Notes from Dr. RW

Hospitalist resources and more.

Friday, June 30, 2017

AKI associated with delirium and coma in critical illness

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From the blue journal .

Losing our clinical focus: hospitalists as throughput facilitators

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You don’t hear so much about hospitalists as clinicians at SHM sessions anymore it seems. Here’s a piece about hospitalists...
Thursday, June 29, 2017

Language obfuscation: adminspeak

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LOL .

The coming microbial apocalypse: resistance patterns in Mexico 2005-2012

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From a recent report : Background The Tigecycline Evaluation and Surveillance Trial (T.E.S.T) is a glob...
Tuesday, June 20, 2017

High dose TMP-SMX causes hyponatremia

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A potentially overlooked cause in hospitalized patients .
Monday, June 19, 2017

Antibiotic stewardship and the coming microbial apocalypse: cognitive factors driving overuse

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Here’s an editorial in the Annals of Internal Medicine . Is this a “tragedy of the commons?” This is not a conflict...
Sunday, June 18, 2017

Marathon running might be bad for your kidneys

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In this study 82% got some degree of AKI most of whom had microscopic changes of tubular injury. It did not closely correla...
Saturday, June 17, 2017

Where will artificial intelligence take us?

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According to Bob Wachter it’ll be well on its way to taking over the diagnostic role of the clinician , and in as little as ...
Friday, June 16, 2017

The coming microbial apocalypse---who’s at fault?

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Letter to Today’s Hospitalist : ...we would be remiss not to mention the biggest driver of multidrug resistant organ...
Thursday, June 15, 2017

ADD medicines may help prevent MVAs

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From JAMA Psychiatry : Design, Setting, and Participants For this study, a US national cohort of patients with ADHD...
Wednesday, June 14, 2017

Thiamine deficiency and heart failure: evidence for an association is mounting

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From the green journal : Diuretic therapy is a cornerstone in the management of heart failure. Most studies assessin...

The vitamin C cocktail for severe sepsis and septic shock

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I know I’m a little late with this. Here’s the paper published in Chest. Form the paper: Methods In this ...

ACP puts out its own guideline for hypertension in the elderly

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--- and teams up with AAFP . In short, the target is systolic below 150, and consider below 140 if high cardiovascul...

Ace those board exams

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A lot of it is about attitude .

Pain is not a vital sign

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What we dared not say aloud 15 years ago .
Tuesday, June 13, 2017

Troponin: what the hospitalist needs to know

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Here is a review in JACC. There is an audio file which nicely summarizes the article.
Monday, June 12, 2017

Travelers diarrhea

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From a BMJ review : Enterotoxic Escherichia coli (ETEC) is the most common cause of acute travellers’ diarrhoea globally ...
Sunday, June 11, 2017

Cognitive function after TAVR

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In this study published in JACC the signal was mixed.
Saturday, June 10, 2017

A critical look at stress ulcer prophylaxis

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From a recent review : Conclusions: Many stress ulcer prophylaxis recommendations are based on older studies at risk...
Friday, June 09, 2017

Can we prevent critical illness related weakness?

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From a  systematic review : Data Synthesis: Ten studies met the inclusion criteria. The current body of evidence doe...
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Robert W Donnell
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