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.
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#1: New Meta-analysis – Metoprolol vs Diltiazem for A-Fib with RVR

Spoon Feed –
This systematic review of 13 studies found slightly higher rates of adverse events after administration of diltiazem versus metoprolol, when treating atrial fibrillation (a-fib) with RVR.

Source
Metoprolol vs diltiazem for atrial fibrillation with rapid ventricular rate: Systematic review and meta-analysis of adverse events. Am J Emerg Med. 2024 Dec 27;89:230-240. doi: 10.1016/j.ajem.2024.12.070. Epub ahead of print. PMID: 39764905

#2: Cost of Saving Lives – Complications of Tourniquets

Spoon Feed
Nearly one quarter of patients receiving prehospital tourniquet application for traumatic injuries experienced in-hospital complications such as local infection and thromboembolism.

Source
The cost of saving lives: Complications arising from prehospital tourniquet application. Acad Emerg Med. 2024 Dec 16. doi: 10.1111/acem.15070. Epub ahead of print. PMID: 39686666

#3: Are PRN BP Meds Harmful?

Spoon Feed
Patients who received as-needed antihypertensive medications while hospitalized had higher risk for acute kidney injury.

Source
As-Needed Blood Pressure Medication and Adverse Outcomes in VA Hospitals. JAMA Intern Med. 2025 Jan 1;185(1):52-60. doi: 10.1001/jamainternmed.2024.6213. PMID: 39585709

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