Anti-Plt For Failed Thromobolysis | Early DAPT?

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%.