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Q&A | December 18, 2024 | FREE
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Same hospital, different quality

Medicaid beneficiaries have more patient safety events than privately insured patients at the same facilities. A researcher talks about why that might be and what hospitalists can do.

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What works, what doesn't for diagnosing meningitis, encephalitis

An expert at IDWeek offered advice on managing viral, bacterial, and autoimmune infections—including how to tell them apart.

Beta-lactam-first strategy linked with reduced mortality in sepsis patients

Giving beta-lactam therapy before vancomycin was associated with an 11% reduction in the odds of in-hospital death among patients with suspected sepsis, a review found.

Procalcitonin-guided protocol superior to standard care for sepsis antibiotic duration

Using procalcitonin as a biomarker resulted in reduced total antibiotic duration in patients with sepsis compared with a C-reactive-protein-guided protocol and standard care, according to results of a U.K. randomized trial.

Expert clinical decision pathway details diagnosis, management of myocarditis

The guidance from the American College of Cardiology includes a five-step care pathway for myocarditis, including strategies for diagnosis, risk stratification, and surveillance, and proposes four new stages of disease classification.

No neurologic benefit seen with liberal vs. restrictive transfusions in aneurysmal subarachnoid hemorrhage

A randomized clinical trial found that neurological outcomes at 12 months did not differ in critically ill patients with aneurysmal subarachnoid hemorrhage and anemia assigned to a liberal (mandatory at a hemoglobin level of 10 g/dL or lower) or restrictive (optional at a level of 8 g/dL or lower) transfusion strategy.

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Take a quiz about the Dec. 11 issue!

Every week, ACP Hospitalist posts a question about the previous week's issue. See how well you remember what you've read compared to other readers.

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The evolution of the HM team

Hospital medicine (HM) programs increasingly employ nurse practitioners and physician assistants, but optimizing their role is still a work in progress for many.

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Improving palliative care in cirrhosis

Educating patients and acknowledging their existential distress are just two ways hospitalists can better meet the needs of patients with decompensated cirrhosis.

As-needed blood pressure medication associated with acute kidney injury

Hypertensive patients who received as-needed blood pressure drugs, particularly IV ones, during a medical hospitalization had higher rates of acute kidney injury than those who didn't get as-needed meds, a retrospective Veterans Affairs study found.

AHA statement addresses management of systemic stroke complications

Fever, pneumonia, oral health problems, urinary tract infection, venous thromboembolism, breathing disorders, and gastrointestinal and renal issues were among the complications covered by new advice from the American Heart Association (AHA).

Oseltamivir on day of admission associated with improved flu outcomes

A prospective, observational analysis of 840 influenza-positive patients in U.S. hospitals in the 2022 to 2023 season found that only about half got oseltamivir on the day of admission, and they had significantly lower risk of death or ICU admission than those who got the drug later or not at all.

AGS advises on making treatment decisions for unrepresented older adults

A position statement from the American Geriatrics Society (AGS) includes policy recommendations and clinical advice for older patients who lack decisional capacity to provide informed consent for a specific medical treatment, who have no advance directive and lack capacity to create one, and who have no surrogate decision-maker.

Reflections on a future past

After medicine makes the transition from the electronic record to the subdermal medical chart, what will you do when your devices are down?

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The vibes were off

Gen Z brings their slang, and more, to hospital medicine.


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