Self-identified black patients experience higher rates of occult hypoxemia
May 2, 2022
Dr. Long Clinical question: Are there disparities in hypoxemia detection by pulse oximetry across self-identified racial groups and, if so, is there an association with clinical...
Article
Interpretation of the Urine Drug Screen
May 2, 2022
Dr. Cunningham Case A 40-year-old male with depression, post-traumatic stress disorder, and chronic pain presents with somnolence and a respiratory rate of 10 breaths per minute that responded to...
Article
What Medications Prevent Delirium in Elderly Medical Inpatients?
May 2, 2022
Case A 79-year-old man with a history of ischemic stroke five months ago presents with fever and shortness of breath. He is admitted for hypoxia secondary to suspected aspiration pneumonia and...
Article
Negative initial CSF studies in HSV encephalitis portend worse neurologic outcomes
May 2, 2022
Clinical question: Does delay in diagnosis of herpes simplex virus (HSV) encephalitis due to negative initial cerebrospinal fluid (CSF) studies affect neurologic outcomes? Dr....
Article
Statins should be continued in hospitalized patients with COVID-19
May 2, 2022
Clinical question: Does discontinuation of atorvastatin in those hospitalized with COVID-19 change the risk of mortality and ventilation? Dr. Clark Background: Statins are ubiquitous. Statins...
Article
Non-gastrointestinal complications, including ischemic stroke, are more common than bleeding or perforation following screening colonoscopy in older adults
May 2, 2022
Clinical question: What serious non-gastrointestinal adverse events are due to screening colonoscopy? Dr. Gordon Background: Although the gastrointestinal (GI) risks of colonoscopy have been...
Article
Health care systems can do more to support environmental health services employees
May 2, 2022
Clinical question: What has been the experience of environmental services (EVS) employees working during the COVID-19 pandemic? Dr. Gordon Background: EVS employees play an essential role in...
Article
Apixaban plus a P2Y12 inhibitor best balances bleeding and ischemic events in patients with atrial fibrillation and recent acute coronary syndrome or percutaneous coronary intervention
May 2, 2022
Clinical question: Can the HAS-BLED and CHA2DS2-VASc scores be used to identify subgroups of patients with atrial fibrillation (AF) and recent acute coronary syndrome (ACS) or percutaneous coronary...
Article
CPAP reduces the risk of intubation among patients with acute hypoxemic respiratory failure and COVID-19
May 2, 2022
Clinical question: What is the role of continuous positive airway pressure (CPAP) and high-flow nasal oxygen (HFNO) compared to conventional oxygen therapy in the management of COVID-19-related acute...
Article
A structured end-of-life communication strategy reduces prolonged grief in families of dying ICU patients
May 2, 2022
Clinical question: Does a proactive, three-step, support strategy decrease prolonged grief in relatives of patients who die in the intensive care unit (ICU)? Dr. Wood Background: Prolonged...