Clay Smith
-
Sep 16 2024
A Tick-ing Time Bomb – Explosion of Tick-Borne Diseases
Spoon Feed
Due to a multitude of factors, the tick population is increasing, leading to a congruent increase in tick-borne diseases (TBD), most notably Lyme disease and babesiosis. Clinicians should keep TBD on their differential for fever with flu-like symptoms, even in traditionally non-endemic areas, as range is expanding and travel has increased.Source
Increasing Risk for Tick-Borne Disease: What Should Clinicians Know? JAMA Intern Med. 2024 Aug 1;184(8):973-974. PMID: 38829668. -
Sep 13 2024
Human, Take this Patient to the Cath Lab – AI and STEMI Detection
We have one wish...
Would you write a quick testimonial? A nice word from you is all we need 🥹!
If you have time this weekend...
Do you have suggestions for improvement? Give us your feedback about JournalFeed!
We need your input on wisely and ethically using AI. Also, see if you can you tell what's AI vs human-written.
Many thanks,
Clay
Spoon Feed
These researchers developed and trained a deep ensemble artificial intelligence (AI) model to classify ECGs as STEMI versus non-STEMI. The AI performed well in both accuracy and in improving sensitivity.Source
Development of Clinically Validated Artificial Intelligence Model for Detecting ST-segment Elevation Myocardial Infarction. Ann Emerg Med. 2024 Jul 25:S0196-0644(24)00327-5. doi: 10.1016/j.annemergmed.2024.06.004. Epub ahead of print. PMID: 39066765. -
Sep 12 2024
Physician, Humble Thyself – Humility In Medicine
Spoon Feed
Physician humility is crucial for tackling modern healthcare challenges, building patient trust, and fostering collaboration in medical environments. However, significant challenges exist in cultivating humility and require substantial individual and collective actions to ensure the integrity of the medical profession, enhance patient care, and support healthcare providers’ well-being.Source
Physician Humility: A Review and Call to Revive Virtue in Medicine. Ann Intern Med. 2024 Jul 30. doi: 10.7326/M24-0842. Online ahead of print. PMID: 39074373. -
Sep 11 2024
Don’t Make A Rash Decision About Infant Vesicles or Pustules
Please don't skip this 😬...
Tell us what you think about a potential new JF summary that incorporates AI, and see if you can tell which post was written by AI vs written by me. We will share these findings with the whole audience, but we need a bunch more responses to make sure these data are meaningful.
Many thanks,
Clay
Spoon Feed
In a cohort of afebrile infants with pustular or vesicular rashes, none were diagnosed with serious bacterial infection attributable to a skin source, though some were ultimately diagnosed with herpes simplex virus (HSV).Source
Management of Pustules and Vesicles in Afebrile Infants ≤60 Days Evaluated by Dermatology. Pediatrics. 2024 Jul 1;154(1):e2023064364. doi: 10.1542/peds.2023-064364. PMID: 38910522. -
Sep 10 2024
Sedation, Aspiration, and the Risk of GLP-1 Agonists
Spoon Feed
Patients on GLP-1 agonists might be at risk of delayed gastric emptying, which has significant implications for procedural sedation and endotracheal intubation.Source
Use of Glucagon-Like Peptide-1-Agonists and Increased Risk of Procedural Sedation and Endotracheal Intubation in the Emergency Department. Ann Emerg Med. 2024 Aug;84(2):226-227. DOI: 10.1016/j.annemergmed.2024.03.007. PMID: 39032988. -
Sep 09 2024
Water Beads – An Expanding Hazard
Spoon Feed
There are an increasing number of water bead related injuries in children, with the majority occurring in children less than five. While most cases can be treated and released from the ED, water bead injury can be serious and even deadly.Source
Pediatric water bead-related visits to United States emergency departments. Am J Emerg Med. 2024 Jul 28:84:81-86. doi: 10.1016/j.ajem.2024.07.048. Online ahead of print. PMID: 39096713 -
Sep 06 2024
IM Epinephrine for OHCA – Quicker and Better?
We need your help!
Your feedback helps us improve. Like JournalFeed, it's quick! We need ~600 responses. Incredible feedback so far! Please help and...
Spoon Feed
In non-traumatic out of hospital cardiac arrest (OHCA), administration of an initial dose of IM epinephrine by EMS prior to an established IV or IO was associated with improved survival outcomes.ÂSource
Early intramuscular adrenaline administration is associated with improved survival from out-of-hospital cardiac arrest. Resuscitation. 2024 Aug;201:110266. doi: 10.1016/j.resuscitation.2024.110266. Epub 2024 Jun 9. PMID: 38857847. -
Sep 05 2024
Breath of Fresh Air – Capnography Trends in OHCA
Spoon Feed
Dynamic increases in continuous end-tidal CO2Â (EtCO2) were associated with increased odds of return of spontaneous circulation (ROSC) for patients with out-of-hospital cardiac arrest (OHCA), but EtCO2 trended down in patients who did not achieve ROSC.Source
Temporal Trends in End-Tidal Capnography and Outcomes in Out-of-Hospital Cardiac Arrest: A Secondary Analysis of a Randomized Clinical Trial. JAMA Netw Open. 2024;7(7):e2419274. doi:10.1001/jamanetworkopen.2024.19274. PMID: 38967927. -
Sep 04 2024
VICTOR RCT – IO or IV for OHCA?
Spoon FeedÂ
Attempting initial vascular access in the field by intraosseous (IO) vs. intravenous (IV) route made no difference in survival to hospital discharge for out-of-hospital cardiac arrest (OHCA), despite greater IO success rates.Source
Intraosseous versus intravenous vascular access in upper extremity among adults with out-of-hospital cardiac arrest: cluster randomised clinical trial (VICTOR trial). BMJ. 2024 Jul 23:386:e079878. doi: 10.1136/bmj-2024-079878. PMID: 39043416. -
Sep 03 2024
VF or VT – Earlier Defibrillation Is Better?
Spoon Feed
In a retrospective study of 142 patients with an initial shockable rhythm and 4 to 5 episodes of recurrent/refractory ventricular fibrillation (VF) or pulseless ventricular tachycardia (pVT), shorter duration of VF and pVT was associated with higher rates of ROSC.ÂSourceÂ
The impact of time to defibrillation on return of spontaneous circulation in out-of-hospital cardiac arrest patients with recurrent shockable rhythms. Resuscitation. 2024;201:110286. doi:10.1016/j.resuscitation.2024.110286. PMID: 38901663.