Podcast summarizing recent emergency medicine posts from the past week.
**JAMA: Sodium Bicarbonate for In-Hospital Cardiac Arrest A Randomized Clinical Trial**
Meaning These findings do not support routine administration of sodium bicarbonate for patients with in-hospital cardiac arrest. The post JAMA: Sodium Bicarbonate for In-Hospital Cardiac Arrest A Randomized Clinical Trial first appeared on האיגוד הישראלי לרפואה דחופה.
—
**PODCAST: When you go your way, and I Go Mine – Surgery or Antibiotics for Acute Appendicitis.**
This new narrative review notes that the American College of Surgeons (ACS) has endorsed antibiotics as a safe alternative for selected patients while continuing to endorse appendectomy. Heterogeneity: The RCTs differed by age group, randomization method, inclusion of appendicolith, antibiotic regimen, inpatient versus outpatient management, thresholds for surgery, primary outcome definitions, and noninferiority margins.
—
**Initial 12mg Versus 6mg Adenosine for Supraventricular Tachycardia in the Emergency Department**
Objectives: This study aimed to compare the efficacy and safety of an initial 12 mg versus 6 mg adenosine dose for sinus rhythm conversion in patients presenting with supraventricular tachycardia (SVT) in the emergency department (ED). Adult patients (≥ 18 years) presenting to the ED with hemodynamically stable SVT confirmed by 12-lead electrocardiography (ECG) were included.
—
**BMJ: Risk of obstructive acute kidney injury: derivation and internal validation of a risk stratification tree**
Background Acute kidney injury (AKI) is a frequent condition among patients presenting to the emergency department (ED). The primary outcome was obstructive AKI, defined as hydronephrosis identified on imaging and requiring either urological intervention or Foley catheter insertion.
