#1: Don’t Blow Off Presyncope – Risk = Syncope
Spoon Feed —
Presyncope has a 30-day serious cardiac outcome risk that is identical to patients with true syncope—despite presyncope patients being admitted less often and considered lower risk.
Source
Serious Cardiac Outcomes and Physician Estimation of Risk in Emergency Department Patients With Presyncope Versus Syncope. Ann Emerg Med. 2025 Sep 23:S0196-0644(25)01155-2. doi: 10.1016/j.annemergmed.2025.08.014. Epub ahead of print. PMID: 40990887; PMCID: PMC12462893.
#2: To Cut or Not—The Pediatric Appendicitis Question
Spoon Feed —Â
Antibiotic-only management of uncomplicated pediatric appendicitis led to nearly five times higher failure rates and more major complications within a year compared with appendectomy, suggesting the knife still has the edge.
Source
Reevaluating Nonoperative Management for Pediatric Uncomplicated Acute Appendicitis: A Systematic Review and Meta-Analysis. JAMA Pediatr. 2025 Oct 5:e254091. doi: 10.1001/jamapediatrics.2025.4091. Epub ahead of print. PMID: 41046476; PMCID: PMC12498239.
