Notes from Dr. RW

Hospitalist resources and more.

Wednesday, July 31, 2019

Blood stream infections: how long to treat? When is PO sufficient?

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This review in the Journal of Hospital Medicine is an excellent resource.
Tuesday, July 30, 2019

Non invasive ventilation for acute hypoxemic respiratory failure: what’s the latest?

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From a recent systematic review and meta-analysis : Highlights Noninvasive ventilation reduces...
Monday, July 29, 2019

Biomarkers in midlife may predict physical decline years later

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Here is a summary of findings published in Circulation : Clinical Perspective What Is New? Lower...
Sunday, July 28, 2019

Adverse drug reactions in the elderly: a clinical vignette and a reminder of the Beers list

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The free full text article is here . The newly revised Beers list can be accessed here .
Saturday, July 27, 2019

Antiplatelet therapy reduces mortality in sepsis

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From a recent meta-analysis : Highlights Antiplatelet drugs can reduce the mortality rate in p...
Monday, May 06, 2019

Management of acute kidney injury

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From a review in the Journal of Hospital Medicine: Acute kidney injury (AKI) is a common complication in hospitaliz...
Friday, May 03, 2019

A fib ablation vs antiarrhythmic medication

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From a recent study published in JAMA, the CAPTAF trial : Key Points Question Is pulmonary vein isolation m...
1 comment:
Tuesday, April 23, 2019

Should you get immunoglobulin levels on patients admitted with community acquired pneumonia?

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From a recent study : BACKGROUND: Immunodeficiency is an underrecognized risk factor for infections, such as communi...

Should docusate be removed from your hospital’s formulary?

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According to this article it should.
Saturday, April 20, 2019

Prealbumin testing is not useful in the assessment for malnutrition

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Prealbumin (aka transthyretin) is, like albumin, an acute phase reactant. It is, also like albumin, a negative acute phase reactant bec...
Friday, April 19, 2019

Very low utilization of advance care planning (ACP) CPT codes among hospitalists

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From a recent study : We analyzed advance care planning (ACP) billing for adults aged 65 years or above and who were...
Thursday, April 18, 2019

Survey data on the state of research in hospital medicine

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From a recent paper in the Journal of Hospital Medicine: BACKGROUND: Little is known about the state of research in...

Are residents getting enough training in managing crashing patients in the hospital?

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From a recent study in the Journal of Hospital Medicine: BACKGROUND: Internal Medicine (IM) residency graduates sho...
Wednesday, April 10, 2019

Atul Gawande on the electronic medical record

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Atul Gawande has a piece in the New Yorker titled Why Doctors Hate their Computers . The title is deceptive. In the first place doctors ...
Tuesday, April 09, 2019

The EMR mess and its horrible consequences

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What practicing docs knew all along .
Tuesday, April 02, 2019

Extended infusion protocols for piperacillin-tazobactam (PTZ): do they mitigate nephrotoxicity?

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Not in this study . From the paper: Our findings suggest a similar rate of nephrotoxicity between patients who rec...

A little background on thalidomide

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From a recent review article : Thalidomide is a drug with interesting therapeutic properties but also with severe si...

Syncope guidelines

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Unbelievably long for what should be a simple topic, but everything you’re likely to want or need to know is here .
Monday, April 01, 2019

Visceral fat: an inflammatory engine driving worse outcomes in sepsis?

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Recent study findings here .
1 comment:

Strength training improved cognition in older patients

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--- in this study .
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