Article
Coding Corner: Breathless and Bleeding
August 1, 2024
A 62-year-old man is admitted to the hospital with an exacerbation of chronic obstructive pulmonary disease (COPD) requiring intensification of his inhaler regimen, initiation of IV corticosteroids,...
Article
Demystifying Performance Measures: Length of Stay
August 1, 2024
A 73-year-old woman presents with syncope, generalized weakness, and frequent falls on a Friday afternoon. Past medical history includes coronary artery disease, aortic stenosis, atrial fibrillation...
Article
The STRONG-HF Trial: Evaluating the Safety, Tolerability, and Effectiveness of Up-titrating GDMT in Acute Heart Failure
August 1, 2024
Clinical question: Does rapid up-titration of guideline-directed medical therapies (GDMT) following admission for acute heart failure improve patient outcomes? Background: GDMT provides...
Article
No Difference in Safety or Mortality with Restrictive Versus Liberal Fluid Resuscitation Strategy for Ongoing Resuscitation in ICU Patients with Septic Shock
August 1, 2024
Clinical question: Are there safety or mortality benefits to the use of a more restrictive versus liberal IV fluid strategy for ongoing IV fluid resuscitation in critically ill patients with septic...
Article
Ticagrelor or Prasugrel in Patients with Acute Coronary Syndromes
August 1, 2024
Clinical question: Is the treatment strategy with ticagrelor superior to prasugrel in acute coronary syndrome (ACS) with planned invasive evaluation at one year? Background: Dual antiplatelet...
Article
IV Sodium Thiosulphate for Calciphylaxis of CKD: A Systematic Review and Meta-analysis
August 1, 2024
Clinical question: Does IV sodium thiosulphate improve skin lesions and survival in patients with chronic kidney disease (CKD) experiencing calciphylaxis? Background: Calciphylaxis, also called...
Article
Maximizing Oral Iron Supplementation Absorption in Women
August 1, 2024
Clinical question: Is oral iron supplementation absorption influenced by the timing and/or nutritional elements concurrently consumed in healthy iron-deficient women? Background: Current guidelines...
Article
Navigating the Promotion Process
August 1, 2024
When she joined the faculty of the University of Texas Southwestern in Dallas as a junior member in 2011, Christiana Renner, MD received mentorship in areas such as clinical care and...
Article
Working as a Hospitalist Internationally
August 1, 2024
Hospital medicine is the fastest-growing medical specialty in the U.S., and it’s gaining popularity in other countries throughout the world.1 Although there are many similarities in how hospital...
Article
Updates in Pediatric Sepsis
August 1, 2024
An 8-year-old girl presents with five days of worsening cough. She has a temperature of 38.6 °C, a respiratory rate of 38, a blood pressure of 85/45, and a heart rate of 120. Pulse oximetry reveals...