War of the LGIB Tools | Discharging Delirium

The JournalFeed podcast for the week of Jan 5-9, 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.Wednesday’s Spoon Feed:Older adults discharged from the ED with delirium had almost 3 times the risk of 30-day mortality compared to those discharged without delirium.Friday’s Spoon Feed:This RCT of 100 patients with intermediate-high risk PE showed that mechanical thrombectomy plus anticoagulation was superior to anticoagulation alone in reducing RV/LV ratio and earlier normalization of vitals.

The JournalFeed podcast for the week of Dec 29, 2025 to Jan 2, 2026Monday’s Spoon Feed:Implementing Spanish-language discharge instruction videos, interpreter-needed EMR icons, and standardized communication processes in a pediatric ED eliminated a 10% communication equity gap between Spanish- and English-speaking families without increasing length of stay or ED return visits.Tuesday’s Spoon Feed:Similar to prior research on the topic, prehospital endotracheal intubation (ETI) is more successful with both sedative and paralytic than with no medications or sedative alone.Wednesday’s Spoon Feed:The updated AHA and AAP guidelines on neonatal life support provide the most current, evidence-based recommendations for recognizing and managing newborns who require resuscitation, a time-critical responsibility that has a major impact on survival and neurodevelopmental outcomes.Thursday’s Spoon Feed:Here are the top ten most viewed JournalFeed posts in 2025 (from our Google Analytics data). I've dropped a comment on how each article has impacted me this year. Enjoy!Friday’s Spoon Feed:Bag valve mask (BVM) ventilations provided by Basic Life Support (BLS) teams during 30:2 cardiopulmonary resuscitation (CPR) in out of hospital cardiac arrest (OHCA) frequently fell well short of the guideline goals for expiratory tidal volume (Vte).

The JournalFeed podcast for the week of Dec 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:Phenobarbital administration for alcohol withdrawal was associated with lower admission rates, shorter ED length of stay (LOS), and fewer IV medication administrations when compared to benzodiazepines.Friday’s Spoon Feed:Here's the brief on how to diagnose and treat cyanotic congenital heart disease.

The JournalFeed podcast for the week of Dec 15-19, 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:There was no difference in 28-day mortality in critically ill adult patients with ketamine vs. etomidate for rapid sequence induction (RSI), but ketamine increased the need for peri-intubation vasopressor support.Tuesday’s Spoon Feed:The 2025 executive summary shows new developments in the AHA guidelines, integrating science, systems, and education with a unified Chain of Survival across the entire cardiac arrest continuum so that communities can prioritize which changes matter most for their patients, from lay rescuer response to prehospital care to the ED and beyond.

The JournalFeed podcast for the week of Dec 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:Personalized hemodynamic resuscitation targeting capillary refill time (PHR-CRT) over a 6 hour intervention period demonstrated less need for organ support in patients with septic shock at 28 days.Wednesday’s Spoon Feed:The EVERDAC trial found delayed invasive blood-pressure monitoring is noninferior to early arterial catheterization in patients with shock in terms of 28-day mortality.

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).