Naloxone for OHCA | 0/1hr or 0/3hr Trops?

The JournalFeed podcast for the week of July 20-24, 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:Out of 40,000 EMS encounters for out-of-hospital cardiac arrest (OHCA) in the U.S., naloxone administration was associated with survival to hospital discharge but made no difference in ROSC.Thursday’s Spoon Feed:The European Society of Cardiology (ESC) accelerated diagnostic pathway (ADP) of 0/1 hour vs. 0/3 hour troponin had no increase in patients discharged within 4 hours, although median length of stay decreased. The 0/1 hour pathway was non-inferior to the 0/3 hour pathway for safety of discharge.

The JournalFeed podcast for the week of July 13-17, 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:Hypothermia found during emergency department triage is a strong, independent predictor of in-hospital death among children.Friday’s Spoon Feed:This hypothesis-generating study showed that maintaining EMS pads and equipment during ED transfer for out-of-hospital cardiac arrests (OHCA) saved 143 seconds to first rhythm analysis and defibrillation.

The JournalFeed podcast for the week of July 6-10, 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:In this multicenter randomized trial of patients who presented to the emergency department with septic shock, a strategy of early vasopressor use with less fluid administration compared with later vasopressors with more fluids did not lead to a difference in days alive and out of the hospital at day 90.Thursday’s Spoon Feed:In this randomized trial of patients with in-hospital cardiac arrest, administration of sodium bicarbonate did not result in a difference in sustained ROSC, mortality, or favorable neurologic outcome.

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 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 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 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.