HyperK! | Unreliable Exams For CAP

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 review summarizes the guidelines and evidence behind the pathophysiology, diagnostics, and treatments for acute hyperkalemia.Wednesday’s Spoon Feed:In pediatric emergency department patients with community-acquired pneumonia, no individual physical exam finding demonstrated moderate or strong interrater reliability.

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 patients already at risk for a difficult airway, those with a smaller interincisor distance (distance between top incisor to bottom incisor during maximal mouth opening) were more likely to have failed standard geometry video laryngoscopy (SGVL).Friday’s Spoon Feed:Emergency thoracotomy has evolved with our specialty. This practical review provides an updated approach to indications, technique, and post-thoracotomy management, with a focus on getting the chest open efficiently and safely.

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.