#1: Best Vagal Maneuver for SVT
Spoon Feed —
The modified Valsalva maneuver is the most effective first-line vagal maneuver for stable supraventricular tachycardia, achieving higher conversion rates and reducing the need for intravenous antiarrhythmics without increasing adverse events.
Source
Pursuit of Optimal Vagal Maneuvers in Stable Supraventricular Tachycardia: A Network Meta-Analysis.West J Emerg Med. 2025 Nov 26;26(6):1667-1678. doi: 10.5811/westjem.47305. PMID: 41380061; PMCID: PMC12698150.
#2: Pigtail for Pediatric Hemothorax?
Spoon Feed —
Pigtail catheters had a similar safety profile and rates of catheter failures compared to chest tubes for treatment of hemodynamically stable children with hemothorax or hemopneumothorax.
Source
Percutaneous pigtail catheter versus chest tube for the treatment of pediatric traumatic hemothorax: An Eastern Association for the Surgery of Trauma multicenter study. J Trauma Acute Care Surg. 2025 Dec 1;99(6):850-858. doi: 10.1097/TA.0000000000004775. Epub 2025 Sep 15. PMID: 40956282.
