#1: CT Alone for Cervical Spine Clearance in Pediatrics?
Spoon Feed —
A single high-quality CT scan is highly accurate at detecting serious cervical spine injuries in children after trauma and may be enough to clear the spine without further imaging safely in majority of patients.
Source
An analysis of potential cervical spine clearance in children with computed tomography alone. J Trauma Acute Care Surg. 2025 Jun 10. doi: 10.1097/TA.0000000000004667. Epub ahead of print. PMID: 40492847.
#2: Prehospital Adenosine for SVT – 6 or 12 mg?
Spoon Feed —
An initial dose of 12 mg of adenosine for suspected paroxysmal supraventricular tachycardia (PSVT) was associated with increased prehospital improvement, reduced rates of hospital admission, and less re-dosing compared to 6 mg, while complications remained rare and similar across both groups.
Source
Comparing Prehospital Adenosine Initial Dosing of 6 mg Versus 12 mg for Presumed Paroxysmal Supraventricular Tachycardia (PSVT). Prehosp Emerg Care. 2025 Jun 5:1-6. doi: 10.1080/10903127.2025.2504521. Epub ahead of print. PMID: 40471550
#3: Think Goldilocks – Aim for “Normotension” in ROSC after OHCA
Spoon Feed —
For patients with ROSC after OHCA who required vasopressors transported by Finnish helicopter EMS (HEMS), normotension (100-140 mm Hg) was associated with improved 30-day mortality compared to hypo and hypertension.
Source
What is the optimal prehospital blood pressure level after cardiac arrest? A retrospective cohort study on the association of blood pressure and mortality among patients treated with vasoactive medication. Resuscitation. 2025 Jun;211:110589. doi: 10.1016/j.resuscitation.2025.110589. Epub 2025 Mar 18. PMID: 40113009