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Community paramedics treating heart failure

Cardiologists and paramedics collaborated to keep some patients out of the hospital.

Passive EHR tool reduces potentially inappropriate medications in older adults

Dosage of 11 of 16 medications, including haloperidol, decreased at a multihospital system after implementation of an electronic health record (EHR) tool that provided “geriatric context” to prescribing clinicians.

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

Fungal infection common in critically ill COVID-19 patients

A retrospective study in Belgium found that risk of pulmonary aspergillosis in mechanically ventilated COVID-19 patients was primarily associated with pre-existing risk factors for invasive mold disease.

Fewer health care resources needed after ablation for afib, study finds

In an observational analysis, patients with afib who underwent ablation had fewer hospitalizations and ED visits in the two years after the procedure versus the year before it.

IL-18 level may help predict prognosis in ARDS

Elevated plasma IL-18 levels could work better than other models to identify patients with acute respiratory distress syndrome (ARDS) at higher risk for death, a recent study found.

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Becoming a physician and a parent

Having a baby during residency doesn't have to be as hard as it is, say advocates for change.

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

Recurrent primary spontaneous pneumothorax

A patient with HIV presented with chest tightness and lightheadedness.

Hospitalists discuss pandemic effects on women physicians, propose solutions

Participants in a series of focus groups called for policy and system changes to address gender disparities in medicine and the negative impact of the COVID-19 pandemic on the careers of women hospitalists.

Intermittent multidrug IV therapy potentially useful in refractory Mycobacterium abscessus pulmonary disease

In a small study of 36 patients in South Korea, 62% and 12% of those with M. abscessus disease and 80% and 60% of those with M. massiliense disease had at least one negative culture and culture conversion, respectively.

Patients with discordant C. difficile test results had lower mortality with treatment

Patients who were positive for Clostridioides difficile on nucleic acid amplification testing but negative on toxin immunoassay had similar 30-day mortality to those with positive results on both tests, according to a review of observational studies.

Short-term dual antiplatelet therapy underused after mild stroke, study finds

While prescriptions of dual antiplatelet therapy after mild noncardioembolic stroke increased from 25.7% in 2010 to 52.8% in 2022 in 168 Florida hospitals, underuse remained common, especially in women and non-Hispanic Black patients.

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

Guidelines on resistant gram-negatives

Hospitalists are some of the best antibiotic stewards, according to the lead author of recent guidance that aims to help them manage tricky infections.

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A coding case study

A patient with sepsis provides a lesson in selecting and ordering diagnoses for documentation and coding.


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