Pain Control in OUD | Is Syncope Worth An Admission?

The JournalFeed podcastThese 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 perspective piece makes the case that autonomous AI could soon outperform both physicians and physician-AI hybrids at core cognitive medical tasks, though procedural care and real-world validation are major unresolved issues.Wednesday’s Spoon Feed:Febrile infants ≤90 days without a respiratory viral infection were more likely to have an invasive bacterial infection (IBI) than those with a detectable virus, with certain viruses putting children at lower risk of an IBI.

The JournalFeed podcastThese 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:For hospitalized patients with opioid use disorder (OUD) experiencing acute pain, higher doses of opioids are often needed, in addition to non-opioid analgesics. Medication for OUD (MOUD) such as buprenorphine or methadone should be offered or continued if previously taking, assistance from addiction medicine services and/or acute pain services should be sought, timely hospital follow-up should be arranged, and naloxone should be prescribed at discharge.Wednesday’s Spoon Feed:This secondary analysis of adults ≥ 40 years old with syncope or pre-syncope without a serious diagnosis made in the ED found 5.9% of patients had a serious adverse outcome (SAO) within 30 days.

The JournalFeed podcastThese 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 randomized trial of patients admitted to the hospital requiring supplemental oxygen, a closed-loop autonomous oxygen titration system increased the time patients spent in the targeted oxygen range and decreased the duration of hypoxemia and hyperoxemia compared to standard care.Friday’s Spoon Feed:Prehospital pelvic binder use was not found to decrease transfusion in this trauma population, but it was associated with increased angioembolization, which may have poor real world application given the limitations of this study.

The JournalFeed podcastThese 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 systematic review suggests that non-supine positioning during emergency department intubation is likely either non-inferior or superior to supine positioning with regard to first-pass success.Friday’s Spoon Feed:As access to obstetric care continues to be a growing challenge, EPs need to be prepared to recognize and treat hypertensive disorders of pregnancy (HDP), which require prompt diagnosis and management in the ED.

The JournalFeed podcastThese 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:Caffeine is one of the most commonly used drugs worldwide. This American Heart Association scientific statement suggests moderate caffeine consumption is generally safe and may even be associated with cardiovascular benefit, though much of the evidence comes from observational studies of coffee drinkers rather than caffeine itself.Friday’s Spoon Feed:Current American Heart Association (AHA) guidelines for hand placement during chest compressions may not be ideal, but they are the best we have for the moment.

The JournalFeed podcastThese 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 those with obesity, the distance from the skin to the pleura is lower and less sensitive to increasing body mass at the midclavicular second intercostal space compared to the anterior axillary fourth/fifth intercostal space.Thursday’s Spoon Feed:Considering widespread adoption and austere environments, the chances of encountering a prolonged tourniquet is likely increasing. This review sums up nicely the management of patients exposed to prolonged tourniquets.

The JournalFeed podcastThese 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:Dual defibrillation strategies have gained traction for refractory ventricular fibrillation (VF) and persistent atrial fibrillation; this off-label practice, however, can unknowingly damage the device permanently or cause concurrent malfunctions during procedures.Wednesday’s Spoon Feed:Ocular POCUS by emergency clinicians is highly accurate for diagnosing retinal detachment.

The JournalFeed podcastThese 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:This cohort study measured ventilation parameters during OHCA with BVM, SGA, and ETT. BVMs had the lowest tidal volumes, SGA breaths developed a bit of leak, and ETT had the highest airway pressures.Friday’s Spoon Feed:The Hydra Study randomized patients with active cancer in whom PE was suspected to CTPA or the YEARS Algorithm. The YEARS algorithm was found to be non-inferior.

The JournalFeed podcastThese 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:This expert consensus reaffirms which foreign body ingestions are emergent vs urgent vs appropriate for watchful waiting, and provides practical clinical algorithms to help guide ED and GI management in the pediatric population.Friday’s Spoon Feed:This study aims to push forward and progress timely trauma care by identifying hemorrhage via CT immediately upon arrival of the patient to the trauma bay.

The JournalFeed podcast for the week of July 27-31, 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 single-center study, advanced imaging utilization increased significantly following the deployment of a Provider-in-Triage (PIT) model. In addition, the rate of negative CT scans in patients with abdominal pain was higher in PIT-exposed patients.Tuesday’s Spoon Feed:In this retrospective study, children with reliable physical exam and normal plain T- or L-spine x-rays had 1 missed injury out of 126 children, and 100% had no operative injury.Wednesday’s Spoon Feed:A clinical decision support alert shortened the time to stress-dose hydrocortisone administration for patients with known adrenal insufficiency in the emergency department.Thursday’s Spoon Feed:FFP-first MTP may have a slight mortality benefit, but this is not a practice-changing study.Friday’s Spoon Feed:A structured approach to cervical spine clearance using clinical decision rules, modern CT, and select use of MRI and x-ray in adult and pediatric patients allows us to avoid prolonged collar use, reduce ED crowding, and limit adverse collar effects for patients.