Updates from Emergency Medicine Journals

Cardiology Emergency Medicine

HiSTORIC Reprise—High-Sensitivity Troponin Here to Stay
January 8, 2026January 10, 2026

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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.

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Emergency Medicine Medicine/Geriatrics Neurology Psychiatry | Substance Use

Discharging Delirium Is Dangerous
January 7, 2026January 10, 2026

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Older adults discharged from the ED with delirium had almost 3 times the risk of 30-day mortality compared to those discharged without delirium.

Source
Outcomes of Older Adults With Delirium Discharged From the Emergency Department. Ann Emerg Med. 2025 Nov;86(5):484-495. doi: 10.1016/j.annemergmed.2025.02.003. Epub 2025 Mar 12. PMID: 40072382; PMCID: PMC12353625.

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Emergency Medicine GI

Lower GI Bleed Scores – Which Best Predicts Badness?
January 6, 2026January 10, 2026

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For lower GI bleeds, the Oakland and SALGIB risk stratification scores performed well in predicting adverse events and severe bleeding and in identifying patients safe for discharge, but none of the 5 scoring systems reliably predicted need for intervention.

Source
Predictive value of clinical risk scores for adverse outcomes and safe discharge in acute lower gastrointestinal bleeding. Am J Emerg Med. 2026 Jan;99:370-375. doi: 10.1016/j.ajem.2025.10.051. Epub 2025 Oct 25. PMID: 41175440.

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Critical Care Emergency Medicine Pediatric Emergency Technology

Can AI Predict Pediatric Sepsis Before It Happens?
January 5, 2026January 17, 2026

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Using EHR data from the first 4 hours of ED care, machine learning models accurately predicted which children would develop sepsis within 48 hours—before organ dysfunction was present.

Source
Derivation and Validation of Predictive Models for Early Pediatric Sepsis. JAMA Pediatr. 2025 Dec 1;179(12):1318-1325. doi: 10.1001/jamapediatrics.2025.3892. PMID: 41082207; PMCID: PMC12519407.

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Emergency Medicine EMS Resuscitation

How to Bag Better in OHCA
January 2, 2026January 3, 2026

Source
Manual bag-valve-mask ventilation during out-of-hospital cardiopulmonary resuscitation: a prospective observational study. Resuscitation. 2025 Nov 12;217:110895. doi: 10.1016/j.resuscitation.2025.110895. Epub ahead of print. PMID: 41237844.

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Critical Care Emergency Medicine Pediatric Emergency

Top Ten Most Viewed Posts in 2025
January 1, 2026January 2, 2026

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Here are the top ten most viewed JournalFeed posts in 2025 (from our Google Analytics data). I’ve dropped a comment on how each article has impacted me this year. Enjoy!

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Emergency Medicine Pediatric Emergency Resuscitation

2025 New AHA NRP Updates
December 31, 2025January 3, 2026

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The updated AHA and AAP guidelines on neonatal life support provide the most current, evidence-based recommendations for recognizing and managing newborns who require resuscitation, a time-critical responsibility that has a major impact on survival and neurodevelopmental outcomes.

Source
Part 5: Neonatal Resuscitation: 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):S385-S423. doi: 10.1161/CIR.0000000000001367. Epub 2025 Oct 22. PMID: 41122887.

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Airway Emergency Medicine EMS

Prehospital Intubation Without Drugs? That’s Bad Chemistry
December 30, 2025January 3, 2026

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Similar to prior research on the topic, prehospital endotracheal intubation (ETI) is more successful with both sedative and paralytic than with no medications, paralytics alone, or sedative alone.

Source
The Association Between Out-of-Hospital Drug-Assisted Airway Management Approach and Intubation First-Pass Success. Ann Emerg Med. 2025 Nov;86(5):521-530. doi: 10.1016/j.annemergmed.2025.04.034. Epub 2025 Jun 4. PMID: 40464718.

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Critical Care Emergency Medicine Pediatric Emergency Social Drivers of Health

ANYONE, Anywhere, Anytime—Helping Spanish-Speaking Families
December 29, 2025December 30, 2025

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Implementing Spanish-language discharge instruction videos, interpreter-needed EMR icons, and standardized communication processes in a pediatric ED eliminated a 10% communication equity gap between Spanish- and English-speaking families without increasing length of stay or ED return visits.

Source
Advancing Equity in Emergency Department Discharge Communication for Spanish-Speaking Families. Pediatrics. 2025 Nov 1;156(5):e2024067346. doi: 10.1542/peds.2024-067346. PMID: 41120116.

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Cardiology Critical Care Emergency Medicine Pediatric Emergency

Cyanotic Congenital Heart Disease—Spoon Feed Version
December 26, 2025December 27, 2025

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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.

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