Journal club is held monthly.

Registrars and consultants will present selected articles for discussion.

The tools provided are a suggested guide to study analysis.

Contact Dr Peter Ritchie, the journal club consultant, at

latest articles

all articles

After the party: a journal club case

February 14, 2017

Thanks Dr Peter Ritchie for forwarding this article about an interesting case.     Key points: Rarer diagnoses are often encountered in daily ED practice hidden amongst common symptoms attention to details that do not fit usual patterns (eg. in this case abnormal renal function that was not accountable by dehydration,… Read more

AMA position statement: Euthanasia

December 7, 2016

Euthanasia and physician assisted suicide is a recurring topic of public discourse. The Australian Medical Association (AMA) has released their position statement which highlights: prioritisation of good quality end of life care ensuring that co-morbid conditions that may impact on a patient’s desire for euthanasia have been adequately and optimally… Read more

Antiemetics in the ED

October 2, 2016

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Article of the week: EM Lessons from ‘The Princess Bride’ – Dr Amal Mattu

March 15, 2016

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Blood pressure control in intracerebral haemorrhage

July 24, 2016

Key points: well powered, international multi-centre randomised control, non-blinded trial primary hypothesis was that intensive blood pressure control with haemorrhagic stroke (SBP <140mmHg) would improve outcomes with regards to death and disability compared to standard BP targets (SBP <180mmHg) trial ended early due to futility (no statistical difference found) possible… Read more

How to: Journal Club – Prof Kelly

February 25, 2020

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Independent Literature Review on Thrombolysis For Stroke – ACEM Executive Summary

March 25, 2016

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Journal club – Atrial fibrillation and Patient Literacy

April 4, 2020

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Journal club: Early Goal Directed Therapy and meta-analysis

July 11, 2017

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Journal club: SAH and systematic reviews

July 13, 2018

Thanks to Dr Szechi Freidanck for her presentation.     Take home points: The quality of a systematic review is determined by the relative quality of the included and excluded studies. The AMSTAR tool is a way to assess the methodological rigor of the systematic review A Likelihood ratio of… Read more

Roc vs Sux

May 26, 2020

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Sepsis, new-onset AF and restored sinus rhythm – prognostic impact

January 25, 2017

  Key points: single centre, retrospective cohort study 503 patients with sepsis – (263 without new onset AF; 240 with new onset AF) sinus rhythm restored in 165 of 240; mix of amiodarone / beta-blockers / calcium channel blocker / digoxin / DCR mortality of new onset AF group highest… Read more

Thinking about research episode 1

April 5, 2018

Thanks to Prof Anne-Maree Kelly – we reviewed these articles this week: Take home points: critically unwell patients in whom desaturation was particularly critical were not included not statistically powered to detected clinically significant desaturations apnoeic oxygenation has minimal harm – and its introduction likely has had intangible effects on… Read more

Thrombolysis in PEA arrest and PE

January 26, 2017

  Thanks Elliott Adamson for this presentation about the PEAPETT study. Key points: Suggests that thrombolysis with tPA in PEA arrest with confirmed PE has benefit Logically contrasts with other studies of thrombolysis in PEA arrest (all causes) which does not appear to show particular benefit Despite minimal proven benefit… Read more

Searching the literature

Use the PICO model (population, intervention, comparison, outcome) to frame and crystallise your search question, or, consider whether the paper you are reading has established a clear and specific clinical question.

Appraisal tools

The following worksheets were developed by the Centre for Evidence Based Medicine to assist with the appraisal of research studies.

Systematic review worksheet

Prognostic test worksheet

Diagnostic test worksheet

Randomised controlled trial worksheet


The University of South Australia’s International Centre for Allied Health Excellence also has a comprehensive collection of critical appraisal tools.

Crunching the numbers

Use online calculators to calculate and interrogate the statistics presented