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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: High-Dose Inhaled Steroids for Acute Asthma

Spoon Feed —
Nebulized high-dose inhaled corticosteroid plus a short acting beta-agonist reduced emergency department length of stay in adult asthma exacerbation.

Source
Nebulised high-dose corticosteroids as add-on therapy for adults with asthma exacerbation: a randomised controlled trial. Emerg Med J. 2025 Jan 21;42(2):91-97. doi: 10.1136/emermed-2024-213893. PMID: 39694823

#2: Another Win For VL – This Time In Cardiac Arrest 

Spoon Feed — 
This secondary analysis of the DEVICE RCT found video laryngoscopy (VL) was associated with higher first attempt success and shorter duration of laryngoscopy compared to direct laryngoscopy (DL) in patients in cardiac arrest prior to intubation.

Source
Video versus Direct Laryngoscopy for Tracheal Intubation Following Cardiac Arrest: a Secondary Analysis of the DEVICE Trial. Chest. 2025 Jan 11:S0012-3692(25)00004-2. doi: 10.1016/j.chest.2024.12.031. Epub ahead of print. PMID: 39805516

#3: PECARN Torso Trauma Rule – Worst Risk Factors

Spoon Feed — 
In a large cohort of children, the risk of intraabdominal injury (IAI) with one or two PECARN variables is low, with GCS <14 at highest risk.

Source
Performance of individual criteria of the Pediatric Emergency Care Applied Research Network (PECARN) intraabdominal injury prediction rule. Acad Emerg Med. 2025 Jan 13. doi: 10.1111/acem.15084. Epub ahead of print. PMID: 39804061

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