October 22, 2025

The far-reaching effects of floods
Deaths and hospitalizations stay elevated for significant periods after flooding events, new data show.
High-intensity care for high utilizers
A Medicaid-funded program for high-need patients in California cut ED visits by half and admissions by a quarter.
New tool designed to help with time-limited trials in end-of-life care
With consultation from patients, surrogates, and physicians, researchers developed a paper-based template to assist with discussions and decision making in the care of critically ill older adults.
Strategies to avoid intraoperative hypotension didn't improve outcomes, studies find
Two recent European trials that individualized intraoperative blood pressure management based on patients' risk of hypotension did not find any difference in functional disability, mortality, or other outcomes compared to usual care.
Low troponin levels predict long-term cardiovascular outcomes in chest pain patients
In patients with suspected acute coronary syndrome who were not found to have a myocardial infarction, very low levels of high-sensitivity troponin are associated with low risk of a major cardiovascular event within five years, according to a study carried out in England.
AHA statement calls for improvements in cardiac rehabilitation uptake among women
Increasing awareness and referrals, expanding access, and providing gender- and culturally sensitive programming are all potential ways to improve cardiac rehabilitation uptake among women, according to a statement from the American Heart Association (AHA).
Take a quiz about the Oct. 15 issue!
Every week, ACP Hospitalist posts a question about the previous week's issue. See how well you remember what you've read compared to other readers.