September 28, 2022
Teams that don't burn out
Supporting consistent hospital medicine teams may be a key to preventing burnout, according to a researcher studying physician and nurse perspectives.
Sumatriptan-induced polymorphic ventricular tachycardia
A patient with atypical chest pain and negative stress tests suddenly became pulseless.
Gabapentin associated with delirium, pneumonia in older postop patients
A propensity-matched study found that patients ages 65 years and older who received gabapentin after surgery had a 3.4% risk of delirium and 1.3% risk of pneumonia, compared to 2.6% and 1.2%, respectively, in patients not taking the drug. Risk of in-hospital death was similar between groups.
Oxygenation by helmet, high flow didn't affect mortality in COVID-19, studies find
One trial randomized patients to helmet noninvasive ventilation or usual forms of respiratory support and found no differences. Another comparing high-flow and standard oxygen found a decrease in intubation rate with the former, but no change in any other outcome.
Study finds racial disparities in hospitalization of patients presenting to ED with ACS
The proportion of patients who were discharged home from the ED with a diagnostic code of acute coronary syndrome (ACS) was 12% among Black patients, 6% among White patients, 9% among Hispanic patients, and 9% among Asian/Pacific Islander patients.
Rural hospital closures shift care to other hospitals in region
In two years after a rural hospital closed, ED visits at hospitals within a 30-mile radius increased by 10.22% on average while inpatient admissions increased by 1.17%, according to an analysis of hospital closures in 2005 to 2016.