An alert system that monitors inpatients at risk of developing sepsis can prompt early sepsis care, can speed patient transfers to the ICU, and may even reduce mortality risk from sepsis. A recent study published in the Journal of Hospital Medicine reports on an early warning and response system (EWRS) for sepsis used in all… [Read More]
Hospitalists have taken positions in every corner of healthcare: the C-suite, hospital administration, and even nominee for U.S. surgeon general. Now, add county coroner to the list. This month, hospitalist Adam Duckett, MD, was elected coroner for Cayuga County, N.Y., whose county seat of Auburn is about 30 miles west of Syracuse. Dr. Duckett, who… [Read More]
This month’s podcast features Dr. Ken Epstein, chief medical officer for Hospitalist Consultants, a division of ECI Healthcare Partners; and Dr. Ken Heinrich, regional director with ECI Healthcare Partners and chief medical officer for emergency services for the ECI Advisory Group, discussing their ongoing work helping emergency physicians and hospitalists form collaborative teams. The focus… [Read More]
Clinical question For patients undergoing any inpatient surgery, is the presence of new-onset perioperative atrial fibrillation associated with a greater long-term risk of ischemic stroke? Bottom line Perioperative atrial fibrillation (AF) is associated with an increased risk of ischemic stroke for patients who are hospitalized for surgery. (LOE = 2b) Reference Gialdini G, Nearing K,… [Read More]
Clinical question Does perioperative colchicine reduce postpericardiotomy syndrome following cardiac surgery? Bottom line The use of colchicine in the perioperative period decreases the incidence of postpericardiotomy syndrome after cardiac surgery with a number needed to treat (NNT) of 10. However, colchicine leads to adverse effects—specifically, gastrointestinal intolerance—and may not be tolerated during the vulnerable postoperative… [Read More]
As SHM’s glycemic control lead mentor and a hospitalist at the University of New Mexico in Albuquerque, Kendall Rogers, MD, CPE, FACP, SFHM, offers advice to hospitalists when working as part of a quality team in achieving glycemic control.
Kristen Kulasa, MD, assistant clinical professor of medicine and director of Inpatient Glycemic Control, Division of Endocrinology, Diabetes, and Metabolism at the University of California in San Diego, provides tips on how hospitalists can work with nutritionists and dieticians for the betterment of diabetic patients. As a mentor for SHM’s care coordination program on inpatient diabetes,… [Read More]