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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: New Sudbury Vertigo Risk Score Derivation

Spoon Feed —
The Sudbury Vertigo Risk Score helps identify patients at risk for stroke, has remarkable sensitivity for serious neurologic pathology, but has yet to be validated.

Source
Development of a Clinical Risk Score to Risk Stratify for a Serious Cause of Vertigo in Patients Presenting to the Emergency Department. Ann Emerg Med. 2025 Feb;85(2):122-131. doi: 10.1016/j.annemergmed.2024.06.003. Epub 2024 Aug 1. PMID: 39093245

#2: Should We Use Cephalosporins for Outpatient Pyelonephritis?

Spoon Feed —
This retrospective study found no difference in rates of treatment failure at 14 days in patients treated with cephalosporins compared to fluoroquinolones/TMP-SMX for outpatient pyelonephritis.

Source
Cephalosporins for Outpatient Pyelonephritis in the Emergency Department: COPY-ED Study. Ann Emerg Med. 2025 Mar;85(3):240-248. doi: 10.1016/j.annemergmed.2024.10.013. Epub 2024 Nov 20. PMID: 39570254

#3: How Long Should We Observe After Opiate Overdose?

Spoon Feed —
With notable exclusion criteria, the incidence of intubation in opiate overdose patients after 4 hours was rare in this study: 9/1591 (0.6%).

Source
Risk of Delayed Intubation After Presumed Opioid Overdose in the Emergency Department. Ann Emerg Med. 2025 Mar 3:S0196-0644(25)00060-5. doi: 10.1016/j.annemergmed.2025.01.022. Epub ahead of print. PMID: 40047773

 

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