Episode 30

Physician In Triage | FFP-First MTP

The JournalFeed podcast for the week of July 27-31, 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:

In this single-center study, advanced imaging utilization increased significantly following the deployment of a Provider-in-Triage (PIT) model. In addition, the rate of negative CT scans in patients with abdominal pain was higher in PIT-exposed patients.

Tuesday’s Spoon Feed:

In this retrospective study, children with reliable physical exam and normal plain T- or L-spine x-rays had 1 missed injury out of 126 children, and 100% had no operative injury.

Wednesday’s Spoon Feed:

A clinical decision support alert shortened the time to stress-dose hydrocortisone administration for patients with known adrenal insufficiency in the emergency department.

Thursday’s Spoon Feed:

FFP-first MTP may have a slight mortality benefit, but this is not a practice-changing study.

Friday’s Spoon Feed:

A structured approach to cervical spine clearance using clinical decision rules, modern CT, and select use of MRI and x-ray in adult and pediatric patients allows us to avoid prolonged collar use, reduce ED crowding, and limit adverse collar effects for patients.

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!