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: Azithromycin or Doxycycline + β-lactam for CAP?


#2: OPTPRESS – High MAP Goal in Older Patients with Septic Shock

Spoon Feed —
This randomized control trial of older ICU patients with septic shock in Japan showed higher mortality and more frequent adverse events in patients randomized to a high MAP goal (80-85 mmHg) compared to usual care (65-70 mmHg).

Source
Efficacy of targeting high mean arterial pressure for older patients with septic shock (OPTPRESS): a multicentre, pragmatic, open-label, randomised controlled trial. Intensive Care Med. 2025 May;51(5):883-892. doi: 10.1007/s00134-025-07910-4. Epub 2025 May 13. PMID: 40358717


#3: “Falls” Decision Rule – Reducing Head CT in Elderly

Spoon Feed —
This external validation of the Falls decision-making tool for older adult patients with head trauma had high sensitivity and negative predictive value while reducing unnecessary CT scans by almost 32%.

Source
Validating the falls decision rule: optimizing head CT use in older adults with ground-level falls. CJEM. 2025 May 13. doi: 10.1007/s43678-025-00937-y. Epub ahead of print. PMID: 40360963

 

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