Article
Unintended Consequences of the PHM Board Certification Process
August 1, 2022
Pediatric Hospital Medicine (PHM) was designated a subspecialty by the American Board of Medical Specialties in 2016, with certification through the American Board of Pediatrics (ABP). While this...
Article
The Role of Beta-D-Glucan in the Diagnosis of Invasive Fungal Infections
August 1, 2022
Case A 77-year-old woman with malnutrition, who is undergoing chemotherapy for small cell lung cancer, is being treated with intravenous ceftriaxone and vancomycin through a peripherally inserted...
Article
History and Importance of Procedural Medicine
August 1, 2022
Dr. Ault, considered a pioneer in procedural medicine, often used chickens as teaching tools in his courses. Over the past 30 years, the number of procedures performed by internists has steadily...
Article
The risk for intestinal necrosis with SPS is very low
August 1, 2022
Dr. Lippert Clinical question: What is the risk of intestinal necrosis with sodium polystyrene (SPS) for the treatment of hyperkalemia? Background: SPS is a medication that has been available...
Article
Initiation of pulmonary rehabilitation after admission for COPD exacerbation decreases rehospitalizations
August 1, 2022
Ms. Langford Clinical question: Does the initiation of pulmonary rehabilitation after hospitalization for a chronic obstructive pulmonary disease (COPD) exacerbation impact...
Article
Tranexamic acid minimized perioperative bleeding in patients undergoing noncardiac surgery
August 1, 2022
Dr. Menon Clinical question: Does tranexamic acid reduce the incidence of life-threatening perioperative bleeding in patients undergoing noncardiac surgery without increasing the risk of major...
Article
IV fluid resuscitation at a slow rate in ICU patients did not reduce 90-day mortality
August 1, 2022
Mr. Haller Clinical question: Is there a difference in the 90-day mortality for patients admitted to the ICU receiving a fast (999 mL/hour) versus slow (333 mL/hour) IV infusion...
Article
DES reduce the risk of ISR in patients with ICAS compared to BMS
August 1, 2022
Dr. Snipe Clinical question: In patients with symptomatic high-grade intracranial atherosclerotic stenosis (ICAS), does the use of a drug-eluting stent (DES) reduce the incidence of in-stent...
Article
Adding a new antihypertensive medication is associated with improved blood pressure lowering
August 1, 2022
Dr. Chevli Clinical question: Which is the better strategy for treatment intensification in older patients with hypertension—maximizing the antihypertensive or adding a new...
Article
Bringing Acute-Level Care to the Patient: Key Steps for Hospital at Home
August 1, 2022
Shutterstock.com As the hospital at home concept and care model gets more attention nationally, hospitalists often provide the leadership, clinical expertise, and labor needed to get these...