Article
DAPT Versus Alteplase for Patients With Minor Non-disabling Acute Ischemic Stroke
April 1, 2024
Clinical question: Is dual antiplatelet therapy (DAPT) non-inferior to intravenous thrombolysis in patients with minor non-disabling acute ischemic stroke? Background: Intravenous thrombolytics are...
Article
DOACs Versus LMWH and Recurrent VTE in Patients with Cancer
March 1, 2024
Clinical question: Are direct oral anticoagulants (DOACs) acceptable compared to low-molecular-weight heparin (LMWH) for preventing venous thromboembolism (VTE) with a safe bleeding risk in cancer...
Article
Aspirin Thromboprophylaxis is Non-inferior to LMWH for Prevention of Death and Pulmonary Embolism after Orthopedic Trauma
March 1, 2024
Clinical question: Is aspirin as effective as low-molecular-weight heparin (LMWH) for thromboprophylaxis in patients with orthopedic trauma? Background: Studies have outlined the benefits of...
Article
Demystifying Performance Measures for Hospitalists: VTE Prophylaxis
March 1, 2024
As venous thromboembolism (VTE) became an increasingly recognized cause of death in hospitalized patients, prevention became a high priority for the health care system.1,2 Starting in 2005, the Joint...
Article
Fewer COPD Exacerbations and Pneumonia Hospitalizations with LABA-LAMA Inhalers Compared to ICS-LABA in COPD
February 1, 2024
Dr. Coursen Clinical question: Is a long-acting beta agonist and long-acting muscarinic antagonist (LABA-LAMA) inhaler combination better than an inhaled corticosteroid and long-acting beta...
PE Presents in 1/3 of Patients with Recent Onset of Exertional Dyspnea
December 1, 2023
Clinical question: What is the prevalence of pulmonary embolism (PE) among emergency department (ED) patients with recent onset (less than one month) of exertional dyspnea? Dr....
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
Summary of the Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2023 Report
September 1, 2023
Dr. Long Clinical question: How did GOLD revise its prior recommendations for the diagnosis and management of chronic obstructive pulmonary disease (COPD)? Background: The World Health...
Article
Using POCUS of the Internal Jugular Vein to Predict Central Venous Pressure
December 1, 2022
Dr. Lawson Clinical question: Does point of care ultrasound (POCUS) of the internal jugular vein accurately predict central venous pressure? Background: Assessing volume status is critical to...
Article
The Use of Magnesium Sulfate for Acute COPD Exacerbations
December 1, 2022
Dr. Sundararaghavan Clinical question: Can magnesium sulfate be used as an efficacious adjunct therapy in the treatment of chronic obstructive pulmonary disease (COPD)...