Article
Aspirin increases the risk of clinically significant gastrointestinal bleeding in older persons
February 3, 2022
Clinical question: Does aspirin impact the risk of clinically significant gastrointestinal (GI) bleeding compared with placebo in community-dwelling older persons (aged >/= 70 years)? Dr....
Article
Advocating for a patient-based approach to decisions of gastrostomy-tube placement in patients with dementia
February 3, 2022
Clinical question: Should providers universally not recommend feeding tubes in patients with dementia and poor oral intake? Dr. Day Background: The natural progression of advancing dementia...
Article
Hypertonic saline solution with furosemide infusion may be beneficial in fluid overload in patients with reduced ejection fraction
February 3, 2022
Clinical question: Is simultaneous infusion of hypertonic saline and IV furosemide more efficacious than IV furosemide alone in patients with fluid overload? Dr. Obisesan Background:...
Article
Most patients meeting sepsis criteria in the emergency department do not have a sepsis diagnosis
February 3, 2022
Dr. Taghvaei Clinical question: What percentage of patients treated for sepsis in the ED are diagnosed with sepsis at discharge? Background: Sepsis is a leading cause of death around the world...
Article
Treatment of acute pain in adults with sickle cell disease in an infusion center versus the emergency department resulted in faster treatment and fewer hospitalizations
February 3, 2022
Clinical question: Are outcomes better for sickle cell patients experiencing vaso-occlusive crises (VOCs) when treated in an infusion center (IC) rather than an emergency department...
Article
Guardianship issues lead to unnecessarily prolonged hospitalizations
February 3, 2022
Minors requiring guardianship are sometimes hospitalized for much longer than medically necessary because of placement issues. The same can happen for incapacitated adults who require some form of...
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Article
Hospitalists demonstrate resiliency in the face of challenge
February 3, 2022
Dr. Verplanke As he reflected upon his days as a hospitalist and unit medical director within the division of hospital medicine at NYU Langone Health in New York, since the COVID-19 pandemic...
Article
Get…and stay…connected in the new year
January 7, 2022
SIGs and Chapters Looking to connect with even more colleagues in the new year? One way to get the most out of your SHM membership is to get involved. You can join a SIG—special interest...
Article
Addressing the nursing shortage
January 7, 2022
Dr. Hannapel With the onset of COVID-19, the existing nurse shortage only worsened at many hospitals throughout the country. “COVID patients require an extra level of care due to the virus’s...
Article
SHM celebrates 25th anniversary as the home for hospital medicine
January 7, 2022
A little more than a quarter-century ago the emergence of the new medical specialty of hospital medicine was signaled in a New England Journal of Medicine article that defined it by the location for...
