Notes from Dr. RW

Hospitalist resources and more.

Saturday, March 25, 2017

Video laryngoscopy for for endotracheal intubation: better visualization but not better outcomes

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Recent study here .
Friday, March 24, 2017

Vancomycin in combination with zosyn increased the risk of AKI

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--- according to this systematic review and meta-analysis . The authors concluded: Increased AKI with concomitant ...
Thursday, March 23, 2017

Type of atrial fibrillation and stroke risk

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From a recent paper : Background—Whether the pattern of atrial fibrillation (AF) modifies the risk/benefit of antico...
1 comment:
Wednesday, March 22, 2017

Hypotension due to IV acetaminophen

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From a recent paper published in Critical Care Medicine: Objectives: We sought to assess the incidence of acetamino...
Tuesday, March 21, 2017

Treatment decisions for patients with a first seizure

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Here is a guideline synopsis published in JAMA. From the article: Major recommendations Whether to initiate immed...
Monday, March 20, 2017

Therapeutic hypothermia after in hospital cardiac arrest

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There have been no RCTs looking at induced hypothermia following in hospital arrest. The 2010 ACLS guidelines recommended hy...
Sunday, March 19, 2017

The patient safety movement: how are we doing?

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According to the authors of a recent viewpoint article in JAMA , although the decade following the Institute of Medicine Repo...
Saturday, March 18, 2017

The EMPIRICUS trial

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From a recent issue of JAMA : Question Does empirical antifungal therapy increase invasive fungal infection–free s...
Friday, March 17, 2017

The latest on stress ulcer prophylaxis

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Here is a recently published evidence summary: Conclusions: Many stress ulcer prophylaxis recommendations are based...
Thursday, March 16, 2017

Being on a statin was associated with a higher likelihood of survival following in hospital cardiac arrest

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From a poster presentation at AHA 2016 : Methods: A retrospective analysis of consecutive hospitalized patient...
Wednesday, March 15, 2017

A modification of the Smith STEMI formula improved accuracy

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---by adding measurement of the QRS voltage in V2. Presented at AHA 2016 .
Tuesday, March 14, 2017

Sleep duration and cardiometabolic health

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Here is a scientific statement from AHA. From the abstract: Sleep is increasingly recognized as an important lifes...
Monday, March 13, 2017

Distribution of etiologies of SIADH in hospitalized patients

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From a recent study : A single-center retrospective study including all patients diagnosed with SIADH in a large com...
Sunday, March 12, 2017

Short episodes of a fib and a tach: are they clinically significant?

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Investigators recently addressed this question by capturing telemetry recordings from pacemakers and AICDs. From their paper...
Saturday, March 11, 2017

Treatment of severely elevated BP without target organ damage

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Findings from a recent study : Methods This is a retrospective cohort study of ED patients age 18 years and ...
Friday, March 10, 2017

Rethinking the sepsis definition: should we go back to SIRS?

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That's what the authors of this paper suggest : Objective   A proposed revision of sepsis definitions ...
Thursday, March 09, 2017

Adherence to the Surviving Sepsis Campaign bundles and outcome in severe sepsis and septic shock

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From a recent study : Methods This was a global, prospective, observational, quality improvement study of co...
Wednesday, March 08, 2017

Should we screen first degree relatives of victims of unexplained cardiac arrest?

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From a recent paper : Conclusions—Cardiac screening revealed abnormalities in 30% of first-degree relatives of UCA o...
Tuesday, March 07, 2017

Indications for hemodialysis in salicylate poisoning

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A systematic review with recommendations .
Monday, March 06, 2017

Choice of resuscitation fluid

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The latest from a review : Recent findings: Administration of intravenous fluids may contribute to the development a...
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Robert W Donnell
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