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Disparities | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

The problem with pulse ox

Research has long indicated that pulse oximeters can overestimate oxygen saturation in patients with darker skin, but experts are now trying raise awareness of the problem.

Illustration by David Rosenman
Newman's Notions | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

SSSSS

Five Japanese terms and their alliterative English equivalents helped bring order to a hospital command center.

Having more hospitalists linked to better care value

Hospitals that employed more hospitalists had better scores in the CMS Hospital Inpatient Value-Based Purchasing Program overall and in the Patient Experience and Efficiency domains, a cross-sectional study found.

Study finds no diagnostic benefit from head CT in common psychiatric presentations

In 369 patients in ED and inpatient settings, the diagnostic yield of head CT examinations was 0.00% for indications of suicidal ideation, homicidal ideation, hallucinations, delusions, paranoia, catatonia, and/or psychosis.

Coronavirus | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

Mortality lower in COVID-19 inpatients who got aspirin with anticoagulation

An international registry study compared outcomes in 298 patients who received both prophylactic anticoagulation and aspirin with a propensity-matched group who received anticoagulation alone.

POCUS training track effective for internal medicine residents without local expertise

At one university-based internal medicine residency program, a three-year point-of-care ultrasound (POCUS) training track that used both local and external resources increased residents' use of and comfort with POCUS applications.

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New internists choosing to be hospitalists

A study finding that inpatient practice was the overwhelming practice choice of recently certified general internal medicine physicians highlights problems with medical payments and training, experts said.

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Success Story | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

A text a day keeps the doctor informed

Inpatients, their caregivers, and their interns shared daily care plans and goals by texting in a med-peds pilot program.

Sepsis | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

New studies find no benefit to vitamin C or fluid restriction in sepsis

One international trial found higher 28-day mortality in ICU patients randomized to a vitamin C infusion compared to placebo, while another showed that 90-day mortality rates were similar when septic shock patients were treated with a standard or restrictive IV fluid strategy.

IV fluid bolus during intubation does not improve outcomes in the critically ill

A randomized clinical trial at 11 U.S. ICUs found no significant difference in cardiovascular (CV) collapse or death at 28 days between critically ill adults who received a 500-mL IV bolus before induction of anesthesia for tracheal intubation and those who did not.

New tool uses NT-proBNP plus clinical characteristics to diagnosis acute heart failure

The accuracy of using guideline-recommended thresholds of N-terminal pro-B-type natriuretic peptide (NT-proBNP) alone to diagnose acute heart failure varied by patient age and other characteristics, including body mass index and renal impairment, a study found.

Pharmacist workload linked to worse outcomes in ICU patients with complex med regimens

Patients with complex medication regimens had increases in mortality risk and ICU length of stay in a retrospective study. They also received more interventions from pharmacists, but a higher patient-to-pharmacist ratio was associated with fewer of these interventions.

Brief Case | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

Pneumocystis pneumonia in an HIV-negative patient

A patient with primary hyperparathyroidism, rheumatoid arthritis, and inclusion-body myositis presented with fatigue, nausea, and vomiting.

Image by Getty Images

In defense of productivity pay

A reader responds to a recent article with some potential explanations for higher costs being associated with hospitalist care.


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