JournalFeed

Nick Zelt

This is a quick summary of the most important articles we covered this week on the JournalFeed blog. It’s the audio spoon-feed!
Help you to read less, learn more, and save lives!

Play

Open in

21 episodes
weekly
Avg 11 min
English

Episodes 21

Newest Oldest Longest

All20 Unplayed20 In progress0 Played0

Counted on this page — what you have heard stays on this device, so it is not something the list can be paged by.

S6 · E34
Today · 13 min
NOT THERE! Where To Decompress | All About Tourniquets
The JournalFeed podcast 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 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.
S6 · E33
August 22 · 8 min
DSED Damaging Devices? | POCUS The Retina!
The JournalFeed podcast 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: 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.
S6 · E32
August 15 · 10 min
Where The Breaths Go in OHCA | HYDRA – YEARS in Active Cancer
The JournalFeed podcast 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: 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.
S6 · E31
August 8 · 13 min
Ingested Foreign Body Guidelines | CT First Trauma Evaluation
The JournalFeed podcast 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: 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.
S6 · E30
August 1 · 11 min
Physician In Triage | FFP-First MTP
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.
S6 · E29
July 25 · 12 min
Naloxone for OHCA | 0/1hr or 0/3hr Trops?
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.
S6 · E28
July 18 · 10 min
Hypothermia and Mortality | Switch The Kit?
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.
S6 · E27
July 11 · 10 min
Early Pressors vs. Fluids | Bicarb For IHCA
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.
S6 · E26
July 4 · 13 min
BB and CCB Toxicity | Fearing The Elderly Abdomen
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.
S6 · E25
June 27 · 7 min
Anti-Plt For Failed Thromobolysis | Early DAPT?
The JournalFeed podcast for the week of June 22-26, 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: Tirofiban resulted in greater 90-day excellent neurological outcomes vs. placebo in patients with no medium or large vessel occlusion (LVO) who were not improving with with tenecteplase (TNK), NNT = 9. Friday’s Spoon Feed: Dual antiplatelet therapy (DAPT) with ticagrelor plus aspirin vs. placebo in patients with stroke treated with thrombolysis resulted in better 90-day excellent neurological outcome, NNT = 15, without a significant increase in symptomatic intracranial hemorrhage (sICH).
S6 · E24
June 13 · 10 min
Chest Pain Stats | Private vs EMS
The JournalFeed podcast for the week of June 8-12, 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 large national ED study, only 5.5% of patients presenting with atraumatic chest pain were diagnosed with one of seven predefined life-threatening conditions, with ACS accounting for most cases (4.5%). Wednesday’s Spoon Feed: A large, multiyear retrospective cohort of adult trauma patients found those transported by private vehicle (POV) had lower odds of mortality and shorter length of stays than ground EMS.
S6 · E23
June 6 · 13 min
Intubation Review | Video Game Learning
The JournalFeed podcast for the week of June 1-5, 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 covers airway management of patients in the acute care (i.e. ED or ICU) setting. It's a solid 16 pages long, so we'll summarize 10 things we know now and what questions we still have. Wednesday’s Spoon Feed: A purpose-driven video game can improve triage of elderly trauma patients.
S6 · E25
June 6 · 7 min
12mg for SVT | COACT at 5 Years
The JournalFeed podcast for the week of June 15-19, 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: A starting dose of 12mg of adenosine for stable supraventricular tachycardia (SVT) resulted in higher initial successful cardioversion rates and persistence of sinus rhythm thereafter without increased adverse effects. Thursday’s Spoon Feed: No significant survival benefit was identified in 5-year follow-up of patients randomized to immediate vs. delayed coronary angiography after out-of-hospital cardiac arrest (OHCA) survival without ST segment elevation.
S6 · E22
May 30 · 12 min
ED Contrast Toxicity | Very Low Troponins
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.
S6 · E21
May 23 · 10 min
HFNC or a Mask? | Shock Strength or Pad Placement?
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.
S6 · E20
May 16 · 8 min
Intubations in Trauma | Rational Clinical Exam: Peds Concussions
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.
S6 · E19
May 9 · 12 min
HI PEITHO | Bic for HypoNa
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.
S6 · E18
May 2 · 10 min
Penetrating Brain Injury Guidelines | Adjust-unlikely Validation! (at least)
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%.
S6 · E17
April 25 · 14 min
AHA’s New PE Guidelines
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.
S6 · E16
April 18 · 12 min
Biphasic Anaphylaxis Observation | Are All Spacers Equal?
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.

Showing 1–20 of 21 episodes