JournalFeed Podcast

The JournalFeed podcast for the week of 26-30, 2025.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:A novel termination of resuscitation (TOR) rule for in-hospital cardiac arrest (IHCA) utilizing information available at the bedside proposed TOR appropriately, often, and rarely misidentified survivable cases.Friday Spoon Feed Spoon Feed:Electronic Dance Music Festivals(EDMF) are associated with a higher medical utilization rate (MUR) when compared with other mainstream events. EDMF attendees are also likely to be sicker and present more frequently with drug related concerns.

The JournalFeed podcast for the week of 19-23, 2025.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:The Ten Test is a quick, reliable, no-equipment sensory exam that performed as well as or better than traditional methods in assessing hand and finger injuries – with none of the cost.Friday Spoon Feed:In this Bayesian network meta analysis, researchers compared pharmacologic interventions for migraine treatment. There was no clear superior choice for single-agent pain control, but chlorpromazine IV/IM was among the most effective for adequate pain relief at two hours, and IV/IM ketorolac was possibly among the worst.

The JournalFeed podcast for the week of May 12-16, 2025.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:Short-term ambulatory cardiac monitoring has diagnostic usefulness, although limited, in patients discharged from the emergency department. Friday Spoon Feed:40% of patients undergoing endotracheal intubation (ETI) have a major adverse event. This article gets you up to speed on what tools, techniques, drugs, and interventions give your patient the best shot at a successful intubation without adverse events.

The JournalFeed podcast for the week of May 5-9, 2025.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:The use of pre-operative GLP-1 receptor antagonists did not increase rates of post-operative aspiration pneumonia or acute respiratory failure.Wednesday Spoon Feed:Computed Tomography (CT) examinations in 2023 alone are projected to result in approximately 103,000 future cancers over the lifetime of exposed patients and could account for 5% of all new cancer diagnoses annually.

The JournalFeed podcast for the week of April 18 – May 2, 2025.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:The ALI's first restatement of medical malpractice law shifts from “customary practice” to “reasonable medical care,” integrating evidence-based medicine, clarifying liability standards, discouraging defensive medicine, and promoting transparency while balancing ethical communication and legal accountability.Tuesday Spoon Feed:In children with moderate to severe TBI, 3% hypertonic saline (HTS) was not associated with improved survival or better functional outcomes compared to 20% mannitol.

The JournalFeed podcast for the week of April 21-25, 2025.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Wednesday Spoon Feed:This preplanned subgroup analysis of the TOMAHAWK Trial of patients with ROSC after OHCA found no EKG findings (excluding STEMI) that predicted the presence of coronary artery lesions.Thursday Spoon Feed:In this substudy of the Canadian TIA Score cohort, researchers found score utilization with subsequent MRI imaging could improve the outcome of patients suffering from TIA or stroke, particularly in the medium-risk category, scoring between 4-8 points.

The JournalFeed podcast for the week of April 14-18, 2025.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Thursday Spoon Feed:The authors created The Sudbury Vertigo Risk Score for ED patients presenting with vertigo that may better identify those at risk for serious neurologic conditions like stroke. The scoring system has remarkable sensitivity for serious neurolgic pathology, but it has yet to be validated.Friday Spoon Feed:The previously derived Sudbury Vertigo Risk Score was validated with a new cohort, and low scores accurately identified patients as low risk and therefore not requiring further investigation or treatment for a serious diagnosis of vertigo.

The JournalFeed podcast for the week of April 7-11, 2025.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:Lidocaine use during pre-hospital resuscitation from ventricular fibrillation or ventricular tachycardia (VF/VT) resistant to defibrillation, when compared to amiodarone, was associated with higher rates of ROSC, fewer post-drug shocks, and greater odds of survival to discharge in this observational study.Tuesday Spoon Feed:People with cannabis use disorder were more likely to die from suicide, trauma, and drug poisoning and had a higher overall risk of death, which challenges the popular belief that it's is a harmless recreational drug.

The JournalFeed podcast for the week of March 31 to April 4, 2025.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:For pediatric ED patients, NSAIDs, ketamine, and mid-high potency opioids all reduced pain compared to placebo, with NSAIDs also reducing the need for rescue medication.Wednesday Spoon Feed:Antibiotic treatment for acute uncomplicated appendicitis in children has a significantly higher failure rate (34% vs. 7%) compared to appendectomy, but this is limited by differing definitions of failure and the chosen non-inferiority margin.

The JournalFeed podcast for the week of March 24-28, 2025.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Tuesday Spoon Feed:A large meta-analysis of ICU RCT subgroups finds decreased mortality in patients with traumatic brain injury treated with normal saline vs. crystalloid and an increase in those without.Thursday Spoon Feed:Regardless of anticipated difficulty of placement of peripheral intravenous catheter (PIVC) in a pediatric patient, ultrasound-guided insertion results in improved success.

The JournalFeed podcast for the week of March 17-21, 2025.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Wednesday Spoon Feed:In a RCT of 550 patients with intermediate-risk PE, those who received large-bore mechanical thrombectomy (LBMT) were less likely to suffer clinical decompensation than those who received catheter-directed thrombolysis (CDT).Thursday Spoon Feed:Patients with potentially difficult airways were oxygenated and ventilated in the operating room via an endotracheal tube in the pharynx, which could be applied to a ‘can't intubate, can't oxygenate (CICO)' scenario.

The JournalFeed podcast for the week of Merch 10-14, 2025.Download the JournalFeed iPhone app!These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:When time is of the essence, as in ovarian torsion, furosemide plus fluid provides a quick, effective, noninvasive option for bladder filling to expedite ultrasound in pediatric patients.Friday Spoon Feed:In this new clinical practice guideline, the American College of Obstetrics and Gynecology (ACOG) recommends foregoing routine Rh screening and RhIg prophylaxis for patients less than 12 weeks gestation undergoing abortion or experiencing pregnancy loss.

New! Download the JournalFeed iPhone app!The JournalFeed podcast for the week of March 3-7, 2025.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:Guidelines recommended low molecular weight heparin (LMWH) for most patients with acute pulmonary embolism (PE), but we often choose unfractionated heparin (UFH). Here's why...Friday Spoon Feed:This pre-planned secondary analysis compared OHCA patients who received a single dose of epinephrine to standard ACLS epinephrine dosing and found mixed results in the outcomes of ROSC and survival to hospital discharge. Strap in for this nuanced article summary.

The JournalFeed podcast for the week of Feb 24-28, 2025.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Thursday Spoon Feed:Nebulized high-dose inhaled corticosteroid use in addition to short acting beta-agonist therapy may reduce emergency department length of stay in adult asthma exacerbation, but additional studies are necessary.Friday Spoon Feed:The pace at which your co-attending operates can significantly influence your own productivity and efficiency throughout the shift.

The JournalFeed podcast for the week of Feb 17-21, 2025.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:This RCT found that just-in-time coaching increased first pass success prior to infant intubations by inexperienced clinicians in the operating room.Thursday Spoon Feed:This review highlights key evidence-based updates for diagnosing and managing sympathetic crashing acute pulmonary edema in emergency settings, emphasizing the role of noninvasive positive pressure ventilation and high-dose nitroglycerin; while cautioning against routine diuretic use and advising alternative therapies like clevidipine or IV enalaprilat when hypertension is refractory.

The JournalFeed podcast for the week of Feb 10-14, 2025.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:Giving 1g IV tranexamic acid (TXA) prophylactically after delivering a baby in a high-risk patient prevented severe postpartum hemorrhage.Friday Spoon Feed:This systematic review of 13 studies found slightly higher rates of adverse events after administration of diltiazem versus metoprolol, when treating atrial fibrillation (a-fib) with RVR.

The JournalFeed podcast for the week of Feb 4-7, 2025.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Wednesday Spoon Feed:Patients who received as-needed antihypertensive medications while hospitalized had higher risk for acute kidney injury (AKI).Thursday Spoon Feed:This trial found no significant difference in long-term neurologic outcomes in anemic patients with aneurysmal subarachnoid hemorrhage (aSAH) with a liberal versus restrictive transfusion strategy.

The JournalFeed podcast for the week of Jan 27-31, 2025.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Tuesday Spoon Feed:There was no difference in patient centered outcomes between trauma patients who received either restrictive or liberal oxygen therapy in this RCT.Thursday Spoon Feed:Patients wearing hospital gowns during simulated hospital visits reported increased feelings of vulnerability and disempowerment compared to patients wearing personal clothes.

The JournalFeed podcast for the week of Jan 20-24, 2025.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Tuesday Spoon Feed:Preoperative antibiotics significantly decreased the microbiologic yield of operative cultures (10.9%) in patients with native joint septic arthritis.Friday Spoon Feed:The PERC-35 rule was designed to reduce unnecessary testing in individuals ≤35 years old, but had an unacceptably high miss-rate.

The JournalFeed podcast for the week of Jan 13-17, 2025.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed: When compared to working solo as an emergency physician (EP), productivity is positively influenced by the presence of senior residents, minimally affected by junior residents, and negatively impacted or neutral with medical students.Tuesday Spoon Feed:In a cohort of 1,007 children, longer CPR duration after a cardiac arrest lowered the chances of positive neurologic outcomes, with the likelihood of moderate disability or better dropping below 1% after 64 minutes of CPR.

The JournalFeed podcast for the week of Jan 6 – 10, 2025.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Wednesday Spoon Feed:Tranexamic acid reduces the risk of life-threatening postpartum bleeding with no measurable increased risk of thrombosis.Thursday Spoon Feed:High-velocity nasal insufflation (HVNI) was non-inferior to noninvasive positive pressure ventilation (NiPPV) for treating acute exacerbations of chronic obstructive pulmonary disease (COPD) in the emergency department.

The JournalFeed podcast for the week of Dec 30 – Jan 3, 2024.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Tuesday Spoon Feed:Workplace violence (WPV) occurs in one out of every 3.7 shifts among healthcare workers (HCWs) in emergency departments, with nurses and younger HCWs being at higher risk.Wednesday Spoon Feed:Here are the top ten most viewed JournalFeed articles from 2024. Enjoy!

The JournalFeed podcast for the week of Dec 23-27, 2024.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:In patients presenting with an abdominal gunshot wound with clear indications for operative intervention, a preoperative CT provides no additional benefit and frequently misses injuries.Wednesday Spoon Feed:Quick, grab some dark chocolate this Christmas to protect yourself from developing type 2 diabetes (T2D)!

The JournalFeed podcast for the week of Dec 16-20, 2024.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed: This article breaks down patient selection, setup, special considerations, and step-by step instructions to manage awake intubations, a rarely utilized but essential technique in emergency airway management.Tuesday Spoon Feed:This large retrospective database study found a 28% increased risk of mortality in patients intubated with etomidate.

The JournalFeed podcast for the week of Dec 9-13, 2024.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:A post-hoc analysis of 3 studies conducted in Europe (PROPER, MODIGLIANI, TRYSPEED) analyzed patients with a high pretest probability for PE based on Wells' or revised Geneva score and found that using D-dimer alone would have missed 0 PEs, but this strategy is not ready for primetime.Tuesday Spoon Feed:An open-label, multicenter RCT found that patients with severe brain injury who were mechanically ventilated had a worse composite outcome if they were ventilated with a lung protective strategy compared to a conventional strategy. This study was underpowered and stopped early secondary to funding issues.

The JournalFeed podcast for the week of Dec 2-6, 2024.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Wednesday Spoon Feed:This animal model study compared the classic median bar technique for zipper skin entrapment release to a novel approach. There was no upside or downside to using the new technique.Thursday Spoon Feed:There is a very low likelihood of missing aneurysmal SAH if CT brain imaging is obtained within 24 hours of symptoms onset, but these results are not enough to change practice.

The JournalFeed podcast for the week of Nov 25-29, 2024.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:This secondary analysis of 2 RCTs found no significant difference between rocuronium or succinylcholine on first attempt success or severe complications in critically ill patients undergoing endotracheal intubation. Wednesday Spoon Feed:Acute pericarditis is a common cause of nonischemic chest pain. In North America, it is typically idiopathic, develops after a viral infection, or follows a cardiac procedure. In areas with higher prevalence, tuberculosis can be an underlying cause of pericarditis. For the majority of patients, treatment with NSAIDs and colchicine leads to a favorable prognosis.

The JournalFeed podcast for the week of Nov 18-22, 2024.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:Most of the time, targeting a hemoglobin threshold of 7 – 8 g/dL in critically-ill patients is recommended, with acute coronary syndrome as the exception to the rule. Strap in for this longer-than-normal Spoon Feed summary of these guidelines.Wednesday Spoon Feed:This study utilized Bayesian analysis and found that when paralytic medications were administered before sedatives during ED intubation, there was an association with decreased first attempt failure rate.

The JournalFeed podcast for the week of Nov 11-15, 2024.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Tuesday Spoon Feed:In this randomized control trial of left versus right ultrasound-guided infraclavicular subclavian central venous access, the left-sided approach was associated with a lower catheter malposition rate.Friday Spoon Feed:The American Academy of Pediatrics has released their first clinical practice guideline on opioid prescribing in children and adolescents. The 12 evidence-based key action statements outline safe practices for prescribing opioids for acute pain in the outpatient setting.

The JournalFeed podcast for the week of Nov 4-8, 2024.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Wednesday Spoon Feed:This RCT found high-intensity non-invasive positive pressure ventilation (NPPV) in COPD patients with persistent hypercapnia decreased the need for endotracheal intubation according to prespecified criteria. Friday Spoon Feed:While there was concern for selection bias in a number of included studies, this systematic review and meta-analysis found that small–bore thoracostomy tubes may be appropriate to use in traumatic hemothorax.

The JournalFeed podcast for the week of Oct 28 – Nov 1, 2024.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Tuesday Spoon Feed:In this NEAR database study, there was an independent association between increasing number of intubation attempts and risk of complications.Wednesday Spoon Feed:Dual therapy with both ibuprofen and acetaminophen or in alternating regimens may be superior to monotherapy for treating fever in children. Ibuprofen also appears superior to acetaminophen at 4 hours when both are used as monotherapy but similar at 6 hours.

The JournalFeed podcast for the week of Oct 21-25, 2024.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:This article emphasizes the difference between hypertensive emergency and asymptomatic elevated blood pressure (BP). While hypertensive emergency requires prompt treatment to lower BP, treatment of asymptomatic elevated BP in acute care settings may be harmful. Tuesday Spoon Feed: This was a multi-hospital retrospective study of patients who presented to the emergency department with severe hypertension without end organ damage. The authors found that the 1 year rate of major adverse cardiovascular events (MACE) was 15.5%.

The JournalFeed podcast for the week of Oct 14-18, 2024.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Wednesday Spoon Feed:This prospective study of a new proprietary rapid host-protein test, MeMed BV (MMBV), shows promising results for differentiating viral vs bacterial causes of fever. However, the gold standard for comparison was similar to current common practice, making it difficult to measure the added value of MMBV over usual care.Friday Spoon Feed: This large study in Canada of patients aged 66+ found that all commonly prescribed oral antibiotics were associated with an increased risk of serious cutaneous drug reactions (cADRs) relative to macrolides; however, few of these reactions led to hospitalization and an even smaller amount were true cutaneous emergencies (SJS/TEN).

The JournalFeed podcast for the week of Oct 7-11, 2024.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Tuesday Spoon Feed:ACEP released a clinical policy that addresses the choice of a second-line agent for adults with refractory seizures after adequate dosing of benzodiazepines.Friday Spoon Feed:Cavernous sinus thrombosis (CST) is a rare but serious thrombophlebitic disease that can be easy to miss in the emergency department setting. This article provides an overview of CST as well as some pearls for clinching this diagnosis for emergency medicine physicians.

The JournalFeed podcast for the week of Sept 30 – Oct 4, 2024.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:In adult patients with sepsis, empiric use of vancomycin and piperacillin/tazobactam compared to vancomycin and cefepime, when anti-anaerobic coverage was not clinically indicated, was associated with a 5% increase in mortality.Friday Spoon Feed:Mental practice, a cognitive rehearsal technique from sports psychology, can enhance skill retention and competency in emergency medicine, particularly for high-acuity, low-frequency procedures.

The JournalFeed podcast for the week of Sept 23-27, 2024.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:Post-processing techniques completed by ultrasound machines to improve spatial resolution have become so advanced that it can now fool us into thinking a FAST exam is positive.Tuesday Spoon Feed:This was a single center retrospective study at a tertiary pediatric ED of patients with suspected pediatric appendicitis. The authors found that combining a low pediatric Appendicitis Risk Calculator (pARC) result with a nondiagnostic ultrasound results in a high negative predictive value for appendicitis.

The JournalFeed podcast for the week of Sept 16-20, 2024.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:Due to a multitude of factors, the tick population is increasing leading to a congruent increase in tick borne diseases (TBD), most notably Lyme disease and babesiosis. Clinicians should keep TBD on their differential for fever with flu-like symptoms, even in traditionally non-endemic areas, as range is expanding and travel has increased.Wednesday Spoon Feed:This retrospective study suggests that full dose antibiotic challenges for patients with listed beta-lactam antibiotic allergies can be safely accomplished in the ED.

The JournalFeed podcast for the week of Sept 9-13, 2024.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:There are an increasing number of water bead related injuries in children, with the majority occurring in children less than five. While most cases can be treated and released from the ED, water bead injury can be serious and even deadly.Friday Spoon Feed:These researchers developed and trained a deep ensemble artificial intelligence (AI) model to classify ECGs as STEMI versus non-STEMI. The AI performed well in both accuracy and in improving sensitivity.

The JournalFeed podcast for the week of Sept 2-6, 2024.JournalFeed wants your feedback!! Tap here for a brief survey!! (

The JournalFeed podcast for the week of August 26-30, 2024.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:A new PECARN clinical decision rule for cervical spine imaging in children after blunt trauma identifies children at low risk for C-spine injury utilizing nine risk factors.Friday Spoon Feed:The MISSION Act Scribes Trial evaluated the implementation of medical scribes in Veterans Health Administration (VHA) EDs. Contrary to expectations, scribes decreased provider productivity and increased patient throughput times.

The JournalFeed podcast for the week of Aug 19-23, 2024.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Wednesday Spoon Feed: Using the aortic dissection detection (ADD) risk score in addition to point-of-care ultrasound (POCUS) and D-dimer, providers can increase their diagnostic accuracy and ensure that the appropriate patients are receiving advanced imaging to make the diagnosis of acute aortic syndrome (AAS).Friday Spoon Feed:Back blows outperformed abdominal thrusts and chest compressions in successful clearance of out-of-hospital foreign body airway obstructions (FBAO).

The JournalFeed podcast for the week of Aug 12-16, 2024.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Wednesday Spoon Feed:This was a large RCT of critically ill adults with suspected infection who were randomized to receive either continuous infusions or intermittent dosages of intravenous antibiotics. 90-day mortality between groups was not statistically significant, while clinical cure rate was higher in the continuous infusion group.Friday Spoon Feed:Based on key history and physical examination findings, the Eastern Association for the Surgery of Trauma (EAST) developed an algorithm for the evaluation of blunt trauma patients ≥65 years.

The JournalFeed podcast for the week of August 5-9, 2024.Monday Spoon Feed: For acute ischemic stroke patients with recent DOAC ingestion who (1) had their DOAC level measured, (2) had DOAC reversal with idarucizumab, or (3) inadvertently received thrombolytics with DOAC subsequently discovered, there was not evidence of increased significant intracranial hemorrhage associated with off-label thrombolytic therapy.Friday Spoon Feed:In patients with large vessel occlusions(LVO) presenting 4.5-24 hours after onset, without access to endovascular thrombectomy (ET), tenecteplase(TNK) administration bested standard medical treatment(SMT) in 90-day disability-free recovery.

The JournalFeed podcast for the week of July 29 – August 2, 2024.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Thursday Spoon Feed:This retrospective study found increased use of unfractionated heparin (UFH) relative to low-molecular weight heparin (LMWH) and direct oral anticoagulants (DOACs) over time, despite guidelines recommending LMWH or DOACs as first-line treatment for most patients with acute pulmonary embolism (PE).Friday Spoon Feed:Anticoagulation is the cornerstone of managing acute pulmonary embolism (PE), but initial management strategies in the intensive care unit (ICU) for sicker patients* with acute PE lack consensus guidelines. This reviews the available evidence and provides guidance.

The JournalFeed podcast for the week of July 22-26, 2024.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Thursday Spoon Feed:The first direct comparison of the Clinical Institute Withdrawal Assessment-Alcohol Revised (CIWA-Ar) scale to a slightly modified Richmond Agitation and Sedation Scale (mRASS-AW) in a pre-post quality assurance study found mRASS-AW to not compromise length of stay or safety for the evaluation of alcohol withdrawal syndrome (AWS), while we already know it to be faster and more intuitive.Friday Spoon Feed:This RCT of U.S. patients being evaluated for acute MI using a 0/1 hour hs-cTnI protocol, compared to standard care with a 0/3 hour hs-cTnI protocol, didn't find a difference in the percentage of patients discharged from the ED nor in the rates of 30 day death or MI.

The JournalFeed podcast for the week of July 15-19, 2024.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Tuesday Spoon Feed:In a cohort of septic children, delays in antibiotic administration 330 minutes or longer from arrival to the emergency department led to an increase in mortality.Friday Spoon Feed:An analysis of the NEAR database demonstrated a lower first-pass success rate of 89.2% for patients with anatomically difficult airways (ADA) compared to 93.7% in the control group. First-pass success for physiologic difficult airways (PDA) was 92.9% and fell to 87.4% for those with both ADA/PDA.

The JournalFeed podcast for the week of July 8-12, 2024.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Tuesday Spoon Feed:GRACE-4 is packed with practice-changing recommendations for patients with alcohol withdrawal syndrome (AWS), alcohol use disorder (AUD), and cannabinoid hyperemesis syndrome (CHS).Friday Spoon Feed:A “D-dimer only” pathway in patients with suspected pulmonary embolism (PE) was safely used to determine need for imaging without clinical decision rules, but there are some concerns with this approach.

The JournalFeed podcast for the week of July 1-5th , 2024.Monday Spoon Feed: The only strong recommendation for corticosteroid use was in patients needing to be hospitalized with severe community acquired pneumonia. The panel recommended against high-dose/short duration corticosteroids in patients with septic shock.Tuesday Spoon Feed: In pediatric patients who have an Alvarado score 6 and below, the absence of free fluid or periappendiceal fat inflammation, when the appendix was not visualized on ultrasound, had a negative predictive value of 99.4% for appendicitis.

The JournalFeed podcast for the week of July 24-29, 2024.Tuesday Spoon Feed:In a cohort of febrile infants, the performance of WBC, ANC, and CRP decreased in patients with less than 2 hours of fever; PCT remained similar. Thursday Spoon Feed:Ketamine has been shown to be efficacious in managing acute pain conditions in the emergency department (ED), and this study showed equal efficacy between nebulized and intravenous administration of sub-dissociative ketamine (IV-SDK).

The JournalFeed podcast for the week of June 17-21, 2024.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Thursday Spoon Feed:This bias-adjusted meta-analysis of randomized controlled trials (RCT) finds a one-month mortality benefit in trauma patients receiving tranexamic acid (TXA) during initial emergency management.Friday Spoon Feed:Reliance on landmark guidance for chest tube placement may pose significant safety issues in pediatric patients.

The JournalFeed podcast for the week of June 10-14, 2024.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:This was a validation study for the recently published American College of Cardiology (ACC) Expert Consensus Decision Pathway for chest pain. Results suggest this pathway is safe and efficacious for use in patients without known CAD; however, performance was not as good for patients with known CAD.Friday Spoon Feed:Noninvasive ventilation (NIV) was superior to standard non-rebreather (NRB) oxygen mask for preoxygenation of critically ill, adult ED or ICU patients requiring intubation, with a NNT of 11 to prevent 1 episode of hypoxemia