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Dinali did a stellar job this month at Journal Club; not only was her talk thought-provoking and clinically relevant, but I learned more about the history of of our world’s 8th most abundant element than I would have ever thought possible.

This month’s JC was primarily about Davey and Teubner’s AEM paper on using Magnesium sulfate as an adjunct to “usual care” for rate control in atrial fibrillation (AEM Vol 45, No 4, April ‘05, p347-353). We also touched upon some data from an all-Greek study in the Int’l Journal of Cardiology on Mg alone vs diltiazem alone in A-fib (Chilidakis, IJC 79 2001 p287-291).

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This week’s New Yorker (our program’s most widely-read non-EM journal) has a fun article about Jones fractures and fifth metatarsal avulsions. Apparently, the latter are exceedingly common on Martha’s Vinyard in the summer. And there’s just one orthopedist on that island, to see all of them. There’s more below, but a more scholarly review of mifth metatarsal fractures and avulsions can be found at Wheeless’ Orthopedic Dictionary, online. They’ve got Xrays and differentials and more than Tintinalli, so check it out.  

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