JournalFeed

The JournalFeed podcastThese 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’s Spoon Feed:In those with obesity, the distance from the skin to the pleura is lower and less sensitive to increasing body mass at the midclavicular second intercostal space compared to the anterior axillary fourth/fifth intercostal space.Thursday’s Spoon Feed:Considering widespread adoption and austere environments, the chances of encountering a prolonged tourniquet is likely increasing. This review sums up nicely the management of patients exposed to prolonged tourniquets.

The JournalFeed podcastThese 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’s Spoon Feed:Dual defibrillation strategies have gained traction for refractory ventricular fibrillation (VF) and persistent atrial fibrillation; this off-label practice, however, can unknowingly damage the device permanently or cause concurrent malfunctions during procedures.Wednesday’s Spoon Feed:Ocular POCUS by emergency clinicians is highly accurate for diagnosing retinal detachment.

The JournalFeed podcastThese 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’s Spoon Feed:This cohort study measured ventilation parameters during OHCA with BVM, SGA, and ETT. BVMs had the lowest tidal volumes, SGA breaths developed a bit of leak, and ETT had the highest airway pressures.Friday’s Spoon Feed:The Hydra Study randomized patients with active cancer in whom PE was suspected to CTPA or the YEARS Algorithm. The YEARS algorithm was found to be non-inferior.

The JournalFeed podcastThese 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’s Spoon Feed:This expert consensus reaffirms which foreign body ingestions are emergent vs urgent vs appropriate for watchful waiting, and provides practical clinical algorithms to help guide ED and GI management in the pediatric population.Friday’s Spoon Feed:This study aims to push forward and progress timely trauma care by identifying hemorrhage via CT immediately upon arrival of the patient to the trauma bay.

The JournalFeed podcast for the week of July 27-31, 2026.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’s Spoon Feed:In this single-center study, advanced imaging utilization increased significantly following the deployment of a Provider-in-Triage (PIT) model. In addition, the rate of negative CT scans in patients with abdominal pain was higher in PIT-exposed patients.Tuesday’s Spoon Feed:In this retrospective study, children with reliable physical exam and normal plain T- or L-spine x-rays had 1 missed injury out of 126 children, and 100% had no operative injury.Wednesday’s Spoon Feed:A clinical decision support alert shortened the time to stress-dose hydrocortisone administration for patients with known adrenal insufficiency in the emergency department.Thursday’s Spoon Feed:FFP-first MTP may have a slight mortality benefit, but this is not a practice-changing study.Friday’s Spoon Feed:A structured approach to cervical spine clearance using clinical decision rules, modern CT, and select use of MRI and x-ray in adult and pediatric patients allows us to avoid prolonged collar use, reduce ED crowding, and limit adverse collar effects for patients.

The JournalFeed podcast for the week of July 20-24, 2026.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’s Spoon Feed:Out of 40,000 EMS encounters for out-of-hospital cardiac arrest (OHCA) in the U.S., naloxone administration was associated with survival to hospital discharge but made no difference in ROSC.Thursday’s Spoon Feed:The European Society of Cardiology (ESC) accelerated diagnostic pathway (ADP) of 0/1 hour vs. 0/3 hour troponin had no increase in patients discharged within 4 hours, although median length of stay decreased. The 0/1 hour pathway was non-inferior to the 0/3 hour pathway for safety of discharge.

The JournalFeed podcast for the week of July 13-17, 2026.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’s Spoon Feed:Hypothermia found during emergency department triage is a strong, independent predictor of in-hospital death among children.Friday’s Spoon Feed:This hypothesis-generating study showed that maintaining EMS pads and equipment during ED transfer for out-of-hospital cardiac arrests (OHCA) saved 143 seconds to first rhythm analysis and defibrillation.

The JournalFeed podcast for the week of July 6-10, 2026.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’s Spoon Feed:In this multicenter randomized trial of patients who presented to the emergency department with septic shock, a strategy of early vasopressor use with less fluid administration compared with later vasopressors with more fluids did not lead to a difference in days alive and out of the hospital at day 90.Thursday’s Spoon Feed:In this randomized trial of patients with in-hospital cardiac arrest, administration of sodium bicarbonate did not result in a difference in sustained ROSC, mortality, or favorable neurologic outcome.

The JournalFeed podcast for the week of June 29 – July 3, 2026.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’s Spoon Feed:Consider beta blocker (BB) and calcium channel blocker (CCB) toxicity in patients presenting with bradycardia and hypotension. Hallmarks of treatment are quick action, escalation to vasopressors, high dose insulin (HDI) if initial treatment fails, and subsequent consideration of ECMO and intralipid rescue therapy in the sickest patients.Friday’s Spoon Feed:In this retrospective analysis of patients with non-traumatic abdominal pain, increased age was associated with increased CT ordering, increased findings of acute pathology, and increased surgery and hospitalizations. Tenderness on physical exam was less sensitive for adverse outcomes in patients aged ≥60.

The JournalFeed podcast for the week of June 22-26, 2026.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’s Spoon Feed:Tirofiban resulted in greater 90-day excellent neurological outcomes vs. placebo in patients with no medium or large vessel occlusion (LVO) who were not improving with with tenecteplase (TNK), NNT = 9.Friday’s Spoon Feed:Dual antiplatelet therapy (DAPT) with ticagrelor plus aspirin vs. placebo in patients with stroke treated with thrombolysis resulted in better 90-day excellent neurological outcome, NNT = 15, without a significant increase in symptomatic intracranial hemorrhage (sICH).

The JournalFeed podcast for the week of June 8-12, 2026.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’s Spoon Feed:In this large national ED study, only 5.5% of patients presenting with atraumatic chest pain were diagnosed with one of seven predefined life-threatening conditions, with ACS accounting for most cases (4.5%).Wednesday’s Spoon Feed:A large, multiyear retrospective cohort of adult trauma patients found those transported by private vehicle (POV) had lower odds of mortality and shorter length of stays than ground EMS.

The JournalFeed podcast for the week of June 1-5, 2026.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’s Spoon Feed:This review covers airway management of patients in the acute care (i.e. ED or ICU) setting. It's a solid 16 pages long, so we'll summarize 10 things we know now and what questions we still have.Wednesday’s Spoon Feed:A purpose-driven video game can improve triage of elderly trauma patients.

The JournalFeed podcast for the week of June 15-19, 2026.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’s Spoon Feed:A starting dose of 12mg of adenosine for stable supraventricular tachycardia (SVT) resulted in higher initial successful cardioversion rates and persistence of sinus rhythm thereafter without increased adverse effects.Thursday’s Spoon Feed:No significant survival benefit was identified in 5-year follow-up of patients randomized to immediate vs. delayed coronary angiography after out-of-hospital cardiac arrest (OHCA) survival without ST segment elevation.

The JournalFeed podcast for the week of May 25-29, 2026.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’s Spoon Feed:IV contrast doses used for CT scans appear to fall below the toxic threshold for nephrotoxicity, with no convincing evidence they cause acute kidney injury (AKI) in most patients.Tuesday’s Spoon Feed:This Australian study found patients who were eligible for rapid rule out based on a single high-sensitivity cardiac troponin I (hs-cTnI) ≤2 ng/L pathway had shorter hospital length of stay (LOS) and no increase in index or 30-day cardiac events.

The JournalFeed podcast for the week of May 18-22, 2026.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’s Spoon Feed:There was no difference in 28-day mortality for ICU patients with tachypnea and pulmonary infiltrates when comparing high-flow and standard flow oxygen, although intubations were lower in the high-flow group.Friday’s Spoon Feed:Anterior-posterior (AP) pad position is associated with return of spontaneous circulation (ROSC) in patients with out-of-hospital ventricular fibrillation cardiac arrest.

The JournalFeed podcast for the week of May 11-15, 2026.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’s Spoon Feed:In this cohort of trauma patients requiring intubation, video laryngoscopy was associated with higher first-pass success, while head, face, or neck trauma was associated with lower success. Adverse events were more common with less experienced residents and greater injury severity.Thursday’s Spoon Feed:No single symptom or exam finding definitively diagnoses pediatric concussion, but mental fog, light/noise sensitivity, nausea, and oculomotor abnormalities meaningfully increase likelihood, while absence of headache decreases it.

The JournalFeed podcast for the week of May 4-8th, 2026.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’s Spoon Feed:This trial randomized patients with intermediate-high risk PE to anticoagulation or catheter-directed thrombolysis (CDT) and found an improvement in composite primary outcome, driven by improvement in vital signs.Wednesday’s Spoon Feed:In this retrospective cohort study, a single 50 mL dose of 8.4% sodium bicarbonate (HTB) was more likely than 100 mL of 3% hypertonic saline (HTS) to achieve a ≥4 mEq/L increase in serum sodium in patients with severe hyponatremia.

The JournalFeed podcast for the week of April 27 – May 1, 2026.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’s Spoon Feed:The Brain Trauma Foundation guidelines on penetrating traumatic brain injury (pTBI) offer helpful tips to improve survival.Thursday’s Spoon Feed:This simplified strategy using a D-dimer threshold of 1000 ng/mL in patients for whom pulmonary embolism was not the most likely diagnosis and age-adjusted threshold for other patients had a diagnostic failure rate of 0%, and chest imaging was decreased by 19%.

The JournalFeed podcast for the week of April 20-24, 2026.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’s Spoon Feed:In Part 1, catch up on the new PE guidelines from the AHA on diagnosis, imaging, risk categories, and disposition!Friday’s Spoon Feed:This is the follow-up to Part 1 and touches on anticoagulation, reperfusion therapy, and hemodynamic management.

The JournalFeed podcast for the week of April 13-17, 2026.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’s Spoon Feed:This review advocates for a risk-stratified observation pathway in those who receive epinephrine for anaphylaxis, from as little as 1-3 hours if low-risk to as high as 6-12 hours if high-risk.Friday’s Spoon Feed:In young children with acute wheezing, use of a higher drug-delivery valved holding chamber was associated with improved clinical outcomes compared to a lower-delivery device, supporting the importance of delivery method in bronchodilator therapy.

The JournalFeed podcast for the week of April 6-10, 2026.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’s Spoon Feed:Cardiac standstill on transthoracic echocardiography is a strong predictor of failing to achieve return of spontaneous circulation (ROSC). However, while it offers high diagnostic accuracy, emergency physicians should use it as one prognostic marker among others rather than a sole reason to terminate efforts.Tuesday’s Spoon Feed:Of patients with return of spontaneous circulation (ROSC) after in-hospital cardiac arrest (IHCA), CT imaging revealed new findings 65.2% of the time while POCUS did so in 57.6% of IHCA patients.

The JournalFeed podcast for the week of March 30-April 3, 2026.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’s Spoon Feed:Gabapentinoids are often prescribed for off-label indications, with minimal or no clinically significant benefit, while exposing patients to harmful side effects, especially vulnerable elderly patients.Friday’s Spoon Feed:The TWIST Score can be used for risk stratification of an acute scrotum, but POCUS (point-of-care ultrasound) should be used, particularly in intermediate risk patients to rule out testicular torsion in pediatric patients.

The JournalFeed podcast for the week of 23-27, 2026.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’s Spoon Feed:Despite being well documented, females with chest pain continue to suffer from misdiagnosis, later presentation, receive fewer guideline-directed therapies and invasive procedures, and have worse short and long term cardiovascular outcomes compared to males.Thursday’s Spoon Feed:A systematic review and meta-analysis found that serious diagnoses after a brief resolved unexplained event are uncommon, with most diagnostic testing yielding little value.

The JournalFeed podcast for the week of March 16-21, 2026.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’s Spoon Feed:The 11th edition of Advanced Trauma Life Support (ATLS) introduces major updates, including prioritization of exsanguinating hemorrhage control (xABCDE), damage control resuscitation strategies such as permissive hypotension and early transfusion, reduced crystalloid use, revised approaches to spine motion restriction, and maintaining coordinated, team-based trauma care.Wednesday’s Spoon Feed:This small RCT demonstrated that a low-dose continuous infusion of neostigmine in patients with septic shock resulted in downregulation of inflammatory cytokines and suggested possible improvements in organ dysfunction, illness severity, and mortality.

The JournalFeed podcast for the week of 9-13, 2026.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’s Spoon Feed:This multicenter RCT demonstrated that a short course of minocycline in patients with acute ischemic stroke (AIS) resulted in improved functional neurologic outcomes at 90 days.Thursday’s Spoon Feed:Tenecteplase administration up to 24 hours after onset of ischemic basilar artery stroke showed improved disability scores compared to standard medical treatment without an increase in adverse events.

The JournalFeed podcast for the week of March 2-6, 2026.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’s Spoon Feed:Combined elevation in two blood biomarkers (GFAP and UCH-L1) showed high sensitivity and negative predictive value (NPV) for positive findings on head CT in anticoagulated patients with mild traumatic brain injury but were not helpful at identifying who would develop post-concussive syndrome.Thursday’s Spoon Feed:In this randomized controlled trial, adding 1 liter of IV normal saline to intramuscular diclofenac for acute migraine in the ED did not significantly improve pain relief at 2 hours compared with diclofenac alone.

The JournalFeed podcast for the week of 23-27, 2026.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’s Spoon Feed:Patients presenting with anginal symptoms and a new right bundle branch block (RBBB) on ECG or RBBB-specific high-risk features should prompt emergent evaluation for reperfusion therapy.Thursday’s Spoon Feed:Meningococcal disease is a rapidly progressive infection associated with high mortality that often begins with nonspecific symptoms; early recognition, early antibiotics, and aggressive resuscitation are critical to improving outcomes.

The JournalFeed podcast for the week of Feb 16-20, 2026.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’s Spoon Feed:Using Wells-based pretest probability with an age-adjusted D-dimer safely ruled out lower-extremity DVT in ED outpatients with zero 3-month VTE events among patients between the conventional and age-adjusted cutoffs.Friday’s Spoon Feed:This evidence-based expert position statement on necrotizing soft tissue infections (NSTIs) provides best practices for assessment, diagnosis, treatment, antimicrobials, adjunctive therapies, and long term management.

The JournalFeed podcast for the week of Feb 9-13, 2026.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’s Spoon Feed:When eye exam is limited by trauma, we rely on orbital CT. While specificity is 94%, sensitivity is only 75% for open globe injuries (OGI), making surgical consultation necessary when suspicion remains.Friday’s Spoon Feed:This retrospective, propensity-matched study of adult and pediatric patients with severe asthma confirms what we already know clinically: non-invasive positive pressure ventilation (NIPPV) decreases mortality and need for intubation.

The JournalFeed podcast for the week of Feb 2 – 6th, 2026.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’s Spoon Feed:A simple 4-factor clinical decision rule accurately distinguished true bacteremia from contaminants in children with positive blood cultures, achieving 99% sensitivity while potentially reducing unnecessary hospitalizations.Friday’s Spoon Feed:Point-of-care ultrasound (POCUS) is a powerful adjunct during cardiac arrest that can identify reversible causes, improve pulse checks, optimize chest compressions, and aid prognostication—as long as it does not interrupt high-quality CPR. When utilized correctly, POCUS may meaningfully guide resuscitation without prolonging pauses.

The JournalFeed podcast for the week of Jan 26-20, 2026.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’s Spoon Feed:The modified Valsalva maneuver is the most effective first-line vagal maneuver for stable supraventricular tachycardia, achieving higher conversion rates and reducing the need for intravenous antiarrhythmics without increasing adverse events.Wednesday’s Spoon Feed:Approaches to repeat CT scans in traumatic brain injuries (TBIs) are highly variable. This study recommends a risk-stratified approach based upon injury severity, patients’ clinical factors, and timing of initial CT.

The JournalFeed podcast for the week of Jan 19-23, 2026.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’s Spoon Feed:In the prehospital setting, universal application of pelvic circumferential compression devices (PCCDs) with suspected pelvic injuries could lead to adverse iatrogenic effects which are further compounded by improper diagnosis and thus misapplication, poor technique when deployed, and a false sense of security, which could lead to bias in recognizing other fatal causes of shock and bleeding.Friday’s Spoon Feed:Pigtail catheters had a similar safety profile and rates of catheter failures compared to chest tubes for treatment of hemodynamically stable children with hemothorax or hemopneumothorax.

The JournalFeed podcast for the week of Jan 12-16, 2026.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’s Spoon Feed:This retrospective cohort study found no 24-hour mortality difference when intubating hyperkalemic patients (K > 5.5mmol/L) with succinylcholine versus rocuronium for RSI.Wednesday’s Spoon Feed:In a large international cohort of well-appearing febrile infants ≤28 days old, the updated PECARN rule had high sensitivity and negative predictive value for invasive bacterial infection, with no missed cases of bacterial meningitis, supporting selective avoidance of routine lumbar puncture in low-risk neonates.

The JournalFeed podcast for the week of Jan 5-9, 2026.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’s Spoon Feed:Older adults discharged from the ED with delirium had almost 3 times the risk of 30-day mortality compared to those discharged without delirium.Friday’s Spoon Feed:This RCT of 100 patients with intermediate-high risk PE showed that mechanical thrombectomy plus anticoagulation was superior to anticoagulation alone in reducing RV/LV ratio and earlier normalization of vitals.

The JournalFeed podcast for the week of Dec 29, 2025 to Jan 2, 2026Monday’s Spoon Feed:Implementing Spanish-language discharge instruction videos, interpreter-needed EMR icons, and standardized communication processes in a pediatric ED eliminated a 10% communication equity gap between Spanish- and English-speaking families without increasing length of stay or ED return visits.Tuesday’s Spoon Feed:Similar to prior research on the topic, prehospital endotracheal intubation (ETI) is more successful with both sedative and paralytic than with no medications or sedative alone.Wednesday’s Spoon Feed:The updated AHA and AAP guidelines on neonatal life support provide the most current, evidence-based recommendations for recognizing and managing newborns who require resuscitation, a time-critical responsibility that has a major impact on survival and neurodevelopmental outcomes.Thursday’s Spoon Feed:Here are the top ten most viewed JournalFeed posts in 2025 (from our Google Analytics data). I've dropped a comment on how each article has impacted me this year. Enjoy!Friday’s Spoon Feed:Bag valve mask (BVM) ventilations provided by Basic Life Support (BLS) teams during 30:2 cardiopulmonary resuscitation (CPR) in out of hospital cardiac arrest (OHCA) frequently fell well short of the guideline goals for expiratory tidal volume (Vte).

The JournalFeed podcast for the week of Dec 22-26, 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’s Spoon Feed:Phenobarbital administration for alcohol withdrawal was associated with lower admission rates, shorter ED length of stay (LOS), and fewer IV medication administrations when compared to benzodiazepines.Friday’s Spoon Feed:Here's the brief on how to diagnose and treat cyanotic congenital heart disease.

The JournalFeed podcast for the week of Dec 15-19, 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’s Spoon Feed:There was no difference in 28-day mortality in critically ill adult patients with ketamine vs. etomidate for rapid sequence induction (RSI), but ketamine increased the need for peri-intubation vasopressor support.Tuesday’s Spoon Feed:The 2025 executive summary shows new developments in the AHA guidelines, integrating science, systems, and education with a unified Chain of Survival across the entire cardiac arrest continuum so that communities can prioritize which changes matter most for their patients, from lay rescuer response to prehospital care to the ED and beyond.

The JournalFeed podcast for the week of Dec 8-12, 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’s Spoon Feed:Personalized hemodynamic resuscitation targeting capillary refill time (PHR-CRT) over a 6 hour intervention period demonstrated less need for organ support in patients with septic shock at 28 days.Wednesday’s Spoon Feed:The EVERDAC trial found delayed invasive blood-pressure monitoring is noninferior to early arterial catheterization in patients with shock in terms of 28-day mortality.

The JournalFeed podcast for the week of Dec 1-5, 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’s Spoon Feed:When EMS is not immediately available, transporting adult patients with penetrating injuries in urban settings to trauma centers by police or private vehicle leads to improved survival.Thursday’s Spoon Feed:Patients with delayed presentation, 4.5 to 24 hours after onset of ischemic stroke, still had significant benefit from tenecteplase (TNK): NNT = 17, NNH = 72.

The JournalFeed podcast for the week of 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’s Spoon Feed:Younger age and longer tenure at a site increased patients-per-hour (PPH) without increasing 72-hour returns.Wednesday’s Spoon Feed:Of 138 infants evaluated with excessive crying, none had facial petechiae. Unexplained petechiae warrant further evaluation for trauma or abuse.

The JournalFeed podcast for the week of Nov 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’s Spoon Feed:Among children with severe acute malnutrition and gastroenteritis in Africa, IV rehydration was just as safe and effective as oral rehydration, with no increase in mortality or evidence of fluid overload - challenging long-standing WHO guidance to avoid IV fluids in this population.Friday’s Spoon Feed:This nationwide database study found that defibrillation within 2 minutes of starting CPR was associated with increased 1 month survival in out of hospital cardiac arrest (OHCA) patients.

The JournalFeed podcast for the week of Nov 9-14, 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.Thursday’s Spoon Feed:After 48 hours of brain rest, moderate recreational screen time may support better psychological recovery post-concussion compared to restrictive or excessive use.Friday’s Spoon Feed:Presyncope has a 30-day serious cardiac outcome risk that is identical to patients with true syncope—despite presyncope patients being admitted less often and considered lower risk.

The JournalFeed podcast for the week of Nov 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.Wednesday’s Spoon Feed:The Safeback SBX device can improve survival in an avalanche, but does not replace the need for appropriate education and knowledge regarding avalanche safety.Friday’s Spoon Feed:For anaphylaxis in adults ≥50kg, 0.5mg vs. 0.3mg IM epinephrine is strongly associated with a reduction in escalation of care (repeat epi, epi drip, or intubation).

The JournalFeed podcast for the week of Oct 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.Monday’s Spoon Feed:Early fluid resuscitation in sepsis shows a U-shaped relationship between fluid amount and mortality; 30 mL/kg within 3 hours improves survival, supporting current Surviving Sepsis Campaign guidance.Friday’s Spoon Feed:Azelastine nasal spray used three times daily for 56 days significantly reduced PCR-confirmed SARS-CoV-2 infections versus placebo.

The JournalFeed podcast for the week of October 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.Monday’s Spoon Feed:Prehospital tranexamic acid (TXA) administration within 3 hours may improve mortality risk in adult trauma patients with hemorrhagic shock and has minimal side effects.Tuesday’s Spoon Feed:In patients with an implantable cardioverter-defibrillator (ICD) at risk for ventricular arrhythmias, keeping potassium in the high-normal range (4.5-5.0 mmol/L) reduced shocks, arrhythmia hospitalizations, and deaths, without added harm.

The JournalFeed podcast for the week of October 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’s Spoon Feed:This secondary analysis found that intubation success correlated with experience, and competency likely is achieved between 35-50 intubations.Friday’s Spoon Feed:This summarizes data supporting use of venous blood gas (VBG) screening for hypercarbic respiratory failure and avoiding an arterial blood gas (ABG).

The JournalFeed podcast for the week of Oct 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.Monday’s Spoon Feed:Use of resuscitative endovascular balloon occlusion of the aorta (REBOA) increased the odds of mortality in severely injured adult trauma patients with isolated thoracic or abdominal injuries.Friday’s Spoon Feed:A transfusion trigger of less than 10g/dL appears to lower 30-day mortality in patients with acute myocardial infarction (AMI).

The JournalFeed podcast for the week of Sept 29 - Oct 3, 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’s Spoon Feed:Dexamethasone is associated with improved pain control within 60 minutes as an adjunct to ultrasound-guided nerve blocks (UGNBs) when compared to epinephrine, without an increased risk of complications.Friday’s Spoon Feed:A new lethal triad performs better than the old one for 28-day mortality in trauma patients. But the "new" is simply a reframing of the classic and doesn't appear that helpful.

The JournalFeed podcast for the week of Sept 22-26, 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’s Spoon Feed:Strap in for a longer-than-normal Spoon Feed to stay updated on the latest ATS guidelines for diagnosing and treating CAP.Wednesday’s Spoon Feed:The 2025 AHA/ACC hypertension guidelines recommend a universal BP goal of <130/80 with antihypertensive therapy initiation, guided by hypertension severity, comorbidities, and PREVENT risk score.

The JournalFeed podcast for the week of Sept 5-19, 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’s Spoon Feed:The ACEP subcommittee made policy recommendations on what peri-procedural interventions reduce peri-intubation hypoxia and hypotension.Wednesday’s Spoon Feed:Pediatric patients with a positive ultrasound (US) and Pediatric Appendicitis Risk Calculator (pARC) score ≥ 25% are highly likely to have pathology-proven appendicitis.