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  • Cardiology Emergency Medicine Venous Thromboembolism

    STORM-PE RCT—Thrombectomy for Intermediate-High Risk PE

    January 9, 2026January 10, 2026

    Spoon Feed —
    This RCT of 100 patients with intermediate-high risk PE showed that mechanical thrombectomy plus anticoagulation was superior to anticoagulation alone in reducing RV/LV ratio and earlier normalization of vitals.

    Source
    STORM-PE Trial Investigators. Randomized Controlled Trial of Mechanical Thrombectomy With Anticoagulation Versus Anticoagulation Alone for Acute Intermediate-High Risk Pulmonary Embolism: Primary Outcomes from the STORM-PE Trial. Circulation. 2025 Nov 3. doi: 10.1161/CIRCULATIONAHA.125.077232. Epub ahead of print. PMID: 41183181.

    Read More STORM-PE RCT—Thrombectomy for Intermediate-High Risk PEContinue

  • Cardiology Emergency Medicine

    HiSTORIC Reprise—High-Sensitivity Troponin Here to Stay

    January 8, 2026January 10, 2026

    Spoon Feed —
    High-sensitivity cardiac troponin for risk stratification in both low- and intermediate-risk patients reduced length of stay and increased discharges from the ED for patients with suspected acute coronary syndrome. Also, risk of subsequent myocardial infarction or cardiac death at 1 year was lower.

    Source
    HiSTORIC Trial Investigators. Safety of Using Risk Stratification Along With High-Sensitivity Cardiac Troponin in the Emergency Department: A Secondary Analysis. J Am Coll Cardiol. 2025 Nov 11;86(19):1738-1748. doi: 10.1016/j.jacc.2025.08.059. PMID: 41193094.

    Read More HiSTORIC Reprise—High-Sensitivity Troponin Here to StayContinue

  • Cardiology Critical Care Emergency Medicine Pediatric Emergency

    Cyanotic Congenital Heart Disease—Spoon Feed Version

    December 26, 2025December 27, 2025

    Spoon Feed —
    This article reviews the presentation, diagnostic workup, and treatment of critical cyanotic congenital heart disease (CCHD) including the “five T’s” (truncus arteriosus, dextro-transposition of the great arteries, tricuspid atresia, tetralogy of Fallot, total anomalous pulmonary venous return) as well as hypoplastic left heart syndrome, Ebstein’s anomaly, and critical pulmonary stenosis.

    Source
    High risk and low incidence diseases: Cyanotic critical congenital heart disease. Am J Emerg Med. 2025 Nov 5;100:6-11. doi: 10.1016/j.ajem.2025.11.001. Epub ahead of print. PMID: 41237673.

    Read More Cyanotic Congenital Heart Disease—Spoon Feed VersionContinue

  • Cardiology Critical Care Emergency Medicine Pediatric Emergency Resuscitation

    New 2025 AHA PALS—Refining How We Resuscitate

    December 24, 2025December 27, 2025

    Spoon Feed — 
    The 2025 AHA/AAP Pediatric Advanced Life Support Guidelines refine several core elements of pediatric resuscitation, including shock dosing, airway management, rhythm identification, and post-ROSC care. The updates emphasize physiologic ventilation, minimizing interruption, using ECPR in select cases, and clearer termination guidance – all aimed at improving survival and neurologic outcomes.

    Source
    Part 8: Pediatric Advanced Life Support: 2025 American Heart Association and American Academy of Pediatrics Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2025 Oct 21;152(16_suppl_2):S479-S537. doi: 10.1161/CIR.0000000000001368. Epub 2025 Oct 22. PMID: 41122885.

    Read More New 2025 AHA PALS—Refining How We ResuscitateContinue

  • Cardiology Critical Care Emergency Medicine Pediatric Emergency Resuscitation

    New AHA 2025 Pediatric BLS—Big Changes for Little Patients

    December 23, 2025December 27, 2025

    Spoon Feed — 
    The 2025 AHA/AAP Pediatric BLS Guidelines introduce major updates: no more 2-finger compressions in infants, immediate AED use with pediatric attenuators, refined foreign-body airway obstruction management, and reaffirmation that breaths matter for pediatric CPR.

    Source
    Part 6: Pediatric Basic Life Support: 2025 American Heart Association and American Academy of Pediatrics Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2025 Oct 21;152(16_suppl_2):S424-S447. doi: 10.1161/CIR.0000000000001370. Epub 2025 Oct 22. PMID: 41122891.

    Read More New AHA 2025 Pediatric BLS—Big Changes for Little PatientsContinue

  • Cardiology Critical Care Emergency Medicine EMS Pediatric Emergency Resuscitation

    Shockingly Sensible: New 2025 AHA Advanced Life Support

    December 18, 2025December 18, 2025

    Spoon Feed —
    Building on 2020 guidelines, 2025 ALS refines cardioversion in atrial fibrillation (AF), vascular access, imaging, termination of resuscitation (TOR), and more, while also deemphasizing low-yield practices.

    Source
    Part 9: Adult Advanced Life Support: 2025 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2025 Oct 21;152(16_suppl_2):S538-S577. doi: 10.1161/CIR.0000000000001376. Epub 2025 Oct 22. PMID: 41122884.

    Read More Shockingly Sensible: New 2025 AHA Advanced Life SupportContinue

  • Cardiology Critical Care Emergency Medicine EMS Resuscitation

    In OHCA, Defib Faster and More Survive 

    November 21, 2025November 22, 2025

    Spoon Feed —
    This nationwide database study found that defibrillation within 2 minutes of starting CPR was associated with increased 1-month survival in out-of-hospital cardiac arrest (OHCA) patients.

    Source
    Association Between Immediate Defibrillation and Outcomes in Shockable Out-of-Hospital Cardiac Arrest: A Propensity Score Analysis. Prehosp Emerg Care. 2025 Sep 30:1-8. doi: 10.1080/10903127.2025.2558868. Epub ahead of print. PMID: 40932764.

    Read More In OHCA, Defib Faster and More Survive Continue

  • Cardiology Emergency Medicine

    Does Furosemide Drop BP in Heart Failure Patients?

    October 29, 2025November 1, 2025

    Spoon Feed —
    Risk of hypotension (SBP < 90mmHg) as a direct result of IV furosemide administration during acute decompensated heart failure treatment is very low.

    Source
    Blood Pressure Effects and Risk of Hypotension due to Intravenous Furosemide in Acute Decompensated Heart Failure. Acad Emerg Med. 2025 Aug 28. doi: 10.1111/acem.70125. Epub ahead of print. PMID: 40877742.

    Read More Does Furosemide Drop BP in Heart Failure Patients?Continue

  • Cardiology Emergency Medicine

    The Real K-Pop? Raising Potassium Lowers VF/VT Risk

    October 21, 2025October 25, 2025

    Spoon Feed —
    In patients with an implantable cardioverter-defibrillator (ICD) at risk for ventricular arrhythmias, keeping potassium in the high-normal range (4.5-5.0 mmol/L) reduced shocks, arrhythmia hospitalizations, and deaths, without added harm.

    Source
    POTCAST Study Group. Increasing the Potassium Level in Patients at High Risk for Ventricular Arrhythmias. N Engl J Med. 2025 Aug 29. doi: 10.1056/NEJMoa2509542. Epub ahead of print. PMID: 40879429.

    Read More The Real K-Pop? Raising Potassium Lowers VF/VT RiskContinue

  • Cardiology POCUS

    POCUS Finds Occult VF – More V-fib = More Defib

    October 13, 2025October 23, 2025

    Spoon Feed —
    In this multicenter trial of patients presenting to the ED after out-of-hospital cardiac arrest (OHCA), 5.3% were found to have occult ventricular fibrillation (VF) on point-of-care echocardiography.

    Source
    Incidence and Clinical Relevance of Echocardiographic Visualization of Occult Ventricular Fibrillation: A Multicenter Prospective Study of Patients Presenting to the Emergency Department After Out-of-Hospital Cardiac Arrest. Ann Emerg Med. 2025 Oct;86(4):328-336. doi: 10.1016/j.annemergmed.2025.04.014. Epub 2025 Jun 30. PMID: 40590825.

    Read More POCUS Finds Occult VF – More V-fib = More DefibContinue

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