club questions Randomized Controlled Trial of Trimethoprim-Sulfamethoxazole for Uncomplicated Skin Abscesses in Patients at Risk for Community-Associated Methicillin-Resistant Staphylococcus aureus Infection
    September 2010 (Vol. 56 | No. 3 | Pages 283-287)

    Gillian R. Schmitz, David Bruner, Rebecca Pitotti, Cameron Olderog, Timothy Livengood, Justin Williams, Kermit Huebner, Jeffrey Lightfoot, Brandon Ritz, Christopher Bates, Matthew Schmitz, Mihriye Mete, Gregory Deye

Questions
  • Journal Club questions Does “Not Different” Equal “The Same”?
    September 2010 (Vol. 56 | No. 3 | Pages 303-304)

    Nadia Huancahuari, David L. Schriger

Answers
These will appear in the February 2011 issue

July 2010

Article
  • Journal Club questions The Diagnostic Accuracy of Plasma Neutrophil Gelatinase–Associated Lipocalin in the Prediction of Acute Kidney Injury in Emergency Department Patients With Suspected Sepsis
    July 2010 (Vol. 56 | No. 1 | Pages 52-59.e1)

    Nathan I. Shapiro, Stephen Trzeciak, Judd E. Hollander, Robert Birkhahn, Ronny Otero, Tiffany M. Osborn, Eugene Moretti, H. Bryant Nguyen, Kyle Gunnerson, David Milzman, David F. Gaieski, Munish Goyal, Charles B. Cairns, Kenneth Kupfer, Seok-Won Lee, Emanuel P. Rivers

Questions
  • Novel Biomarkers: Help or Hindrance to Patient Care in the Emergency Department?
    July 2010 (Vol. 56 | No. 1 | Pages 60-61)

    Wesley H. Self, Tyler W. Barrett

Answers
These will appear in the December 2010 issue

May 2010

Article
  • Journal club Pregnancy Testing in Women of Reproductive Age in US Emergency Departments, 2002 to 2006: Assessment of a National Quality Measure
    May 2010 (Vol. 55 | No. 5 | Pages 449-457.e2)

    Jeremiah D. Schuur, Sarah A. Tibbetts, Jesse M. Pines

Questions
  • Journal Club: The NHAMCS Database, Chart Review Methods, and More on Regression Modeling
    May 2010 (Vol. 55 | No. 5 | Pages 458-459)

    Richelle J. Cooper

Answers
These will appear in the October 2010 issue

March 2010

Article
  • Journal Club questions Emergency Medical Services Intervals and Survival in Trauma: Assessment of the “Golden Hour” in a North American Prospective Cohort
    March 2010 (Vol. 55 | No. 3 | Pages 235-246.e4)

    Craig D. Newgard, Robert H. Schmicker, Jerris R. Hedges, John P. Trickett, Daniel P. Davis, Eileen M. Bulger, Tom P. Aufderheide, Joseph P. Minei, J. Steven Hata, K. Dean Gubler, Todd B. Brown, Jean-Denis Yelle, Berit Bardarson, Graham Nichol, Resuscitation Outcomes Consortium Investigators

Questions
  • Journal Club: Is the Golden Hour Tarnished? Registries and Multivariable Regression
    March 2010 (Vol. 55 | No. 3 | Pages 247-248)

    Tyler W. Barrett, Jeremy J. Brywczynski, David L. Schriger

Answers
  • Journal Club questions Is the Golden Hour Tarnished? Registries and Multivariable Regression: Answers to the March 2010 Journal Club Questions
    August 2010 (Vol. 56 | No. 2 | Pages 188-200)

    Tyler W. Barrett, Jeremy J. Brywczynski, David L. Schriger

January 2010

Article
  • Continuing Medical EducationJournal Club questions Diagnostic Accuracy of Noncontrast Computed Tomography for Appendicitis in Adults: A Systematic Review
    January 2010 (Vol. 55 | No. 1 | Pages 51-59.e1)

    Veronica Hlibczuk, Judith A. Dattaro, Zhezhen Jin, Louise Falzon, Michael D. Brown

Questions
  • Journal Club: The Conduct and Reporting of Meta-Analyses of Studies of Diagnostic Tests, and a Consideration of ROC Curves
    January 2010 (Vol. 55 | No. 1 | Pages 60-61)

    David L. Schriger, Teri A. Reynolds

Answers
  • Journal Club questions The Conduct and Reporting of Meta-Analyses of Studies of Diagnostic Tests, and a Consideration of ROC Curves: Answers to the January 2010 Journal Club Questions
    June 2010 (Vol. 55 | No. 6 | Pages 570-577)

    Teri A. Reynolds, David L. Schriger

November 2009

Article
  • Journal Club questions The Out-of-Hospital Validation of the Canadian C-Spine Rule by Paramedics
    November 2009 (Vol. 54 | No. 5 | Pages 663-671.e1)

    Christian Vaillancourt, Ian G. Stiell, Tammy Beaudoin, Justin Maloney, Andrew R. Anton, Paul Bradford, Ed Cain, Andrew Travers, Matt Stempien, Martin Lees, Doug Munkley, Erica Battram, Jane Banek, George A. Wells

Questions
  • Journal Club: Clinical Prediction Rules
    November 2009 (Vol. 54 | No. 5 | Pages 672-673)

    Tyler W. Barrett, David L. Schriger

Answers
  • Journal club Clinical Prediction Rules: Answers to the November 2009 Journal Club
    April 2010 (Vol. 55 | No. 4 | Pages 380-389)

    Tyler W. Barrett, David L. Schriger

September 2009

Article
  • Journal Club questions Tamsulosin for Ureteral Stones in the Emergency Department: A Randomized, Controlled Trial
    September 2009 (Vol. 54 | No. 3 | Pages 432-439.e2)

    Robinson M. Ferre, Jessica N. Wasielewski, Tania D. Strout, Andrew D. Perron

Questions
  • Journal Club: Outcome Measures, Interim Analyses, and Bayesian Approaches to Randomized Trials
    September 2009 (Vol. 54 | No. 3 | Pages 440-441)

    Aaron M. Brown, Tyler W. Barrett

Answers
  • Journal Club questions Outcome Measures, Interim Analyses, and Bayesian Approaches to Randomized Trials: Answers to the September 2009 Journal Club Questions
    February 2010 (Vol. 55 | No. 2 | Pages 216-224.e1)

    Aaron M. Brown, David L. Schriger, Tyler W. Barrett

July 2009

Article
  • Journal Club questions Interrater Reliability and Accuracy of Clinicians and Trained Research Assistants Performing Prospective Data Collection in Emergency Department Patients With Potential Acute Coronary Syndrome
    July 2009 (Vol. 54 | No. 1 | Pages 1-7)

    Carlos O. Cruz, Emily B. Meshberg, Frances S. Shofer, Christine M. McCusker, Anna Marie Chang, Judd E. Hollander

Questions
  • Journal Club: The Measurement of Reliability
    July 2009 (Vol. 54 | No. 1 | Pages 9-11)

    Frank C. Day, David L. Schriger

Answers
  • Journal Club questions A Consideration of the Measurement and Reporting of Interrater Reliability: Answers to the July 2009 Journal Club Questions
    December 2009 (Vol. 54 | No. 6 | Pages 843-853)

    Frank C. Day, David L. Schriger

May 2009

Article
  • Journal Club questions Comparisons of High Versus Low Emergency Department Utilizers in Sickle Cell Disease
    May 2009 (Vol. 53 | No. 5 | Pages 587-593)

    Imoigele P. Aisiku, Wally R. Smith, Donna K. McClish, James L. Levenson, Lynne T. Penberthy, Susan D. Roseff, Viktor E. Bovbjerg, John D. Roberts

Questions
  • Journal Club: Frequent Fliers, Internal and External Validity, and the Problem With Making Continuous Variables Binary
    May 2009 (Vol. 53 | No. 5 | Pages 594-595)

    Sanjay Arora, David L. Schriger

Answers
  • Journal Club questions Frequent Fliers, Internal and External Validity, and Problems With Making Continuous Variables Binary: Answers to the May 2009 Journal Club Questions
    October 2009 (Vol. 54 | No. 4 | Pages 628-634)

    Sanjay Arora, David L. Schriger

March 2009

Article
  • Journal Club questions Clevidipine, an Intravenous Dihydropyridine Calcium Channel Blocker, Is Safe and Effective for the Treatment of Patients With Acute Severe Hypertension
    March 2009 (Vol. 53 | No. 3 | Pages 329-338)

    Charles V. Pollack, Joseph Varon, Norman A. Garrison, Ramin Ebrahimi, Lala Dunbar, W. Frank Peacock

Questions
  • Pollack CV, Varon J, Garrison NA, et al. Clevidipine, an Intravenous Dihydropyridine Calcium Channel Blocker, Is Safe and Effective for Treatment of Patients With Acute Severe Hypertension
    March 2009 (Vol. 53 | No. 3 | Pages 339-340)

    Tyler W. Barrett, David L. Schriger

Answers
  • Clevidipine, an Intravenous Dihydropyridine Calcium Channel Blocker, Is Safe and Effective for Treatment of Patients With Acute Severe Hypertension: Answers to the March 2009 Journal Club Questions
    August 2009 (Vol. 54 | No. 2 | Pages 301-307)

    Tyler W. Barrett, David L. Schriger

January 2009

Article
  • The National Report Card on the State of Emergency Medicine: Evaluating the Emergency Care Environment State by State 2009 Edition
    January 2009 (Vol. 53 | No. 1 | Pages 4-148)

    Stephen K. Epstein, Jonathan L. Burstein, Randall B. Case, Angela F. Gardner, Sanford H. Herman, Jon Mark Hirshon, John W. Jermyn, Mary Pat McKay, James C. Mitchiner, William P. Sullivan, Mary Jo Wagner, Susan Beer, Laura Tiberi, Craig Price, Ron Cunningham, Dean Wilkerson, Marilyn Bromley, Marjorie Geist, Laura Gore, Cynthia A. Singh, Gordon Wheeler, Stacy F. Gleason, Jennifer Decker, Valerie M. Gwinner, Renee H. Schwalberg

Questions
  • The National Report Card on the State of Emergency Medicine: Evaluating the Emergency Care Environment State by State 2009 Edition
    January 2009 (Vol. 53 | No. 1 | Pages 149-150)

    Benjamin S. Heavrin, Tyler W. Barrett, Tyler W. Barrett, David L. Schriger

Answers
  • Journal Club questions The National Report Card on the State of Emergency Medicine: Answers to the January 2009 Journal Club Questions
    June 2009 (Vol. 53 | No. 6 | Pages 828-834)

    Benjamin S. Heavrin, Tyler W. Barrett, David L. Schriger

November 2008

Article
  • Empiric Antibiotic Therapy for Sepsis Patients: Monotherapy With β-Lactam or β-Lactam Plus an Aminoglycoside?
    November 2008 (Vol. 52 | No. 5 | Pages 557-560)

    Richard Sinert, Leah Bright

Questions
  • Sinert R, Bright L. Empiric Antibiotic Therapy for Sepsis Patients: Monotherapy With β-Lactam or β-Lactam Plus an Aminoglycoside? Ann Emerg Med 2008;52:557-560; doi:10.1016/j.annemergmed.2007.12.013
    November 2008 (Vol. 52 | No. 5 | Pages 561-562)

    Teri A. Reynolds, David L. Schriger, Tyler W. Barrett

Answers
  • Journal Club questions Empiric Antibiotic Therapy for Sepsis Patients: Monotherapy With β-Lactam or β-Lactam Plus an Aminoglycoside? Answers to the November 2008 Journal Club Questions
    April 2009 (Vol. 53 | No. 4 | Pages 536-543)

    Teri A. Reynolds, Tyler W. Barrett, David L. Schriger

September 2008

Article
  • Journal Club questions Out-of-Hospital Continuous Positive Airway Pressure Ventilation Versus Usual Care in Acute Respiratory Failure: A Randomized Controlled Trial
    September 2008 (Vol. 52 | No. 3 | Pages 232-241.e1)

    James Thompson, David A. Petrie, Stacy Ackroyd-Stolarz, Darrell J. Bardua

Questions
  • Thompson J, Petrie DA, Ackroyd-Stolarz S, Bardua DJ Out-of-Hospital Continuous Positive Airway Pressure Ventilation Versus Usual Care in Acute Respiratory Failure: A Randomized Controlled Trial
    September 2008 (Vol. 52 | No. 3 | Pages 242-243)

    Jeffrey J. Brywczynski, Tyler W. Barrett, David L. Schriger

Answers
  • Journal Club questions Out-of-Hospital Continuous Positive Airway Pressure Ventilation Versus Usual Care in Acute Respiratory Failure: A Randomized Controlled Trial: Answers to the September 2008 Journal Club Questions
    February 2009 (Vol. 53 | No. 2 | Pages 272-283)

    Jeremy J. Brywczynski, Tyler W. Barrett, David L. Schriger

July 2008

Article
  • Journal Club questions Risk Prediction With Procalcitonin and Clinical Rules in Community-Acquired Pneumonia
    July 2008 (Vol. 52 | No. 1 | Pages 48-58.e2)

    David T. Huang, Lisa A. Weissfeld, John A. Kellum, Donald M. Yealy, Lan Kong, Michael Martino, Derek C. Angus, GenIMS Investigators

Questions
  • Huang DT, Weissfeld LA, Kellum JA, et al Risk Prediction With Procalcitonin and Clinical Rules in Community-Acquired Pneumonia
    July 2008 (Vol. 52 | No. 1 | Pages 59-60)

    Michael D. Menchine, Tyler W. Barrett, David L. Schriger

Answers
  • Journal Club Risk Prediction With Procalcitonin and Clinical Rules in Community-Acquired Pneumonia: Answers to the July 2008 Journal Club Questions
    December 2008 (Vol. 52 | No. 6 | Pages 754-763)

    Michael D. Menchine, David L. Schriger, Tyler W. Barrett

May 2008

Article
  • Journal Club questions Acutely Decompensated Heart Failure in a County Emergency Department: A Double-Blind Randomized Controlled Comparison of Nesiritide Versus Placebo Treatment
    May 2008 (Vol. 51 | No. 5 | Pages 571-578)

    Adam H. Miller, Shameem Nazeer, Paul Pepe, Barbi Estes, April Gorman, Clyde W. Yancy

Questions
  • Miller AH, Nazeer S, Pepe P, et al Acutely Decompensated Heart Failure in a County Emergency Department: A Double Blind Randomized Controlled Comparison of Nesiritide Versus Placebo Treatment
    May 2008 (Vol. 51 | No. 5 | Pages 580-582)

    Tyler W. Barrett, David L. Schriger

Answers
  • Acutely Decompensated Heart Failure in a County Emergency Department: A Double-Blind Randomized Controlled Comparison of Nesiritide Versus Placebo Treatment: Answers to May 2008 Journal Club Questions
    October 2008 (Vol. 52 | No. 4 | Pages 458-472)

    Tyler W. Barrett, David L. Schriger

March 2008

Article
  • Patient Acceptance of Rapid HIV Testing Practices in an Urban Emergency Department: Assessment of the 2006 CDC Recommendations for HIV Screening in Health Care Settings
    March 2008 (Vol. 51 | No. 3 | Pages 303-309.e1)

    Jason S. Haukoos, Emily Hopkins, Richard L. Byyny, Denver Emergency Department HIV Testing Study Group

Questions
  • Haukoos JS, Hopkins E, Byyny, RL, For the Denver Emergency Department HIV Testing Study Group Patient Acceptance of Rapid HIV Testing Practices in an Urban Emergency Department: Assessment of the 2006 CDC Recommendations for HIV Screening in Health Care Settings
    March 2008 (Vol. 51 | No. 3 | Pages 310-311)

    Tyler W. Barrett, David L. Schriger

Answers
  • Journal Club questions Practical Considerations in HIV Testing in the Emergency Department, Characteristics of Diagnostic Tests, and the Role of Sensitivity Analysis in Observational Studies: Answers to March 2008 Journal Club Questions
    August 2008 (Vol. 52 | No. 2 | Pages 170-181)

    Tyler W. Barrett, David L. Schriger

Sensitivity Analysis for March 2008

January 2008

Article
  • Emergency Department Crowding Is Associated With Poor Care for Patients With Severe Pain
    January 2008 (Vol. 51 | No. 1 | Pages 1-5)

    Jesse M. Pines, Judd E. Hollander

Questions
  • Pines JM, Hollander JE Emergency Department Crowding is Associated with Poor Care for Patients with Severe Pain
    January 2008 (Vol. 51 | No. 1 | Pages 6-7)

    Tyler W. Barrett, David L. Schriger

Answers
  • Measures of Emergency Department Crowding, Odds Ratios, and the Dangers of Making Continuous Data Categorical: Answers to January 2008 Journal Club Questions
    June 2008 (Vol. 51 | No. 6 | Pages 782-789)

    Tyler W. Barrett, David L. Schriger