Article
Delayed Antibiotics in Suspected Sepsis Increase Shock Risk and Mortality
October 2, 2023
Clinical question: Does the time to first antibiotics affect the risk of progression to septic shock? Dr. Richardson Background: The Surviving Sepsis Campaign emphasized early infection...
Article
Best Approach to a Cavitary Lung Lesion–Update
October 2, 2023
This is an update of our 2015 article on cavitary lung lesion.1 Case A 60-year-old man with alcohol use disorder presented to the hospital with fatigue, chest pain, and productive cough for two...
Article
Bedside Rounding—Pros, Cons, and Tips for Success
October 2, 2023
Bedside rounding, a practice dating back more than a century, is not uniformly implemented. Many physicians are unsure of its effectiveness in improving patient care and teaching learners, and it...
Article
Lessons from a Med-Psych Unit
October 2, 2023
In 2019, I accepted a position at the University of Rochester’s Strong Memorial Hospital in Rochester, N.Y. I knew this wouldn’t be bread-and-butter hospital medicine, but rather a unique...
Article
Coding Corner: HF and Physician Underbilling—Two Common Conditions
October 2, 2023
Coding Corner, a new section that will appear periodically in The Hospitalist, features common coding and/or billing issues hospitalists regularly face. If you have suggestions for upcoming coding...
Article
P2Y12 Inhibitor Monotherapy After 1-3 Months of DAPT Reduces Major Bleeding Risk Without Increasing Ischemic Risk After Complex PCI
October 2, 2023
Clinical question: Does P2Y12 inhibitor monotherapy after one to three months of dual antiplatelet therapy (DAPT) improve clinical decrease in major bleeding risk without increasing ischemic risk in...
Article
Diagnostic Yield of Head CT in Delirium and Altered Mental Status
September 1, 2023
Dr. Long Clinical question: What is the diagnostic utility of a head CT in hospitalized patients with delirium or altered mental status (AMS) across a variety of clinical settings and what...
Article
Emerging Threat: Illicit Drugs Adulterated with Xylazine
September 1, 2023
Xylazine is a semi-synthetic, non-opioid, sedative paralytic used in veterinary medicine as a tranquilizer. It’s an alpha agonist, similar in chemical structure to clonidine and dexmetomidine.1 It...
Article
Demystifying Performance Measures for Hospitalists: Discharge Before Noon
August 1, 2023
SHM’s Performance Measurement and Reporting Committee (PMRC) members debut a new column in The Hospitalist—“Demystifying Performance Measures.” This series intends to provide members with a...
Article
Street Medicine on the Floors: A Promising Inpatient Model
August 1, 2023
Persons experiencing homelessness (PEH) can be some of the most complex patients on hospitalists’ services. Chronic conditions such as hypertension, hypercholesterolemia, and diabetes are...