Journal Feed Weekly Wrap-Up

We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter.
Originally published at JournalFeed, a site that provides daily or weekly literature updates.
Follow Dr. Clay Smith at @spoonfedEM, and sign up for email updates here.

#1: A Timely Twist on Testicular Torsion

Spoon Feed
In pediatric testicular torsion, manual detorsion by pediatric emergency medicine physicians was associated with restoration of testicular blood flow an average of 105 minutes sooner than proceeding directly to surgery.

Source
Manual Detorsion by Pediatric Emergency Physicians Shortens Ischemia Time in Pediatric Testicular Torsion. Acad Emerg Med. 2026 Sep;33(9):e70412. doi: 10.1111/acem.70412. PMID: 42740594. PMCID: PMC13575587.


#2: Compartment Syndrome – 6 “Ps” or Only 1 “P” Matters?

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Febrile infants ≤90 days without a respiratory viral infection were more likely to have an invasive bacterial infection (IBI) than those with a detectable virus, with certain viruses putting children at lower risk of an IBI.

Source
Respiratory Viral Detection and Invasive Bacterial Infections in Infants ≤90 Days . Pediatr Infect Dis J. 2026 Aug 10. doi: 10.1097/INF.0000000000005358. Epub ahead of print. PMID: 42574253.


#3: Do I Smell Relief – Alcohol Pad as Antiemetic?

Spoon Feed
This evidence review found the current literature supports inhaled isopropyl alcohol (IPA) as an inexpensive and effective intervention for acute nausea in the ED. However, use in pregnant patients has not been studied.

Source
Whiff of doubt: is inhaled isopropyl alcohol (alcohol wipes) an effective treatment for acute nausea in the emergency department? Emerg Med J. 2026 Sep 7:emermed-2026-216455. doi: 10.1136/emermed-2026-216455. Epub ahead of print. PMID: 42705904.

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