Bullet To Bone | Shaving Off Minutes

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.  

The JournalFeed podcast for the week of August 11-15, 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:Thoracic trauma is common––and so are pneumothorax and hemothorax. This high-yield review walks through clear, evidence-based ways to recognize, image, and treat these injuries.Tuesday Spoon Feed:Both rising and falling patterns in serial high-sensitivity cardiac troponin (hs-cTn) measurement were associated with significantly higher risk of 30-day MACE. 

The JournalFeed podcast for the week of Aug4-8, 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 review updates our knowledge on CPR with highlights being that compression-only bystander CPR improves survival to hospital discharge compared to conventional bystander CPR and that current evidence does not suggest any improved patient outcomes with CPR monitoring tools. Thursday Spoon Feed:In patients with sepsis, new LV dysfunction is associated with in-hospital and ICU mortality. 

The JournalFeed podcast for the week of July 28 – Aug 1, 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:Duration of prophylactic antibiotic therapy was not found to be associated with likelihood of developing a fracture-related infection after GSW associated with bowel injury in this small retrospective study. Wednesday Spoon Feed:Helicopter transport improves survival in trauma patients who meet triage criteria, but only if it saves at least 13–17 minutes over ground transport.

The JournalFeed podcast for the week of July 21-25, 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:Novel blood-based biomarkers, specifically GFAP, UCH-L1, S100B, and NfL, may be well suited for early classification and triage of patients with acute and subacute minor traumatic brain injury.Tuesday Spoon Feed:To reduce hospitalizations of patients with mild to moderate COVID, treat with nirmatrelvir-ritonavir (Paxlovid) or remdesivir. To shorten the duration of COVID symptoms, azithroycin, favipiravir, molnupiravir, umifenovir, or corticosteroids may help, but they are not standard of care. 

The JournalFeed podcast for the week of July 14-18, 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:A single high-quality CT scan is highly accurate at detecting serious cervical spine injuries in children after trauma and may be enough to clear the spine without further imaging safely in majority of patients.Thursday Spoon Feed:For patients with ROSC after OHCA who required vasopressors transported by Finnish helicopter EMS (HEMS), normotension (100-140 mm Hg) was associated with improved 30-day mortality compared to hypo and hypertension.Friday Spoon Feed:This study of a trauma database found patients intubated in the emergency department (ED) who required hemorrhage control surgery had worse outcomes than those who were intubated in the operating room (OR). However, a study published just two months ago, from the same database of patients, found no difference in patients based on intubation location. What gives?

The JournalFeed podcast for the week of July  7-11, 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:Targeting the 5th percentile mean blood pressure in pediatric septic shock resulted in similar 28-day mortality as targeting the 50th percentile - while reducing vasopressor use, side effects, and complications like ARDS.Friday Spoon Feed:This study shows that ketamine alone is a safe choice for pediatric sedation in the ED, with serious adverse events (AE) occurring rarely, primarily in older children or when opioids are coadministered.