Notes from Dr. RW

Hospitalist resources and more.

Tuesday, May 05, 2015

New study on inferior vena cava filters

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IVC filters have been troubled by very limited evidence despite advances in the technology. Recommendations are largely based on clinical ...
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Perioperative management of patients taking target specific oral anticoagulants

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Although the target specific oral anticoagulants (TSOAC) have been validated in clinical trials and approved for several years in the U.S., ...

Anti-NMDA-receptor encephalitis

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A great overview at Academic Life in Emergency Medicine.
Monday, May 04, 2015

Trends in pre-hospital oxygen administration for chest pain patients

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From a recent study : Objectives. The purpose of this study was to examine trends in oxygen administration following ...
Sunday, May 03, 2015

Proton pump inhibitors coadministered with dual antiplatelet therapy: the controversy continues

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From a recent systematic review : Thirty-five studies were eligible. Five (4 randomized controlled trials and 1 obser...
Saturday, May 02, 2015

Aspirin lowers mortality in patients with community acquired pneumonia

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From a recently published study : Methods and Results Consecutive patients admitted to the University‐Hospital Policl...
Friday, May 01, 2015

Are face-to-face handoffs really necessary?

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This question was examined in a recent study of hospitalized patients: OBJECTIVE Examine the relationship bet...

Cost comparisons in ACS for PCI and non-PCI capable hospitals

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From a recent analysis : Conclusions—Despite higher PCI and coronary artery bypass graft rates for Medicare patients ...
Thursday, April 30, 2015

Outpatient treatment of PE: what does the evidence tell us?

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From a Cochrane Database systematic review : SEARCH METHODS: The Cochrane Peripheral Vascular Diseases Group ...
Wednesday, April 29, 2015

Saddle pulmonary embolism and knee jerk alarm

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Here's an interesting paper linked at Hospital Medicine Virtual Journal Club . From the abstract: Saddle pulmon...
Tuesday, April 28, 2015

New oral anticoagulants for heparin induced thrombocytopenia (HIT)

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Low level evidence suggests they may provide an alternative: MATERIALS AND METHODS: We retrospectively identified 22 patients with HI...
Monday, April 27, 2015

Neurologic prognosis after cardiac arrest: a statement from the European Resuscitation Council and the European Society of Intensive Care Medicine

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An evidence based approach to the evaluation of coma post cardiac arrest and an essential reference for hospitalists.
Sunday, April 26, 2015

Mucormycosis

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This post from Emergency Medicine Ireland has a link to a full text review which should be read in its entirety. I have posted previously...
Saturday, April 25, 2015

Update on serious MRSA infections

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From Current Opinion in Infectious Diseases : Recent findings  Elevations in the vancomycin minimum inhibitory concentration within the s...
Friday, April 24, 2015

MRSA pneumonia: what's the best treatment?

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Is it vancomycin or linezolid? The evidence is mixed and the controversy continues but according to this review linezolid seems to be gain...
Thursday, April 23, 2015

Procalcitonin as a prognostic indicator in sepsis

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From BMC Research Notes : Background Procalcitonin is useful for the diagnosis of sepsis but its prognosti...

Initial arrest rhythm to drive post resuscitation care decisions

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Here are the findings from an interesting study published in Resuscitation: Aim We investigated the impact of intensified postresuscita...
Wednesday, April 22, 2015

Overdiagnosis and treatment of pulmonary embolism: the emperor still has no clothes

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That fairy tail reference, of course, is to the famous Annals article way back in 1977. Some 38 years later we still may be...

Cardiovascular consequences of hypoglycemia in diabetes treatment: an emerging threat

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From a recent review : Hypoglycemia in people with diabetes mellitus (DM) has been potentially linked to cardiovascular morbidity and mort...
Tuesday, April 21, 2015

FDA approval of ivabradine for heart failure

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Via Cardiobrief : The FDA on Wednesday approved ivabradine (Corlanor), Amgen’s new heart failure drug. The drug has b...
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Robert W Donnell
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