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PHM15: Evidence-Based Diagnostic Evaluation of Infants Presenting with an Apparent Life Threatening Event
July 29, 2015
Summary: Presenters of the PHM15 session "Evidence Based Diagnostic Evaluation of Infants Presenting with an Apparent Life Threatening Event" discussed four main diagnostic categories for ALTEs: cardiac, infectious, non-accidental trauma/neurologic, and gastrointestinal.
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Small Bowel Block in Elderly Merits Full Hospitalization
July 28, 2015
NEW YORK (Reuters Health) - The "vast majority" of elderly patients admitted with small bowel obstruction (SBO) are hospitalized for more than two days, and the diagnosis alone should allow appropriate Medicare coverage, according to a new study. In a paper online July 1 in Annals o
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PHM15: How to Make Difficult Conversations Manageable
July 27, 2015
Summary: One of PHM15's first sessions was a workshop led by Dr.
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PHM15: Effective Intranasal Sedation
July 27, 2015
Presenters: Kelly Basaldua, MD; Daniel Sedillo, MD, MBA, and Jason Reynolds, MD Summary: In an environment where medicine is becoming ever more specialized and the scope of practice for many is ever narrowing into corridors of expertise, the hospitalist remains a bastion of generalism with an ev
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PHM15: Preparing for Global Health Experiences
July 27, 2015
Presenters: Gitanjli Arora, Phuc Le, and Christiana Russ Summary: Overseas medical missions can be rewarding experiences for both trainees as part of a supervised program and attending physicians.
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PHM15: New Quality Measures for Children with Medical Complexity
July 24, 2015
Pediatric Hospital Medicine 2015's keynote speaker, Rita Mangione-Smith, MD, MPH, reviewed quality measures being developed for medically complex patients by the Center of Excellence on Quality of Care Measures for Children with Complex Needs (COE4CCN).
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Fecal Microbiotia Transplantation in Treatment of Recurrent Clostridium difficile Infection
July 14, 2015
Clinical question: Does fecal microbiotia transplantation (FMT) effectively treat patients with recurrent Clostridium difficile infection (CDI)? Background: Patients with initial CDI have increased rates of recurrence (15%–30%), with variable success noted in treatment of recurrent disease.
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ProMISe Trial Adds Skepticism to Early Goal-Directed Therapy for Sepsis
July 6, 2015
Clinical question: Does EGDT for sepsis reduce mortality at 90 days compared with standard therapy? Background: EGDT is recommended in international guidelines for the resuscitation of patients presenting with early septic shock; however, adoption has been limited, and uncertainty about its effec
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Effectiveness of Multicomponent Nonpharmacological Delirium Interventions
July 6, 2015
Research Review: Nonpharmacological Delirium Interventions
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Post-Acute Patient Care Offers Opportunities for Non-Physicians
July 6, 2015
Setting allows nurse practitioners, physician assistants to play key clinical, administrative roles