Journal Club

Monthly on the first Wednesday from 1700-1800 on Microsoft Teams, here.

The Prehospital Journal Club for Evidence-Based Practices started out from my experiences in research where it is commonplace for labs to meet monthly to discuss literature in the field of study. I wanted to translate that to the field of prehospital medicine and provide prehospital providers with the information necessary to ensure we consistently provide high-quality evidence-based care. We meet once a month on the first Wednesday from 1700-1800 addressing a wide variety of different topics in prehospital medicine.

Some notable topics we have discussed include prehospital blood administration, POCUS for cardiac arrest care and for differentiating CHF vs. COPD exacerbation, REBOA for non-extremity hemorrhage, the debate between supraglottic airways vs. endotracheal intubation, as well as a whole host of other new innovative ideas being studied in the prehospital field.

The structure of Journal Club consists of community-guided suggestions for what topic/research study we look at followed by an hour-long interactive lecture where I break down the study, or studies in some cases, to help make the difficult jargon of research papers more digestible. These lectures tend to include plenty of discussion, debate, and reflection with the goal of guiding prehospital practices in the right direction. If any of that sounds interesting to you, stop by and attend!

Monthly on the first Wednesday from 1700-1800 on Microsoft Teams, here.

Literature and Recent Topics

1. Prehospital Whole Blood in an Urban Setting

https://journals.lww.com/jtrauma/abstract/2024/05000/faster_refill_in_an_urban_emergency_medical.3.aspx

2. POCUS for Acute Heart Failure

https://onlinelibrary.wiley.com/doi/10.1111/acem.14811

3. Systematic Review of HTS in Traumatic Brain Injuries

https://eurjmedres.biomedcentral.com/articles/10.1186/s40001-022-00897-4

4. Early Restrictive or Liberal Fluid Management for Sepsis-Induced Hypotension

https://www.nejm.org/doi/full/10.1056/NEJMoa2212663

5. Balanced Crystalloids Versus Saline in Critically Ill Adults

https://evidence.nejm.org/doi/full/10.1056/EVIDoa2100010

6. The Role of Point-of-Care Ultrasound in Prehospital Cardiac Arrest

https://www.jems.com/patient-care/prehospital-use-of-point-of-care-ultrasound-in-cardiac-arrest/

https://theultrasoundjournal.springeropen.com/articles/10.1186/s13089-023-00346-1

7. Prehospital Partial Resuscitative Endovascular Balloon Occlusion of the Aorta for Exsanguinating Subdiaphragmatic Hemorrhage

https://jamanetwork.com/journals/jamasurgery/fullarticle/2821021

8. Effect of a Strategy of Initial Laryngeal Tube Insertion vs. Endotracheal Intubation on 72-Hour Survival in Adults with Out-of-Hospital Cardiac Arrest

https://jamanetwork.com/journals/jama/fullarticle/2698491