Saturday, September 30, 2017

Systemic anticoagulation for stroke prevention: should the indications be expanded?

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A recent review suggests considering systemic anticoagulation in elderly patients in sinus rhythm but with frequent atrial ...
Friday, September 29, 2017

Exercise improves cognitive function

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From the British Journal of Sports Medicine : Conclusions Physical exercise improved cognitive function in the over...
Thursday, September 28, 2017

Hospitalist mission creep: feeling dumped on

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There’s no turning back, so just accentuate the positive . How’s that working for you?

Alcohol and stroke risk

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Mixed findings : Background Whether light-to-moderate alcohol consumption is protective against stroke...
Saturday, September 23, 2017

Risk of thrombosis in patients with essential thrombocythemia

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If you base it on the platelet count it’s counterintuitive according to this study : Abstract To assess the...
Friday, September 22, 2017

Adult onset Still’s disease

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A case report and brief review .
Thursday, September 21, 2017

Epinephrine in cardiac arrest: how strongly is it supported by the evidence?

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From a recent review : Background Sudden cardiac arrest accounts for approximately 15% of deaths in develop...
Wednesday, September 20, 2017

EMRs slow physicians down and distract from real clinical care

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Tell me something I didn’t know .
Tuesday, September 19, 2017

An automated warning system for deteriorating ward patients modestly improved outcomes

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From a recent report : Background Delayed response to clinical deterioration of ward patients is commo...
Monday, September 18, 2017

Risk factors for atrial fibrillation in the elderly

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Comprehensive free full text review .
Sunday, September 17, 2017

A pleural effusion may have more than one etiology

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---especially given recent trends toward increasingly frequent complex comorbidities. From a recent review : Abstr...
Saturday, September 16, 2017

DOAC dosing errors

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More common than you’d think in an academic medical center . Three points to be made here: DOAC dosing is mu...
Friday, September 15, 2017

Impact of checklists

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It seems to be favorable, but there have been few high level studies .
Thursday, September 14, 2017

Are blood ammonia levels helpful?

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Not to diagnose or monitor HE according to this article in the Journal of Hospital Medicine . Here are their recomme...
Wednesday, September 13, 2017

Benzos and opiates given to ward patients increase the risk of deterioration (ICU transfer or arrest)

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From a recent paper : BACKGROUND Opioids and benzodiazepines are frequently used in hospitals, but lit...
Tuesday, September 12, 2017

Review of the ECG findings in WPW

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Dated but good .
Monday, September 11, 2017

The ER ECG in drug overdose

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It predicts adverse cardiac events .
Sunday, September 10, 2017

Biomarker guided heart failure treatment versus usual (guideline based) care: take your pick!

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Recent findings from a multi center trial : Question Does a strategy of titrating therapy to a specific amino-terminal pro–...
Saturday, September 09, 2017

The ECG and future heart failure risk

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From a recent paper : Background Several markers detected on the routine 12‐lead ECG are associated with future hea...
Friday, September 08, 2017

Glossary of critical appraisal

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This piece has some helpful information. However it’s a bit imprecise, offering descriptions that “talk around” the variou...