Recommended in Hospital Medicine

  • Clinical Essentials from Circ Cardiovasc Qual Outcomes
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Patients with cardiac arrest should be taken to a PCI center, even if a non-PCI hospital is closer

Studies comparing OHCA outcomes based on transport distance have been done largely in urban areas with shorter transport times.

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  • Clinical Essentials from Crit Care
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Varicella-associated pneumonia: do adjunctive steroids help or hurt?

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  • Clinical Essentials from Parkinsonism Relat Disord
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Parkinsonism: gastrostomy fails to prevent aspiration pneumonia

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  • Clinical Essentials from J Clin Apher
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Myasthenia gravis: admission for plasma exchange can lead to anemia

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  • Clinical Essentials from Circulation
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HFpEF: low/intermediate physical activity levels tied to increased mortality

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  • Clinical Essentials from Clin Microbiol Infect
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Pneumonia in nursing homes: simple severity prediction tool

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  • Clinical Essentials from BMC Infect Dis
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CAP: should atypical pathogens be covered in empiric treatment?

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  • Clinical Essentials from FDA
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FDA requests removal of Opana ER, citing abuse

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  • Clinical Essentials from Lancet Infect Dis
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Antibiotic stewardship, infection measures tied to sharp drop in resistant bacteria

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Professional Essentials

  • US Professional News

FTC, AG shut down ND merger

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  • US Professional News

High billing codes require scrutiny

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  • US Professional News

Discussion can convince vaccine doubters

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  • US Professional News

Provider groups oppose Senate health bill

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  • Patients Will Be Asking

Is Zika still a threat?

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  • US Professional News

Senate health bill includes cuts to Medicaid

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New in Hospital Medicine

  • Clinical Essentials from J Arthroplasty
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TKA: octogenarians may fare as well as younger patients

Comorbidities, not elderly age, predicted worse outcomes.

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  • Clinical Essentials from JAMA Neurol
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Intensive BP treatment isn’t beneficial for ICH with spot sign

Spot sign also may not be that strong as a predictor of ICH expansion.

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  • Clinical Essentials from Ann Am Thorac Soc
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COPD: guidance on the safe use of acetazolamide

A review of data published over 6 decades.

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Steroid injection fails to provide sustained relief of discopathy-associated chronic low back pain │ EULAR
  • Conference Essentials
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Steroid injection fails to provide sustained relief of discopathy-associated chronic low back pain │ EULAR

Study conducted at three tertiary care hospitals in France

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  • Clinical Essentials from Int J Clin Pharm
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Community-acquired pneumonia: many factors determine best treatment choice

IDSA/ATS guidelines say frequency, duration, and route of administration should also be considered.

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  • Clinical Essentials from Infect Control Hosp Epidemiol
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Carbapenem-resistant enterobacteriacae: widespread regional endemicity

Data highlight need for clinical coordination within/across healthcare facilities.

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Prediabetes a risk factor for CHF among middle-aged but not older patients | ADA
  • Conference Essentials
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Prediabetes a risk factor for CHF among middle-aged but not older patients | ADA

Data from the CANHEART cohort.

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  • Clinical Essentials from Am J Crit Care Med
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Sepsis-3 criteria improve ED clinical management of community-acquired pneumonia

qSOFA scoring appears to be optimal for rapid assessment among CAPS patients presenting to the ED.

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  • Clinical Essentials from Cochrane Database Syst Rev
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Topical antimicrobial dressings may improve foot-ulcer healing in diabetes

Cochrane review suggests benefit for antimicrobial dressings, but overall data limited.

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  • Clinical Essentials from Am J Infect Control.
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Sepsis: bundled care may carry unintended consequences along with benefits

Are clinicians suffering from alarm fatigue in response to best practice alerts?

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  • Clinical Essentials from PLoS One
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Pancreatitis can lead to osteoporosis

Just 3 episodes raise the risk nearly 5-fold.

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  • Clinical Essentials from J Crit Care
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Influenza hospitalization: how does red blood cell distribution width inform?

Combined with other known risk factors, RDW may help improve risk stratification among influenza patients.

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  • Clinical Essentials from BMC Infect Dis
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Piperacillin-tazobactam effective alternative for extended spectrum beta-lactamase UTI

Clinicians treating drug-resistant UTI in hospitalized patients have a new alternative with pipercillin-tazobactam

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Serum fructosamine simple, inexpensive test to assess preop glycemic control | ADA
  • Conference Essentials
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Serum fructosamine simple, inexpensive test to assess preop glycemic control | ADA

The best metric for assessing preoperative glycemic control remains unclear.

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