Episode 26

BB and CCB Toxicity | Fearing The Elderly Abdomen

The JournalFeed podcast for the week of June 29 – July 3, 2026.

These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.

Monday’s Spoon Feed:

Consider beta blocker (BB) and calcium channel blocker (CCB) toxicity in patients presenting with bradycardia and hypotension. Hallmarks of treatment are quick action, escalation to vasopressors, high dose insulin (HDI) if initial treatment fails, and subsequent consideration of ECMO and intralipid rescue therapy in the sickest patients.

Friday’s Spoon Feed:

In this retrospective analysis of patients with non-traumatic abdominal pain, increased age was associated with increased CT ordering, increased findings of acute pathology, and increased surgery and hospitalizations. Tenderness on physical exam was less sensitive for adverse outcomes in patients aged ≥60.

About the Podcast

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About your hosts

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Nicholas Zelt

The voice behind the mic! I'm an emergency medicine resident with a real nerdy love for podcasts and evidence based medicine. Joined the JournalFeed team way back in the before times (pre-COVID).
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Clay Smith

Hi! I've been practicing emergency medicine for over 20 years and started JournalFeed. I'm the Chief Spoon-Feeder, which means I either write or edit everything that's posted on the JournalFeed blog. But Nick totally runs the show with the podcast!