Welcome to another episode of the Emergency Medicine Journal Club with Dr Justin Morgenstern. This month we cover a bunch of papers that look at a lot of topics and try to answer questions such as: Can I push Keppra safely? Does BP management in haemorrhagic stroke matter? How good is my intuition about PE diagnosis? Is it a good idea to keep geriatric patients in the ED overnight? (SPOILER: it is not), Does cryoprecipitate save lives in trauma? Should we X-ray children to diagnose constipation (SPOILER: We should not!). Are you being irradiated by the portable Xray machines in your ED? As alw ..read more

This is another lecture by the always amazing Dr Justin Morgenstern from the series of talks he delivered on his tour of Perth in September 2023. In this talk I challenged Justin to go on a very deep dive into the literature around the modern management of the massively bleeding trauma patient. What is the best way to resuscitate and replace all those blood products in these severely unwell people? This was a huge undertaking, Justin magaged to distill all the data into a talk that covers the science (scant as it may be) and the practical application of the numbers at the bedside (or roadside ..read more

Controversial title… courtesy of Dr Justin Morgenstern. In this podcast Justin tells me about the evidentiary basis for our modern obsession with clinical decision rules and tools. We discuss the reasons that these tools may seem like a great idea, the reality of practice and how we may be able to do better in the future. So if you have ever used a decision tool in the ED – Wells, Ottawa, PECARN, San Francisco, HEART…. or any other acronym you need to stop and have a listen to understand what these tools do, and do not achieve ..read more

This is a very special episode of the Broome Docs Podcast Journal Club with Dr Justin Morgenstern. Justin was invited to visit us in Western Australia as a guest lecturer for the W.G. Smith lecture series. So we decided to invite along a few of our favourite FOAMed friends to be a part of the festival of nerdiness and record a live version in front of the local crew. We were joined by: Dr James Rippey (@theSonoCave) , Dr Michelle Johnson (@eleytherius), Dr Tom Cassidy (@tgpcassidy ) and Dr Alexandra Rowell (Intensivist & liver fan girl). As always – the free PDFs are linked to the titles ..read more

Hi All, we are back with another instalment of the Journal Club with Justin Morgenstern. Big news this month is that Justin has just been invited to visit my home shop as the honorary WG Smith Fellow and deliver a series of EBM lectures to the local teams in Western Australia. So we are planning to take this show on th eraod and do some live sessions later in 2023. If you are in WA and would like to hear the nerdiness live then stay in touch and we will have updates. This episode covers herbs that may heal sepsis, drugs that probably don’t help in Covid, we ask: do steroids help in pneumonia ..read more

We are back with the long-windiest and borderline funny Emergency Medicine journal club to date. Justin and I are covering some big new trials, some old and unusual papers and a few that just might change your practice. As always the links to the papers are in the write up below and you definitely should read them rather than believe a couple of nerds amusing themselves upon the internet. Enjoy. Casey The CLOVERS trial: National Heart, Lung, and Blood Institute Prevention and Early Treatment of Acute Lung Injury Clinical Trials Network; Shapiro NI, Douglas IS, Brower RG, et al. Early Restricti ..read more

We are back with another episode of the BroomeDocs and First10EM podcast. In this episode we try to answer some of the big questions in Emergency Medicine, we also answer a few that you probably would never have thought to ask! Like… How much electricity should we use in refractory VF? Should we suck clots out of legs? Should you put Tegaderm on eyeballs? Is the HEART score valid? Are any clinical decision tools really what we think? What happens if you discharge patients with low troponin rise? Should you evert the edges of the wounds? Can we send kids home with abnormal vital signs? Does ki ..read more

Ketamine vs etomidate in ICU intubation? Matchett G, Gasanova I, Riccio CA, Nasir D, Sunna MC, Bravenec BJ, Azizad O, Farrell B, Minhajuddin A, Stewart JW, Liang LW, Moon TS, Fox PE, Ebeling CG, Smith MN, Trousdale D, Ogunnaike BO; EvK Clinical Trial Collaborators. Etomidate versus ketamine for emergency endotracheal intubation: a randomized clinical trial. Intensive Care Med. 2022 Jan;48(1):78-91. doi: 10.1007/s00134-021-06577-x. Epub 2021 Dec 14. PMID: 34904190 Not surprisingly, this paper has been covered by basically everyone who talks about research, so if you want to hear some other opin ..read more

Welcome to another episode of the Journal Club with Dr Justin Morgenstern. This one is a bit epic and we start with a really important discussion around diagnostic strategies for palliative patients in the ED. There are a bunch of papers around PE and some interesting old school stuff that you likely would never consider unless you read it here! As always the articles are linked to free PDFs so you can make your own decisions. Vitamin C in sepsis: STOP IT, we do not LOVE IT Lamontagne F, Masse MH, Menard J, et al; LOVIT Investigators and the Canadian Critical Care Trials Group. Intravenous Vit ..read more

Hey all. This week I am making a guest appearance on the excellent ABCS of Anaesthesia podcast with Dr Lahiru Amaratunge. Specifically we are discussing the way that we can approach Obstetric Anaesthesia in rural hospitals. We discuss how we can manage risk, a lot about our paranoia and pessimism when it comes to higher risk Obstetric scenarios. It is a great topic that illustrates the way that GPAs need to balance the medical, social and logistical considerations in discussion with our team and our patients. It is a niche area, but worth a listen if this is something that you might like to c ..read more