Pre-hospital TXA Guidelines | K Targets with ICD Patients

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.

The JournalFeed podcast for the week of Sept 22-26, 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:Strap in for a longer-than-normal Spoon Feed to stay updated on the latest ATS guidelines for diagnosing and treating CAP.Wednesday’s Spoon Feed:The 2025 AHA/ACC hypertension guidelines recommend a universal BP goal of <130/80 with antihypertensive therapy initiation, guided by hypertension severity, comorbidities, and PREVENT risk score.

The JournalFeed podcast for the week of Sept 5-19, 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:The ACEP subcommittee made policy recommendations on what peri-procedural interventions reduce peri-intubation hypoxia and hypotension.Wednesday’s Spoon Feed:Pediatric patients with a positive ultrasound (US) and Pediatric Appendicitis Risk Calculator (pARC) score ≥ 25% are highly likely to have pathology-proven appendicitis.

The JournalFeed podcast for the week of Sept 8-12, 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:The National Association of EMS Physicians(NAEMSP)’s comprehensive review of spinal motion restriction in prehospital management of trauma concluded cervical collars and backboards are likely doing more to harm patients than they are to prevent delayed neurological injury(DNI).Friday’s Spoon Feed:In ED patients with vertigo, the STANDING algorithm had high diagnostic accuracy and negative predictive value for central causes while reducing CT imaging and length of stay compared to “usual care.” But the main caveat here was that these emergency physicians underwent dedicated training in the algorithm.

The JournalFeed podcast for the week of Sept 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 Spoon Feed:The Queen of Hearts AI (QoH AI) model beat both emergency physicians (EPs) and cardiologists at deciding who needs immediate catheterization for certain STEMI-equivalents and STEMI-mimics—88.9% accuracy vs. ~66%—promising fewer missed occlusion myocardial infarctions (OMIs) and fewer unnecessary activations.Wednesday Spoon Feed:Reliance on STEMI criteria alone misses a substantial proportion of LAD occlusions, while expert and AI ECG interpretation achieved earlier and more accurate detection, with 100% sensitivity for LAD occlusion MI in this study.

The JournalFeed podcast for the week of Aug 25-29, 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:This meta-analysis found that non-invasive positive pressure ventilation (NIPPV) during preoxygenation of critically ill patients undergoing tracheal intubation led to less hypoxemia compared to a facemask or high-flow nasal cannula (HFNC).Tuesday Spoon Feed:Non-targeted hepatitis C screening in the ED (free regardless of risk) identified more new hepatitis C diagnoses than targeted screening; however, while this found more new cases, it did not translate to increases in successful treatment.

The JournalFeed podcast for the week of Aug 18-22, 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:Can I read an ECG better than a computer?Thursday Spoon Feed:In this retrospective study of ED-diagnosed UTIs, Cephalexin dosed twice daily was just as effective as four times daily, with no significant difference in treatment failure - suggesting BID dosing may be a practical, adherence-friendly option in some patients.