Penetrating Brain Injury Guidelines | Adjust-unlikely Validation! (at least)

The JournalFeed podcast for the week of May 25-29, 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:IV contrast doses used for CT scans appear to fall below the toxic threshold for nephrotoxicity, with no convincing evidence they cause acute kidney injury (AKI) in most patients.Tuesday’s Spoon Feed:This Australian study found patients who were eligible for rapid rule out based on a single high-sensitivity cardiac troponin I (hs-cTnI) ≤2 ng/L pathway had shorter hospital length of stay (LOS) and no increase in index or 30-day cardiac events.

The JournalFeed podcast for the week of May 18-22, 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:There was no difference in 28-day mortality for ICU patients with tachypnea and pulmonary infiltrates when comparing high-flow and standard flow oxygen, although intubations were lower in the high-flow group.Friday’s Spoon Feed:Anterior-posterior (AP) pad position is associated with return of spontaneous circulation (ROSC) in patients with out-of-hospital ventricular fibrillation cardiac arrest.

The JournalFeed podcast for the week of May 11-15, 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:In this cohort of trauma patients requiring intubation, video laryngoscopy was associated with higher first-pass success, while head, face, or neck trauma was associated with lower success. Adverse events were more common with less experienced residents and greater injury severity.Thursday’s Spoon Feed:No single symptom or exam finding definitively diagnoses pediatric concussion, but mental fog, light/noise sensitivity, nausea, and oculomotor abnormalities meaningfully increase likelihood, while absence of headache decreases it.

The JournalFeed podcast for the week of May 4-8th, 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:This trial randomized patients with intermediate-high risk PE to anticoagulation or catheter-directed thrombolysis (CDT) and found an improvement in composite primary outcome, driven by improvement in vital signs.Wednesday’s Spoon Feed:In this retrospective cohort study, a single 50 mL dose of 8.4% sodium bicarbonate (HTB) was more likely than 100 mL of 3% hypertonic saline (HTS) to achieve a ≥4 mEq/L increase in serum sodium in patients with severe hyponatremia.

The JournalFeed podcast for the week of April 27 – May 1, 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:The Brain Trauma Foundation guidelines on penetrating traumatic brain injury (pTBI) offer helpful tips to improve survival.Thursday’s Spoon Feed:This simplified strategy using a D-dimer threshold of 1000 ng/mL in patients for whom pulmonary embolism was not the most likely diagnosis and age-adjusted threshold for other patients had a diagnostic failure rate of 0%, and chest imaging was decreased by 19%.

The JournalFeed podcast for the week of April 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.Thursday’s Spoon Feed:In Part 1, catch up on the new PE guidelines from the AHA on diagnosis, imaging, risk categories, and disposition!Friday’s Spoon Feed:This is the follow-up to Part 1 and touches on anticoagulation, reperfusion therapy, and hemodynamic management.

The JournalFeed podcast for the week of April 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.Monday’s Spoon Feed:This review advocates for a risk-stratified observation pathway in those who receive epinephrine for anaphylaxis, from as little as 1-3 hours if low-risk to as high as 6-12 hours if high-risk.Friday’s Spoon Feed:In young children with acute wheezing, use of a higher drug-delivery valved holding chamber was associated with improved clinical outcomes compared to a lower-delivery device, supporting the importance of delivery method in bronchodilator therapy.

The JournalFeed podcast for the week of April 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:Cardiac standstill on transthoracic echocardiography is a strong predictor of failing to achieve return of spontaneous circulation (ROSC). However, while it offers high diagnostic accuracy, emergency physicians should use it as one prognostic marker among others rather than a sole reason to terminate efforts.Tuesday’s Spoon Feed:Of patients with return of spontaneous circulation (ROSC) after in-hospital cardiac arrest (IHCA), CT imaging revealed new findings 65.2% of the time while POCUS did so in 57.6% of IHCA patients.

The JournalFeed podcast for the week of March 30-April 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.Tuesday’s Spoon Feed:Gabapentinoids are often prescribed for off-label indications, with minimal or no clinically significant benefit, while exposing patients to harmful side effects, especially vulnerable elderly patients.Friday’s Spoon Feed:The TWIST Score can be used for risk stratification of an acute scrotum, but POCUS (point-of-care ultrasound) should be used, particularly in intermediate risk patients to rule out testicular torsion in pediatric patients.

The JournalFeed podcast for the week of 23-27, 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:Despite being well documented, females with chest pain continue to suffer from misdiagnosis, later presentation, receive fewer guideline-directed therapies and invasive procedures, and have worse short and long term cardiovascular outcomes compared to males.Thursday’s Spoon Feed:A systematic review and meta-analysis found that serious diagnoses after a brief resolved unexplained event are uncommon, with most diagnostic testing yielding little value.