Journal Club

Review of the Basics of Cognitive Error in Emergency Medicine and Updates: Still No Easy
Answers by Hartigan et al, 2020.

• Despite research, Cognitive Error remains a source of frustration
• Rapid decision making in the ED relies on a combination of intuition and analytic reasoning, both based on experience and training.
• Reviews studies on Cognitive Error interventions and assesses applicability in ED. Not much statistical data to support that these interventions translate into productive changes in clinical practice, but studies are limited and further research is needed.

Contrast-Associated Acute Kidney Injury by Mehran et al, 2019.

• Proposes change of nomenclature from “Contrast-Induced” AKI to “Contrast-Associated” AKI
• Historical significance of Contrast-Associated Acute Kidney Injury may be overstated
• Reviewed historical interventions for preventing CAAKI
• Recommend fluids and follow-up for patients at high risk of renal injury (those with known renal dysfunction)

Deaths in ED and 72 Hour Returns

• Excellent work last month, Team.
• Reviewed palliative care in ED, post-traumatic growth, and toolkits for dealing with trauma.
• https://www.psychologytoday.com/us/basics/post-traumatic-growth
• https://healthcaretoolbox.org/self-care-for-providers.html

Morbidity and Mortality Case

• Unexpected decompensation in ED with subsequent PEA arrest
• Reviewed traditional ACLS algorithm as well as updated literature discussing potential for treating PEA based on its morphology (i.e., wide complex vs narrow complex)