Shows
JournalFeed0-2h Troponins in the USA | ED PhenobarbitalThe JournalFeed podcast for the week of Dec 11-15, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Tuesday Spoon Feed:This secondary analysis of the STOP CP cohort study found that, in isolation, using a 0/2 hour hs-cTnT rule-out protocol did not achieve a NPV ≥ 99% for 30-day cardiac death or MI (CDMI). When combined with a low risk History, ECG, Age, and Risk factor (HEAR) score, it did - but at the cost of significantly decreased ef...
2023-12-1609 minJournalFeedK vs. E in RSI | PTC Confounded!The JournalFeed podcast for the week of Dec 4 - 8, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:This single center RCT found no difference in maximum Sequential Organ Failure Assessment (SOFA) score between critically ill adult ED patients receiving ketamine vs etomidate for rapid sequence intubation (RSI).Thursday Spoon Feed:Procalcitonin (PCT) is suppressed in young febrile infants in the presence of...
2023-12-0907 minJournalFeedHow Much Dex? | Beta-Block in SepsisThe JournalFeed podcast for the week of Nov 27th – Dec 1st, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Tuesday Spoon Feed:This RCT found no differences between high dose (16 mg) and low dose (4 mg) IV dexamethasone in patients who presented to EDs with migraine headaches. Friday Spoon Feed:A randomized trial of patients in septic shock on norepinephrine found no benefit in those treated with...
2023-12-0208 minJournalFeedSNOT RCT | Nailed It!The JournalFeed podcast for the week of Nov 20-24, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Thursday Spoon Feed:In a randomized control trial of 367 discharged infants with bronchiolitis, enhanced home nasal suctioning with a mechanical device did not lead to reduced unscheduled health care revisits as compared to standard bulb suctioning.Friday Spoon Feed:In this multicenter, randomized controlled trial...
2023-11-2509 minJournalFeedSteps Towards Longevity | Please Sniff FentanylThe JournalFeed podcast for the week of Nov 13-17, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Tuesday Spoon Feed:There is a nonlinear inverse dose-response trend between daily step count and all-cause death and cardiovascular disease, with progressive risk reductions starting at as few as 2500 to 2700 steps/day, independent of sex. Walking faster provided additive health benefits.Friday Spoon FeedIn this large, multi-center...
2023-11-1807 minJournalFeedMRSA Precautions | Snarky SignoversThe JournalFeed podcast for the week of Nov 6-10, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Wednesday Spoon Feed:Contact precaution (CP) for patients with MRSA infection or colonization is listed as an "essential practice" for all U.S. hospitals, but should it be?Thursday Spoon Feed:Our words during handoff can bias our colleagues against our patients. Here's how it happens and what we...
2023-11-1107 minJournalFeedMRI The Appy | Tazo or CefepimeThe JournalFeed podcast for the week of Oct 30 Nov 3, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Tuesday Spoon Feed:After a non-diagnostic screening ultrasound for appendicitis, a rapid-MRI has high clinical accuracy in establishing the appropriate diagnosis (appendicitis or not) in a pediatric patient population.Friday Spoon Feed:In this randomized control trial (RCT) of patients receiving cefepime or piperacillin-tazobactam, there was no difference...
2023-11-0407 minJournalFeedBattle of Ages | Cracking Little ChestsThe JournalFeed podcast for the week of Oct 23-27, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:Emergency physician (EP) advancing age was associated with higher 7-day patient mortality. This is a wake-up call to keep up. Whether with JournalFeed or others, your patients will benefit.Tuesday Spoon Feed:Emergency department thoracotomy (EDT) is recommended in pulseless pediatric patients with signs of...
2023-10-2807 minJournalFeedA Little Opioids | Lactate ClearanceThe JournalFeed podcast for the week of Oct 18-20, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Tuesday Spoon Feed:Opioids, other than codeine, were found to be more effective when compared to non-opioids for treatment of acute musculoskeletal pain after ED discharge. However, they were also associated with a higher rate of adverse outcomes.Friday Spoon Feed:Don’t hang your hat on lactate cl...
2023-10-2107 minJournalFeedFirearm Safety RCT | Bi-Plane UltrasoundsThe JournalFeed podcast for the week of Oct 9-13, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Tuesday Spoon Feed:Children who viewed a 1-minute firearm safety video* exhibited safer behaviors around inert firearms staged in a playroom. With firearm-related deaths overtaking motor vehicles as the leading cause of US minor deaths, introducing children to firearm safety shows promise in addressing one dimension of this public health crisis.Wednesday Spoon...
2023-10-1408 minJournalFeedPeripheral Pressors Please | How Not to TubeThe JournalFeed podcast for the week of Oct 2-6, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Tuesday Spoon Feed:This prospective observational cohort study found implementing a protocol for peripheral norepinephrine (NE) decreased median number of central venous catheter (CVC) days per patient by one, and 51.6% avoided a CVC entirely. Wednesday Spoon Feed:Using intubation videos, this group identified 13 key performance errors that occur d...
2023-10-0709 minJournalFeedApp Assisted Arrest | Anchoring BiasThe JournalFeed podcast for the week of Sept 25-29, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Thursday Spoon Feed:This RCT found residents using a pediatric cardiac arrest app better adhered to the pediatric cardiac arrest algorithm when compared to those using a PALS visual aid or no aid at all.Friday Spoon Feed:Veterans Affairs (VA) patients with known congestive...
2023-09-3008 minJournalFeedPeritonsillar POCUS | Cuff Size MattersThe JournalFeed podcast for the week of Sept 18-22, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:While it doesn’t have great specificity, the sensitivity of ultrasound makes it a viable first step in making the diagnosis of peritonsillar abscess.Wednesday Spoon Feed:This randomized controlled trial demonstrated a clinically significant difference in blood pressure measurements when inappropriately sized BP cuffs we...
2023-09-2309 minJournalFeedPersistent Sinusitis Treatments | All About PriapismThe JournalFeed podcast for the week of Setp 11-15, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Tuesday Spoon Feed: Children with persistent or worsening rhinosinusitis experienced a modest improvement in symptoms when given amoxicillin-clavulanate vs. placebo.Friday Spoon Feed:Priapism is a semi-rare time sensitive emergent disease and this article is a summary of guidelines for diagnosis and management.
2023-09-1608 minJournalFeedOHCA Handoffs | OMI in RBBBThe JournalFeed podcast for the week of Sept 4 - 8, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Tuesday Spoon Feed:In this video review, information contained in out-of-hospital cardiac arrest (OHCA) patient handoffs was highly variable, which is an area for quality improvement and standardization. Try this checklist!Wednesday Spoon Feed:In non-ischemic right bundle branch block (RBBB) ECGs, we expect discordant ST depression and T...
2023-09-0908 minJournalFeedStop Nuclear War | Observing PE’s | Cold And The CroupThe JournalFeed podcast for the week of Aug 28 – Sept 1, 2023.These are summaries from just 3 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:Through education and advocacy, we can reduce the risk of global nuclear conflict. You have more power to change the world than you might think.Tuesday Spoon Feed:Structured surveillance without anticoagulation of patients with isolated subsegmental pulmonary embolism (ssPE) rarely occurs in community practice. Af...
2023-09-0210 minJournalFeedBIG Validation | mTBI UpdatesThe JournalFeed podcast for the week of August 21-25, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Thursday Spoon Feed:This article was a multi-institutional prospective validation of the American Association for Surgery of Trauma (AAST) Brain Injury Guidelines (BIG), which were developed to guide effective resource utilization for traumatic brain injury. The validation study demonstrated that this system was accurate and safe and that its implementation can reduce CT scan utilization and neurosurgical consultation.
2023-08-2609 minJournalFeedLess is More Abx | EMS TransfusionsThe JournalFeed podcast for the week of August 14 to 18, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:This multi-center, double-blinded, non-inferiority trial found that short-course antimicrobial therapy had relatively low treatment failure rates compared to standard-course in children diagnosed with UTI who showed clinical improvement after 5 days of antibiotics.Tuesday Spoon Feed:A reduction in both 24-hour and in-hospital mortality was seen...
2023-08-1908 minJournalFeedBlunt Trauma Gestalt | OPAL RCTThe JournalFeed podcast for the week of August 7-11, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member. Thursday Spoon Feed:In this prospective observational study of patients undergoing CT imaging of the abdomen/pelvis for blunt trauma, gestalt among Emergency Medicine residents/attendings and General Surgery residents was moderately accurate but not sufficiently sensitive to rule out clinically significant injuries when the acceptable miss rate was set at 2%.Friday Spoon Feed:Opi...
2023-08-1208 minJournalFeedLow-Risk but Scary CT | PE GestaltThe JournalFeed podcast for the week of July 31 to August 4th, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:In a retrospective study of 331 low risk acute pulmonary embolism patients, concerning CTPA findings were not associated with adverse clinical outcomes.Thursday Spoon Feed:In this individual patient data meta-analysis, researchers found that a positive clinician gestalt was associated with...
2023-08-0508 minJournalFeedPATCH RCT | ChatGPT vs. MDThe JournalFeed podcast for the week of June 24-28, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:Prehospital administration of tranexamic acid (TXA) did not result in greater functional survival in patients with major trauma and suspected trauma-induced coagulopathy. Wednesday Spoon Feed:Verified physician answers to patient questions on a public social media forum were compared to Chatbot answers to the same questions by rating the...
2023-07-2909 minJournalFeedPEN- FAST | CAP and MacrolidesThe JournalFeed podcast for the week of July 17-21, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Tuesday Spoon Feed:On average, female EM physicians leave clinical practice 12 years younger than their male counterparts, after fewer years of practice, and the amount of time spent in the workforce is decreasing over time. We need to identify and implement systemic fixes to stop this. Wednesday Spoon Feed:PEN-FAST is a...
2023-07-2208 minJournalFeedDeep Eye Infections | Canthotomy and CantholysisThe JournalFeed podcast for the week of July 9-14, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:Orbital cellulitis is a high-risk and low-prevalence disease characterized by a painful, red eye, usually with eyelid erythema. Red flags include pain with eye movements, photophobia, diplopia, decreased visual acuity, decreased color vision, and proptosis.Tuesday Spoon Feed:This retrospective study showed that EM providers...
2023-07-1508 minJournalFeedP-Value Masterclass | Doxy For Kids!The JournalFeed podcast for the week of July 3-7, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:A p-value is the probability that an observed outcome (or more extreme outcome) would occur if, in fact, the null hypothesis was true. Say what?? It's tricky to explain! This post explains what a p-value is in simple language.Tuesday Spoon Feed:There is no association of doxycycline and to...
2023-07-0811 minJournalFeedOrdered Concussion Recovery | aSAH GuidelinesThe JournalFeed podcast for the week of June 26-30, 2023. These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member. Tuesday Spoon FeedPost-concussion return to functional baseline occurs early for symptoms, balance, and mental status along with partial neurocognitive functioning. Visual-memory and reaction-time recovery, however, lag behind the other groups post-concussion. Wednesday Spoon FeedAneurysmal subarachnoid hemorrhage (aSAH) is a deadly condition. Here’s a quick summary of the...
2023-07-0109 minJournalFeedPERC Rules! | GRACE-3The JournalFeed podcast for the week of June 19-23, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Thursday Spoon Feed:Among patients in the RIETE database with confirmed PEs, there was a low failure rate when the PERC rule was retroactively applied. PERC negative patients who had PEs were less likely to have proximal or high-risk PEs, and their rates of cardiopulmonary complications were lower when compared to PERC positive patients.
2023-06-2408 minJournalFeedSwabs vs. Urine | More Mental Health | Siblings of Abuse | Infants and COVID | Scan Too MuchThe JournalFeed podcast for the week of June 12-16, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Swabs vs. Urine Spoon FeedVaginal swabs are more accurate than urine samples in diagnosing Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis. These results support CDC recommendations that vaginal swabs are the preferred sample modality when testing for STIs in women.Infants and COVID Spoon FeedInfants who...
2023-06-1707 minJournalFeedFFOH | Kids are ChallengingThe JournalFeed podcast for the week of June5-9, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.FFOH Spoon FeedThis systematic review found that the prevalence of cervical spine injuries in patients 65 years or older after a ground level or low-level fall was between 3.8-4.1%.Kids are Challenging Spoon FeedIn this cross-sectional simulation study of seven EMS agencies in Oregon, researchers found that r...
2023-06-1008 minJournalFeedFriends Save Lives | Testicular TractionThe JournalFeed podcast for the week of May 29 – June 2, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Friends Save Lives Spoon FeedThere was an increased number of patient deaths on ICU shifts with low nurse-to-nurse familiarity.Testicular Traction Spoon FeedPulling traction on a torsed testicle is proposed by these authors to help relieve pressure, identify direction of torsion, and make the detorsing rotation easier to perform. See f...
2023-06-0307 minJournalFeedHow to CPR | #1 Shoulder ReductionThe JournalFeed podcast for the week of May 22-26, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.How to CPR Spoon FeedUsing a 1-handed technique in infants 1yr resulted in deeper compressions, closer to AHA guideline recommendations, but compliance with rate and depth were mediocre regardless of technique.#1 Shoulder Reduction Spoon FeedThis meta-analysis found Boss-Holzach-Matter/Davos and FARES had the most favorable value for success rates, wh...
2023-05-2708 minJournalFeedUnder/Over-triage | Abdomens and OpioidsThe JournalFeed podcast for the week of May 15-19, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Under/Over-triage Spoon FeedThe Emergency Severity Index (ESI) mistriaged roughly 1 of every 3 patients who presented to 21 EDs in the Kaiser Permanente health system. Abdomens and Opioids Spoon FeedPatients who are discharged from the emergency department after presenting with abdominal pain and receiving opioids are 57% greater odds of return within 30 days. This population is also at...
2023-05-2011 minJournalFeedPTU vs MMI | CT Ped C-SpineThe JournalFeed podcast for the week of May 8-12, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.PTU vs MMI Spoon FeedThis comparative effectiveness study showed no significant difference in clinical outcomes or adverse effects when comparing use of propylthiouracil (PTU) and methimazole (MMI) for thyroid storm. This suggests both medications may be reasonable first-line treatment options for patients with thyroid storm.CT Ped C-Spine Spoon FeedI...
2023-05-1309 minJournalFeedSteroids on Steroids | DSI > RSIThe JournalFeed podcast for the week of May 1-5, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Steroids on Steroids Spoon FeedPatients with septic shock on norepinephrine who were treated with fludrocortisone and hydrocortisone had an associated reduction of in-hospital death or discharge to hospice compared to those treated with hydrocortisone alone.DSI > RSI Spoon FeedWhen compared to rapid sequence intubation (RSI), this R...
2023-05-0610 minJournalFeedPROCOAG RCT | Wells vs. YEARSThe JournalFeed podcast for the week of April 24-28, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.PROCOAG RCT Spoon FeedThis well-designed RCT finds early administration of 4-factor prothrombin complex concentrate (PCC) to patients at risk of receiving massive transfusion protocol (MTP) did not reduce 24-hour blood product consumption or mortality but did increase thrombotic events.Wells vs. YEARS Spoon FeedPregnant patients who present with signs an...
2023-04-2907 minJournalFeedJournal of ChatGPT | CAPE COD RCTThe JournalFeed podcast for the week of April 17-22, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Journal of ChatGPT Spoon FeedChatGPT is an artificial intelligence software that is being explored for scientific writing. While there is great potential for utilizing this in the medical field, it should not be used in isolation and requires human oversight for both concept proof and personalization.CAPE COD RCT Spoon Feed
2023-04-2208 minJournalFeedKetamine ICP Safety | Bougie FirstThe JournalFeed podcast for the week of April 10-14, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Ketamine ICP Safety Spoon FeedThis retrospective study of thirty-three pediatric patients with severe traumatic brain injury (sTBI) demonstrated no increase in intracranial pressure (ICP) after administration of ketamine.Bougie First Spoon FeedThe use of a bougie for pediatric intubation was not associated with increased first pass success or increased c...
2023-04-1507 minJournalFeedThoracic Aortic Dissections | Flu vs. COVIDThe JournalFeed podcast for the week of April 3-7, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Thoracic Aortic Dissections Spoon FeedEarly identification and treatment of thoracic aortic dissections are paramount to patient survival and good clinical outcomes. Here's what you need to know.Flu vs. COVID Spoon FeedA few notable demographic differences in critically ill influenza and COVID-19 were observed—influenza patients were younger, while COVID...
2023-04-0807 minJournalFeedYes Flu, No Abx | Robot Assisted ReductionsThe JournalFeed podcast for the week of March 27-30, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Yes Flu, No Abx Spoon FeedPatients at two separate urgent care locations—one with rapid influenza diagnostic testing (RIDT) and one without—were compared on several parameters. Importantly, antibiotic prescribing was significantly lower, and antiviral prescribing was significantly higher in the group with RIDT testing.Robot Assisted Reductions Spoon FeedThe au...
2023-04-0107 minJournalFeedCochrane Anti-Maskers | Nonstop CPRThe JournalFeed podcast for the week of March 20-24, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Cochrane Anti-Maskers Spoon FeedIn this Cochrane review, hand-hygiene programs reduce the incidence of clinical acute respiratory illness (ARI), while masking probably does not provide additional benefit.Nonstop CPR Spoon FeedRoutinely pausing chest compressions during cardiac arrest to intubate in the emergency department is not necessary; this...
2023-03-2510 minJournalFeedCPR Fatigue | Nitrates for RV-MIsThe JournalFeed podcast for the week of March 13-17th, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.CPR Fatigue Spoon FeedIn this study of firefighters performing CPR with feedback devices, researchers found that compression depth decreased over the course of a two-minute chest compression cycle while compression rate stayed within goal.Nitrates for RV-MIs Spoon FeedNew evidence has demonstrated that previous dogma to withhold nitrates fr...
2023-03-1808 minJournalFeedDiagnostic Error | MDI for CroupThe JournalFeed podcast for the week of March 6-10, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Diagnostic Error Spoon FeedDiagnostic errors in the ED occur at rates similar to those in other clinical settings. Not all errors have human causes, and not all are inevitable – this article suggests systems-level opportunities for improvement.MDI for Croup Spoon FeedEpinephrine administration via metered-dose inhaler (MDI) for the treatment of...
2023-03-1608 minJournalFeedFake HyperK, Repeat? | Salvage PE TxThe JournalFeed podcast for the week of Feb 27 – Oct 3, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Fake HyperK, Repeat? Spoon FeedThere is rarely any need to repeat potassium testing when the laboratory reports hyperkalemia on a hemolyzed sample in a child with a normal blood urea nitrogen (BUN) and creatinine (Cr).Less Fluids RCT! Spoon FeedThis unblinded superiority trial found no significant difference in mortality among...
2023-03-0408 minJournalFeedOver-Sensitive Trops | LP Me Which Way?The JournalFeed podcast for the week of Feb 20-24, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Over-Sensitive Trops Spoon Feed High sensitivity cardiac troponins (hs-cTn) can be more complex to interpret than our usual diagnostics and are worth a deep dive to understand. This article does an incredible job summarizing existing guidelines and data about how to utilize hs-cTn clinically. LP Me Which Way? Spoon FeedThis rand...
2023-02-2509 minJournalFeedTime IS Muscle | STANDING Vertigo AlgorithmThe JournalFeed podcast for the week of Feb 13-17, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Time IS Muscle Spoon FeedPatients with STEMI or STEMI equivalent who were treated within goal treatment times had significantly lower in-hospital mortality.STANDING Vertigo Algorithm Spoon FeedAfter a training session, both interns and senior emergency providers (EPs) could accurately distinguish between central and peripheral vertigo using the 4-step STANDING al...
2023-02-1808 minJournalFeedZinc Vs. COVID | Tubing in AngioedemaThe JournalFeed podcast for the week of Feb 6 to 10, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Zinc Vs. COVID Spoon FeedZinc supplementation for patients with COVID-19 decreased 30-day ICU admission rate and led to shorter symptom duration. Subgroup analysis showed these effects were especially pronounced for elderly patients and those with comorbid conditions.Tubing in Angioedema Spoon FeedIn patients presenting with angioedema, history of hypertension, sh...
2023-02-1107 minJournalFeedWEST Aorta Guidelines | Guess The EtOHThe JournalFeed podcast for the week of Jan 30 – Feb 3, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.WEST Aorta Guidelines Spoon FeedThe Western Trauma Association Algorithms Committee has released new evaluation and management guidelines and a step-by-step algorithm (see below) surrounding blunt thoracic aortic injury.Guess The EtOH Spoon FeedED clinicians are often inaccurate in their estimations of patients’ blood alcohol content (BAC). Overes...
2023-02-0407 minJournalFeedApi US’s | Cost of EM LifeThe JournalFeed podcast for the week of Jan 23-27, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Api US’s Spoon FeedWhen performed by an experienced EM physician or radiologist, a conclusive appendix ultrasound is both sensitive and specific when evaluating for acute appendicitis and can be used in place of CT. Cost of EM Life Spoon FeedEmergency physicians (EPs) suffer from poor slee...
2023-01-2808 minJournalFeedBurr, Cold Baby | Miss Less GIBsThe JournalFeed podcast for the week of Jan 16-20, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Burr, Cold Baby Spoon FeedThere is no definitive low temperature threshold that predicts severe bacterial infections in hypothermic infants. Clinical judgment and adjunct diagnostics are important considerations.Miss Less GIBs Spoon FeedIn patients with a gastrointestinal bleed (GIB), CT imaging was more often diagnostic when the specific indication (GIB) wa...
2023-01-2107 minJournalFeedNitro For SCAPE | Hi-Fid SimThe JournalFeed podcast for the week of Jan 9-13, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Nitro For SCAPE Spoon FeedThis study suggests that high-dose nitroglycerin infusion may be a safe alternative to intermittent bolus dosing for SCAPE, but prospective trials are needed to determine optimal initial rates and titration strategies, as well as the proper use of other adjunct therapies.Nitro For SCAPE | Merit-Based Incentives | Shark WeEK(G)| Hi-Fid Sim | Lido In...
2023-01-1407 minJournalFeedHappy New Year! | Best of Resus 2022 | Amio Vs. LidoThe JournalFeed podcast for the week of Jan 2-6, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Best of Resus 2022 Spoon FeedHere are the latest evidence updates on basic, advanced, and pediatric life support - and more - from this expert literature review.Amio Vs. Lido Spoon FeedFor in-hospital ventricular fibrillation/ventricular tachycardia (VF/VT) arrest (IHCA), lidocaine may have more favorable outcomes compared to amiodarone.
2023-01-0708 minJournalFeedGo Go Pheno | SAH, No LP!The JournalFeed podcast for the week of Dec 26-30, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Go Go Pheno Spoon Feed:Hospital adoption of phenobarbital for severe alcohol withdrawal syndrome (SAWS) was associated with lower rates of invasive mechanical ventilation (IMV).SAH, No LP! Spoon FeedNon-contrasted multislice CT (MSCT) is known to be highly sensitive in detecting subarachnoid hemorrhage (SAH) when performed within 6 hours of headache o...
2022-12-3108 minJournalFeedThe Only Vertigo Tx | #1 Shock MethodsThe JournalFeed podcast for the week of Dec 19-23, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.The Only Vertigo Tx Spoon FeedVestibular suppressant medications in peripheral vertigo were not associated with symptom resolution, decrease in repeat ED visits, patient satisfaction, or increased quality of life. The authors suggest that positional maneuvers, such as the Epley maneuver, should be the primary treatment for BPPV.#1 Shock Methods Spoon Feed...
2022-12-2408 minJournalFeedPlacing Pacing Pads | D(on’t)REThe JournalFeed podcast for the week of Dec 12-16, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Placing Pacing Pads Spoon FeedPlacing transcutaneous cardiac pacer pads in the anteroposterior position required less energy to successfully capture. D(on’t)RE Spoon FeedUse of the digital rectal exam (DRE) in trauma patients has repeatedly demonstrated poor sensitivity for injuries and has little impact on clinical management, with a hig...
2022-12-1708 minJournalFeedPre-Hospital C-spine Clearance | Skull Fracture P/EThe JournalFeed podcast for the week of Dec 5-9, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Delirium = CT Spoon FeedAmong patients ≥65 years who presented to the ED with delirium, confusion, or altered mental status, 15.6% had an abnormal head CT. Presence of neurologic deficit was a significant predictor for abnormal CT, but anticoagulation was not. Pre-Hospital C-spine Clearance Spoon FeedIn this large, single-center prospective cohort implementation study, paramedics were able...
2022-12-1007 minJournalFeedBougienage | Spotting Functional DisordersThe JournalFeed podcast for the week of Nov 28 – Dec 2, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Bougienage Spoon FeedEsophageal bougienage is an underutilized bedside technique for managing retained esophageal coins.Spotting Functional Disorders Spoon FeedInconsistency and incongruence are two keys to diagnosing a functional neurological disorder. The video demonstration really helps sort this out.
2022-12-0309 minJournalFeedFatal Drownings | CPR, Push Hard | Capnograms 101 | Wake Up Strokes | VL 4 lifeThe JournalFeed podcast for the week of Nov 21-25, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.CPR, Push Hard Spoon FeedWith ventilation rate standardized, chest compression (CC) depth explains variations in ETCO2 better than chest compression rate.Wake Up Strokes Spoon FeedIn patients presenting with ‘wake-up’ strokes, endovascular therapy improves functional outcomes, while intravenous alteplase may also provide a small beneficial impact.
2022-11-2607 minJournalFeedGo Scanner Go | How PEs KillThe JournalFeed podcast for the week of Nov 14-18, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Go Scanner Go Spoon FeedNewer CT scanners led to faster head CT by about 10 seconds, and this decreased the number of pediatric patients who required sedation.How PEs Kill Spoon FeedDecompensated right heart failure (RHF) increases morbidity and mortality, but it can be challenging to diagnose and treat. This...
2022-11-1909 minJournalFeedCranial EZ-IO | Status: KetamineThe JournalFeed podcast for the week of Nov 7-11, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Cranial EZ-IO Spoon FeedThe EZ-IO may be considered as a temporizing measure for trepanation of an epidural hematoma (EDH) in rural ED settings. This should be considered only under the guidance of a skilled neurosurgeon when immediate transportation to a higher level of care is not possible.Status: Ketamine Spoon Feed
2022-11-1207 minJournalFeedHypoK Isn’t HypoMg | Traumatic PregnanciesThe JournalFeed podcast for the week of Oct 31 to Nov 4th, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.HypoK ¹ HypoMg Spoon FeedThis retrospective single-center study found that hypokalemic patients who received magnesium within 4 hours of their potassium supplementation had no significant difference in time to serum potassium normalization.Traumatic Pregnancies Spoon FeedThe primary survey and standard initial interventions are the same. Here is how...
2022-11-0508 minJournalFeedBell’s Roids | WATEFALL RCTThe JournalFeed podcast for the week of Oct 24-28, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Bell’s Roids Spoon FeedThere was no statistical difference in 1, 3, or 6 month facial recovery with prednisolone vs placebo for children with Bell's palsy in this underpowered RCT. However, with a possible signal of long term benefit, I will keep prescribing steroids in these patients.WATEFALL RCT Spoon FeedConservative fluid admi...
2022-10-2907 minJournalFeedPeds MTP | Tega-don’tThe JournalFeed podcast for the week of Oct 17-21, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Peds MTP Spoon Feed:A transfusion threshold of 20 ml/kg of any blood product during the first hour of pediatric trauma resuscitation maximizes sensitivity and specificity for in-hospital mortality, need for intervention, and additional bleeding episodes and may identify children in need of massive transfusion.Tega-don’t Spoon FeedUsing Tegaderm™ durin...
2022-10-2206 minJournalFeedPax in the Vaxed | 29-60 Day LPThe JournalFeed podcast for the week of Oct 10-14, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Pax in the Vaxed Spoon FeedNirmatrelvir (Paxlovid) use in a population of largely immune outpatients ≥65 years old, during the omicron variant era, was significantly associated with reduction in hospitalization and death.29-60 Day LP Spoon FeedFebrile infants 29-60 days with a positive UA had no cases of bacterial meningitis. These...
2022-10-1507 minJournalFeedMore Paralysis | Burnout = Bad OutcomesThe JournalFeed podcast for the week of Oct 3-7, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.More Paralysis Spoon FeedIn this single center cohort of 886 patients, 5 patients had definite awareness during paralysis. However, there were 61 patients determined to have possible awareness, meaning upwards of 7.4% of patients could have been aware. Burnout = Bad Outcomes Spoon FeedPhysician burnout has extensive negative effects, not just on individuals, but on...
2022-10-0807 minJournalFeedNeonatal Hyperbili Update | Little Less SleepyThe JournalFeed podcast for the week of Sept 26-30th, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Neonatal Hyperbili Update Spoon FeedThe American Academy of Pediatrics (AAP) updated clinical guidelines for management of term infants presenting with hyperbilirubinemia. Relevant sections for ED providers include slightly raising phototherapy treatment thresholds, removing race as a consideration, and giving courses of action for infants requiring higher levels of care.Little Less Sleepy Spoon Feed
2022-10-0107 minJournalFeedNo Dizzy Answers | Hemoptysis, So What?The JournalFeed podcast for the week of Sept 19-23, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.No Dizzy Answers Spoon FeedWe cannot rely on neuroimaging (CT, CTA, MRI or MRA) alone to effectively rule out stroke in patients presenting to the ED with acute dizziness or vertigo.Hemoptysis, So What? Spoon FeedRemoving the “hemoptysis” item from PERC1-4, YEARS,5-7 and PEGeD8 clin...
2022-09-2406 minJournalFeedInfant hypothermia | Non-sterile Lac RepairThe JournalFeed podcast for the week of Sept 12-16, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Infant hypothermia Spoon FeedThere is significant practice pattern variation in the ED management of infants ≤90 days of age with hypothermia.Non-sterile Lac repair Spoon FeedThis trial suggests that there is unlikely to be a large difference in wound infection rates between non-sterile gloves and dressings and sterile gloves, dressings, an...
2022-09-1707 minJournalFeedLong COVID Labs | Biased Pulse-OxThe JournalFeed podcast for the week of Sept 5-9, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Spoon FeedPatients with long COVID had a host of symptoms, poorer quality of life, and more anxiety and depression, but they did not have a specific cause identified for symptoms despite a comprehensive exam and battery of tests.Spoon FeedOccult hypoxemia occurred more often in Black than White patients. In...
2022-09-1007 minJournalFeedINTUBE Study | Paxlovid ReboundThe JournalFeed podcast for the week of Aug 29 – Sept 2, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.INTUBE Study Spoon Feed:Patients who suffer from peri-intubation cardiovascular instability and collapse have an increased risk of mortality. Propofol was significantly associated with increased risk of peri-intubation instability and collapse.Paxlovid Rebound Spoon Feed:Some patients treated with nirmatrelvir-ritonavir (Paxlovid) may develop rebound symptoms or convert to a positive antigen te...
2022-09-0307 minJournalFeedMonkey Pox Risk | EpisTXAisThe JournalFeed podcast for the week of August 22-26, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monkey Pox Risk Spoon Feed:The current monkeypox outbreak is characterized by sexual transmission and presents with a flu-like prodrome followed by characteristic rash.EpisTXAis Spoon Feed:This single center, double blinded, randomized control trial of 240 patients demonstrated several positive outcomes with addition of tranexamic acid (TXA) to...
2022-08-2703 minJournalFeedNon-Op Stabbings | Adult EpiglottitisThe JournalFeed podcast for the week of August 15-19, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Non-Op Stabbings Spoon Feed:In abdominal stab wound patients without criteria for immediate operative intervention, 24 hours of observation was sufficient to identify a failure of conservative management.Adult Epiglottitis Spoon FeedThis review article offers pearls for adult epiglottitis, a disease with increasing prevalence and high morbidity.
2022-08-2007 minJournalFeedAwake With Paralysis | POCUS Pulse ChecksThe JournalFeed podcast for the week of August 8-12th, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Awake With Paralysis Spoon Feed:The proportion of patients that experience awareness with paralysis (AWP) is alarmingly high; 3.4% were aware of their surroundings but paralyzed, which is 3.4% more than what should occur.POCUS Pulse Checks Spoon Feed:Point-of-care ultrasound carotid artery compression (POCUS-CAC) was quicker than manual palpation (MP) in...
2022-08-1306 minJournalFeedFace-to-Face Intubation | Playing DRESS-upThe JournalFeed podcast for the week of August 1-5th, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Face-to-Face Intubation Spoon Feed:Upright face-to-face intubation had minimal difference in time to intubation or laryngeal views obtained when compared to supine intubation on cadavers, but there were some limitations with this study and further investigation into this technique and its application are needed.Playing DRESS-up Spoon Feed:
2022-08-0608 minJournalFeedC-Collar Adherence | Diagnostic TrapsThe JournalFeed podcast for the week of July 25-29th, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.C-Collar Adherence Spoon Feed:Many children discharged from the emergency department with minor traumatic cervical spine injury do not adhere to recommendations for cervical immobilization or outpatient follow-up, with no significant clinical consequences observed.Diagnostic Traps Spoon Feed:There are two distinct ECG patterns to know for isolated right ventricular myocardial infarctions (IRVMI).
2022-07-3008 minJournalFeedVery Sensitive Trops | Seaman’s SignThe JournalFeed podcast for the week of July 18-22, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Very Sensitive Trops Spoon FeedA single high sensitivity cardiac troponin T (hs-cTnT) measurement* less than the limit of quantitation (the lowest reportable concentration) appears to be sufficient in ruling out acute MI in a low risk population.Seaman’s Sign Spoon Feed:The Seamens’ Sign performs better than...
2022-07-2307 min
JournalFeedTop Ten Tips | Back to BaSICSThe JournalFeed podcast for the week of July 11-15th, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Top Ten Tips Spoon Feed:Here are the top 10 points for optimizing vasopressor use in critically ill patients.Back to BaSICS Spoon Feed:There have been multiple publications since the original SMART and SALT-ED trials, including this Brazilian RCT that initially said fluid choice didn’t matter in...
2022-07-1608 minJournalFeedIs Paxlovid Working? | Peds DroperidolThe JournalFeed podcast for the week of July 4 to 8th, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Is Paxlovid Working Spoon Feed:In the omicron era, nirmatrelvir/ritonavir (Paxlovid) is highly effective in reducing the risk of severe COVID-19 and mortality.Peds Droperidol Spoon Feed:This systematic review suggests that droperidol is both safe and effective for treating agitation in the pediatric population.
2022-07-0907 minJournalFeedTop 10 of PEM | Here’s A PlaceboThe JournalFeed podcast for the week of June 17th to July 1st, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Top 10 of PEM Spoon Feed:This review article highlighted some of the pivotal pediatric emergency medicine literature in 2021. It is a great update on commonly seen pathology in the pediatric population.Here’s A Placebo Spoon Feed:Children with functional abdominal pain and irritable bowel syndrome (IBS) taking an...
2022-07-0209 minJournalFeed1 or 2 Dex | Rx: PaxlovidThe JournalFeed podcast for the week of June 20-25th, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.1 Or 2 Dex Spoon Feed:A single dose of dexamethasone was as effective as two in treatment of mild to moderate pediatric asthma exacerbations in the emergency department.Rx: Paxlovid Spoon Feed:Paxlovid offers an oral option for treating COVID-19 infection. Here is what you need to know before prescribing.
2022-06-2507 minJournalFeedSent Home Abnormal | Guided IVs | Lessons from TuskegeeThe JournalFeed podcast for the week of June 13-17th, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Sent Home Abnormal Spoon Feed:18% of children in this cohort were discharged from a pediatric ED with at least one abnormal vital sign. In all-comers, there was no significant difference in return rate between those discharged with or without abnormal vital signs. Those who, at time of discharge, had two or more abnormal vital signs or were...
2022-06-1810 minJournalFeedVapocoolant Please | Mystery ECGThe JournalFeed podcast for the week of June 6th to 10th , 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Vapocoolant Please Spoon Feed:Vapocoolant spray may improve a patient’s experience of digital blocks for repair of finger injuries.Mystery ECG Spoon Feed:Presented is a process to interpret an ECG with negative P waves and pathologic Q waves in leads I and aVL.
2022-06-1106 minJournalFeedIV APAP = Less Morphine? | Good And Bad of AbxThe JournalFeed podcast for the week of May 30th to June 3rd, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.IV APAP = less morphine? Spoon Feed:A 1g dose of IV acetaminophen (APAP) had no additional effect on pain control or reduction in overall morphine dosage.Good And Bad of Abx Spoon FeedAntibiotics have a good and bad side for women with uncomplicated cystitis. Use of trimethoprim-sulfamethoxazole (TMP...
2022-06-0407 minJournalFeedPE post-D/C | UTICalc RecalibratesThe JournalFeed podcast for the week of May 23-27th, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.PE post-D/C Spoon Feed:Risk for venous thromboembolism (VTE) was highest during hospitalization but the risk remained elevated 3-fold at 3 months post-discharge.UTICalc Recalibrates Spoon Feed:Race was strongly associated with UTI risk, with non-Black children having 2-4 times greater odds of infection. However, replacement of ra...
2022-05-2807 minJournalFeedNew Hepatitis! | HyperCa in Cancer | Corporate EMericaThe JournalFeed podcast for the week of May 16-20, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.New Hepatitis Spoon Feed:A new, rare form of acute hepatitis has been seen in children, mostly under age 5 years, that presents with vomiting, diarrhea, and abdominal pain, followed by acute hepatitis with jaundice. If you see a child with a "stomach virus" who has jaundice - check labs!HyperCa in...
2022-05-2121 minJournalFeedDon’t POCUS? | Ramped n’ TubedThe JournalFeed podcast for the week of May 9-13, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Don’t POCUS? Spoon Feed:POCUS in the ED can lead to clinically useful information, although research has not yet demonstrated patient-centered improvements in care. While this modality shouldn’t be used for routine screening in the ED, it performs well with a focused clinical question.Ramped n’ Tubed Spoon Feed:
2022-05-1407 minJournalFeedAirway POCUS | ECPR vs. ACLSThe JournalFeed podcast for the week of May 2-6th,2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Airway POCUS Spoon Feed:Upper airway ultrasound (UA-US) may eventually help us predict if a patient will have a difficult laryngoscopy ahead of time. However, this is not ready for prime-time, and more studies are needed.ECPR vs. ACLS Spoon Feed:Early extracorporeal cardiopulmonary resuscitation (ECPR, aka...
2022-05-0709 minJournalFeedCTPA Incidentals | Headache Nerve BlocksThe JournalFeed podcast for the week of April 25-29, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.CTPA Incidentals Spoon Feed:Computed tomography pulmonary angiography (CTPA) yields an alternative diagnosis to pulmonary embolism (PE) in ~40% of patients with a negative PE study. Alternative diagnoses are more likely to occur in patients with increased age and in patients referred from the hospital setting (ICU or inpatient unit).Headache Nerve Blocks Spoon...
2022-04-3008 minJournalFeedRV Assessment in PE | Yuck, Don’t Reuse PPEThe JournalFeed podcast for the week of April 18-22, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.RV Assessment in PE Spoon Feed:Among patients with symptomatic PE who are low risk by sPESI, the addition of right ventricular assessment predictors (echo, CT, troponin, and BNP) significantly improved prognostication for clinical deterioration within 5 days. Yuck, Don’t Reuse PPE Spoon Feed:Reusing personal protective equipment (PPE...
2022-04-2308 minJournalFeedDeadly ED Delays | Doppler PulsesThe JournalFeed podcast for the week of April 4-8, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Deadly Delays Spoon Feed:This large study shows that all-cause 30-day mortality increases with delayed hospital admission from the ED, starting at 5 hours after patient arrival.Deadly Delays Spoon Feed:This large study shows that all-cause 30-day mortality increases with delayed hospital admission from the ED, starting at 5 hours after patient...
2022-04-1607 minJournalFeedVit-C = good? | tPA on NOACThe JournalFeed podcast for the week of April 4-8, 2022.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member. Vit-C = good? Spoon Feed:IV Vitamin C (IVVC) administration appeared to be safe and reduced overall mortality in this meta-analysis of critically ill patients, when given in higher doses and as monotherapy.tPA on NOACThere was no significant difference in intracranial hemorrhage, serious systemic hemorrhage, or inpatient mortality for patients...
2022-04-0908 minJournalFeedSIM for Crics | Impalpable Necks | Outpatient COVID | Narrowing The Gender Gap | Traumatic ArthrotomyThe JournalFeed podcast for the week of March 28 - April 1, 2022. Heads up! For continued access to all the JournalFeed has to offer will require you to be a member as of April 4th, 2022. Check out journalfeed.org for details. Show notes:SIM for Cric’s Spoon Feed:A high-fidelity simulation training program was very effective in training anesthesiologists to place invasive subglottic airways; skill retention was outstanding as well.Impalpable Necks Spoon Feed:Scalpel-finger-cannula was faster and had higher first-attempt success rate than scalpel-finger-bougie for front-of-neck access (FO...
2022-04-0216 minJournalFeedEpi vs. NorEpi | EVT for BAO | High-dose IN Fentanyl | Post-thrombectomy tPA | Stress of the Stress TestThe JournalFeed podcast for the week of March 21-25, 2022. Heads up! For continued access to all the JournalFeed has to offer will require you to be a member as of April 4th, 2022. Check out journalfeed.org for details. Epi vs. NorEpi Spoon feed:Continuous epinephrine infusion for post-resuscitation shock in out of hospital cardiac arrest (OHCA) was associated with both higher all-cause and cardiovascular specific mortality when compared to norepinephrine.EVT for BAO Spoon Feed: Time from symptom onset of a basilar artery occlusion (BAO) to...
2022-03-2616 minJournalFeedChest Tube Cutoffs | Pediatric Intubations | Pre-intubation Atropine | hs-Troponin algorithms | WCT gone wrongThe JournalFeed podcast for the week of March 14-18, 2022. Chest Tube Cutoffs Spoon Feed: Implementation of a guideline for chest tube placement with pneumothorax size cutoff of ≤35 mm in stable patients increased rates of observation for pneumothorax, with no apparent increase in rates of complication or observation failure.Pediatric Intubations Spoon Feed:There was no difference in first pass success rate or hypoxemic events when children were intubated with videolaryngoscopy (VL) versus direct laryngoscopy (DL). Intubations in children that took longer than 45 seconds had a greater incidence of hypoxemia, and overall, th...
2022-03-1913 minJournalFeedeFAST PTX | ETT-SGA vs BVM OHCA | Muscle Relaxers | Fentanyl-Ongoing Opioid Use | HR and PE RiskIt’s the JournalFeed Podcast for the week of March 7-11, 2022. We cover eFAST for pneumothorax, advanced airway vs bag-valve mask for OHCA, muscle relaxants for back pain, ongoing opioid use after fentanyl in the ED, and heart rate and mortality risk in PE.
2022-03-1215 minJournalFeedMoVE-Out RCT | Meningitis | Diltiazem vs Metoprolol | PLUS RCT | Pad Placement A-fib DCCVIt’s the JournalFeed Podcast for the week of February 28 - March 4, 2022. We cover molnupiravir for COVID, bacterial meningitis, diltiazem vs metoprolol for a-fib with RVR, PLUS RCT on balanced fluids, and pad placement for a-fib cardioversion.
2022-03-0511 minJournalFeedOlecranon Bursitis | Pass-Fail Step 1 | VL 2.0 | Snake Envenomation | Computer vs MD ECG ReadsIt’s the JournalFeed Podcast for the week of January 31-February 4, 2022. We cover treatment of olecranon bursitis, program director perspectives on pass/fail USMLE Step 1, videolaryngoscopy 2.0. snake envenomation, and computer vs emergency physicians ECG interpretation.
2022-02-0514 minJournalFeedEvK RCT | PE-SARD | VTE Tx Update | HEP-COVID | PE Rule Out PathwayIt’s the JournalFeed Podcast for the week of January 24-28, 2022. We cover the EvK RCT - etomidate vs ketamine for RSI, PE-SARD - predicting major bleed in PE treatment, a major update on antithrombotics for VTE, HEP-COVID - anticoagulation for COVID patients, and a new PE rule out pathway.
2022-01-2918 minJournalFeedNeonatal HSV Score | HFO2 COVID | CODA RCT F/U | PE-SCORE | Multislice CT SAHIt’s the JournalFeed Podcast for the week of January 17-21, 2022. We cover a neonatal invasive HSV risk score, high-flow oxygen for COVID, long-term follow up of antibiotics vs surgery for appendicitis, the PE-SCORE, and the high accuracy of multislice CT for SAH out to 24 hours.
2022-01-2213 min
JournalFeedTalking About Race in Emergency MedicineIt’s a special edition of the JournalFeed Podcast. Today, we are talking about race in EM with the authors of a recent op-ed in Annals of Emergency Medicine. We tackle some tough questions about racism and how we can be better allies as EM colleagues.Here are today’s show notes from the authors Cortlyn Brown, Kimberly Brown, Italo Brown, and Rosny Daniel:Allegories on race and racism - TED TalkMapping Police ViolenceMaatouk-Bürmann B, Ringel N, Spang J, Weiss C, Möltner A, Riemann U, Langewitz W, Schult...
2022-01-171h 05
JournalFeedGender Pay Gap | Subsegmental PE | Etomidate or Ketamine RSI | Ketamine NebsIt’s the JournalFeed Podcast for the week of January 10-14, 2022. We cover the gender pay gap in EM leadership, subsegmental PE anticoagulation or not, a point/counterpoint on etomidate or ketamine firstline for RSI, and ketamine nebs for pain control.
2022-01-1514 min