Abx Before Cultures | PERC-35 Rule

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

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

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

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

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

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

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

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

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

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