Where The Breaths Go in OHCA | HYDRA – YEARS in Active Cancer

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.

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.