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.

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.