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Article
DVT prophylaxis not needed after casting
February 1, 2017
Clinical question: Is DVT prophylaxis necessary with lower leg casting or after knee arthroscopy?
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Article
‘I can handle it’– The state of hospitalist group backup systems
January 31, 2017
It took my hospital medicine group 20 years to implement a formal backup system. Of all the reasons we resisted creating a backup system, foremost was that we did not want to mandate additional work.
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Article
How should urine electrolytes be ordered and interpreted in acute kidney injury and electrolyte abnormalities?
January 20, 2017
There is a lack of clear diagnostic guidelines, so ordering all the urine electrolytes in a “blanket” strategy is a common practice. We will discuss the diagnostic utility of each of the urine electrolytes in a variety of clinical scenarios.
Article
Sneak Peek: Journal of Hospital Medicine
January 20, 2017
Background: Frailty, history of dementia (HoD), and acute confusional states (ACS) are common in older patients admitted to hospital. Objective: To study the association of frailty (≥six points in the Clinical Frailty Scale [CFS]), HoD, and ACS with hospital outcomes, controlling for age, gen...
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Article
Fecal transplant efficacy for Clostridium difficile infections
January 12, 2017
Clinical question: Is fecal microbiota transplantation (FMT) an efficacious and safe treatment approach for patients with recurrent Clostridium difficile infection (CDI)?
Article
Non–vitamin K antagonist oral anticoagulants for planned atrial fibrillation cardioversions
January 12, 2017
Clinical question: How does edoxaban compare with enoxaparin-warfarin in patients with nonvalvular atrial fibrillation undergoing cardioversion?
Article
Blood thinning with bioprosthetic valves
January 10, 2017
Blood thinning with bioprosthetic valvesClinical question: Does anticoagulation prevent thromboembolic events in patients undergoing bioprosthetic valve implantation?Background: The main advantage of bioprosthetic valves, compared with mechanical valves, is the avoidance of long-term anticoagula...
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Article
Instability of INRs
January 9, 2017
Clinical question: Does an initial stable international normalized ratio (INR) predict long-term stability?
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Article
Inpatient antibiotic use has not declined
January 9, 2017
Inpatient antibiotic use has not declinedClinical question: How has inpatient antibiotic use changed in the United States in recent years?[[{"fid":"175130","view_mode":"medstat_image_flush_right","fields":{"format":"medstat_image_flush_right","field_file_image_alt_text[und][0][value]":"","field_...
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Article
Have you Googled yourself lately?
January 6, 2017
With a majority of patients relying on physician ratings, hospitalists might consider countermeasures.
