May 11, 2022
When your patient is on dialysis
A nephrologist ran down the initial steps hospitalists should take after admitting a long-term dialysis patient during a lecture at Internal Medicine Meeting 2022.
Tips on taking transfers from surgery
Talk directly to the surgeon, peek at the wound, and don't be afraid to call with questions, experts advised.
Remdesivir, ECMO, recommendations on convalescent plasma in COVID-19
The Solidarity trial concluded that remdesivir didn't significantly reduce mortality in ventilated patients and had a small effect on other hospitalized patients. Another study identified factors predicting which patients would benefit from extracorporeal membrane oxygenation (ECMO). The NIH changed its recommendations on convalescent plasma.
Flying thrombectomy teams faster than transferring stroke patients
The median time from the decision to pursue endovascular thrombectomy to the start of the procedure was 58 minutes in patients who received thrombectomy from interventionists deployed to them by helicopter and 148 minutes in patients transferred to the hospital, a German study found.
Interpreters pinpoint challenges for heart failure patients with limited English proficiency
Twenty interpreters at a U.S. academic medical center reported in interviews that heart failure etiology, prognosis, and treatment options were difficult to explain clearly to patients with limited English proficiency.
VR training appears effective for teaching management of clinical deterioration
Medical and nursing students had similar stress responses and performance outcomes when learning to manage sepsis patients via virtual reality (VR) or face-to-face simulation.