August 27, 2025

Hot times
Rising temperatures and new guidelines make heat stroke a hot topic for hospitalists.
The aquatic hospitalist
As with swimming, the trick of being a hospitalist is learning not to drown.
Lateral positioning reduced hypoxemia in sedated patients, Chinese trial finds
In a trial that randomized patients to supine or lateral positioning after anesthesia, only 5.4% of the latter group developed hypoxemia in the subsequent 10 minutes, compared to 15.0% of the former. The laterally positioned patients also required fewer airway rescue interventions and had shorter length of stay in the postanesthesia care unit.
Oral antibiotics may be suitable for more complex patients with infective endocarditis
Treatment success was similar in patients who received IV antibiotics only for infective endocarditis and those who switched to oral antibiotics, including those with valvular abscess, right-sided heart involvement, or IV drug use, a French cohort study found.
Remote patient monitoring offered by almost half of U.S. hospitals in 2022
Availability of remote patient monitoring for postdischarge or chronic care rose substantially from 2018 to 2022, but disparities in access persisted, with rural and nonteaching hospitals being less likely to offer the technology.
Risk score predicts contrast-associated AKI before CT
The prediction model for acute kidney injury (AKI) includes reduced estimated glomerular filtration rate, acute heart failure, hypotension, anemia, and receipt of nephrotoxic antibiotics.
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