July 24, 2024
Rural hospitals moving into the future
Technological innovations may offer solutions to the challenges facing rural hospital medicine.
Diabetic ketoacidosis in a prediabetic patient on ophthalmic steroids
The patient presented with fatigue, polydipsia, and polyuria after surgery for spontaneous retinal detachment.
Drug-resistant infections increased during pandemic, remained high, CDC reports
Hospital-onset cases of Candida auris increased nearly fivefold from 2019 to 2022, and methicillin-resistant Staphylococcus aureus was the only studied resistant infection that is not elevated above prepandemic levels, a CDC fact sheet said.
ED treat-and-release visits for fall associated with stroke risk
Patients were almost three times as likely to have an ED treat-and-release visit for a fall in the 15 days before an ischemic stroke than in a 15-day control period a year earlier, a case-crossover study using data from 10 U.S. states found.
Occult hypoxemia more common in hospitalized patients with darker skin, review finds
Occult hypoxemia, a pulse oximetry reading higher than the arterial oxygen saturation, was 67% more likely in Black patients and 39% more likely in patients identifying as Asian, Latinx, Indigenous, multiracial, or other race compared with White patients, a review found.
Coadministration of antidepressants, certain opioids linked to adverse events in nursing home patients
Older nursing home patients who received both CYP2D6-metabolized opioids and CYP2D6-inhibiting antidepressants were at higher risk for worsening pain, pain-related hospitalization, pain-related ED visits, and opioid use disorder in a recent study.
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