JournalFeed

JournalFeed

By Nick ZeltScience
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JournalFeed episodes

  • The Best Valsalva | When To Scan

    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.

    12 min
  • The Bind on Binders | Pigtails vs. Chest Tubes

    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.

    9 min
  • Succ + HyperK | PECARN in <28days

    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.

    11 min
  • War of the LGIB Tools | Discharging Delirium

    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.

    10 min
  • Top Articles of 2025 | How Well We BVM

    The JournalFeed podcast for the week of Dec 29, 2025 to Jan 2, 2026

    Monday’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).

    12 min
  • Phenobarbital for Withdrawal | Congenital Heart Disease Review

    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.

    15 min
  • The Ketamine vs Etomidate RCT | AHA Updates

    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.

    12 min
  • ANDROMEDA-2 | Arterial Line RCT

    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.

    16 min
  • Don’t Wait For EMS | TNK Up To 24-hours

    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.

    10 min
  • Predictors of Productivity | Cry Me Some Petechiae

    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.

    10 min

About JournalFeed

From the publisher's feed

This is a quick summary of the most important articles we covered this week on the JournalFeed blog. It’s the audio spoon-feed!

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