July 30, 2025
Sync with psych
There are many ways to optimize psych consults, including a model that provides proactive involvement of psychiatry teams.
Rules for consults
A hospital medicine team worked with the ED and subspecialists to create guidelines for consultations.
ATS updates guideline on community-acquired pneumonia
The guideline from the American Thoracic Society (ATS) provides recommendations on use of lung ultrasound, antibiotics, and corticosteroids in nonsevere and severe community-acquired pneumonia.
OPAT with vancomycin via midline catheters associated with higher complication risk
Major device complications and earlier catheter removal were more common in patients receiving outpatient parenteral antimicrobial therapy (OPAT) with vancomycin than in those who got other medications, a study found.
Paramedian approach to lumbar puncture increased procedure service's success rates
A hospitalist procedure service implemented a standardized curriculum to teach a point-of-care ultrasound-assisted paramedian approach to lumbar puncture and increased their success rate from 72.6% to 85.4%.
Outcomes improved with synergistic colistin plus meropenem for resistant gram-negative infections
Patients with pneumonia or bloodstream infection due to carbapenem-resistant gram-negative bacilli were less likely to experience clinical failure with colistin and meropenem that had passed in vitro synergy testing than with nonsynergistic combo therapy or colistin alone, a recent study found.
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