The general medicine podcast to keep you up to date.

We scour the journals so that you don’t have to. 


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Welcome to our first ever podcast!
We’re excited to bring you a fresh look at the last month's most relevant and interesting general medicine articles.
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Get in touch!
@JournalSpotting or journalspotting@gmail.com
We’d love to hear from you: what you thought of the show, what you would like to hear, and if you have any articles that you would like us to share with the general medicine world!
A wise man at your ARCP once said: "It didn't happen unless you've filled in a feedback form". (But seriously, we'd love to hear what you think!)
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In this month's episodes we cover:
...Sepsis treatment adjuncts: what works and (still) doesn’t work...
#Vitamin C still doesn’t work
Fujii, Tomoko et al. “Effect of Vitamin C, Hydrocortisone, and Thiamine vs Hydrocortisone Alone on Time Alive and Free of Vasopressor Support Among Patients With Septic Shock: The VITAMINS Randomized Clinical Trial.” JAMA 2020
https://pubmed.ncbi.nlm.nih.gov/31950979/


#Ringers lactate finally settles the score with saline
Brown, Ryan M et al. “Balanced Crystalloids versus Saline in Sepsis. A Secondary Analysis of the SMART Clinical Trial.” AJRCCM 2019
https://pubmed.ncbi.nlm.nih.gov/31454263/


...A few articles to up your AF game…
#Booze and Atrial Fibrillation don’t mix well.
Voskoboinik, Aleksandr et al. “Alcohol Abstinence in Drinkers with Atrial Fibrillation.” NEJM 2020
https://pubmed.ncbi.nlm.nih.gov/31893513/


#Think twice about combining Aspirin & DOACs
Santulli, Gaetano. “In AF and stable CAD, rivaroxaban reduced cardiovascular events and mortality more than rivaroxaban plus an antiplatelet.” Annals of internal medicine 2020
https://pubmed.ncbi.nlm.nih.gov/31958820/


...Why that 2 am pneumothorax might not be quite so scary...
#To drain or not drain in spontaneous pneumothorax treatment
Brown, Simon G A et al. “Conservative versus Interventional Treatment for Spontaneous Pneumothorax.” NEJM 2020
https://pubmed.ncbi.nlm.nih.gov/31995686/

BTS pneumothorax guidelines: https://thorax.bmj.com/content/65/Suppl_2/ii18

...A few Quickfire JournalSpots...

Ascitic taps in cirrhosis: https://pubmed.ncbi.nlm.nih.gov/31688022/
BSG Ascites Guidance: https://www.bsg.org.uk/clinical-resource/bsg-guidelines-on-the-management-of-ascites-in-cirrhosis/

Gram-negative bacteraemia: https://pubmed.ncbi.nlm.nih.gov/30535100/
N95 masks vs. surgical masks for flu: https://pubmed.ncbi.nlm.nih.gov/31958821/

...And at the end of the shift...
#Why coffee could get you home safely after a night shift
Huffmyer, Julie L et al. “Impact of Caffeine Ingestion on the Driving Performance of Anesthesiology Residents After 6 Consecutive Overnight Work Shifts.” Anesthesia and analgesia 2020
https://www.ncbi.nlm.nih.gov/pubmed/31274603