November 12, 2025
Tough questions for AI
A hospitalist researcher talks about what happens when large language models are asked to help with tricky care decisions.
Bringing hospitalists to behavioral health
Hospitalists took on new part-time hybrid roles caring for patients in a psychiatric facility.
More conservative dialysis strategy appeared to offer faster recovery from AKI
Patients with acute kidney injury (AKI) that had been treated with dialysis were randomized to a conservative strategy of dialysis only when metabolic or clinical indicators were met or a conventional strategy of thrice-weekly dialysis.
Thrombectomy superior to anticoagulation for PE in reducing RV/LV ratio, manufacturer trial shows
The proportion of pulmonary embolism (PE) patients who had a normalized right-to-left ventricular (RV/LV) diameter ratio at 48 hours was nearly threefold higher with computer-assisted vacuum thrombectomy compared with anticoagulation alone, according to a manufacturer-funded trial.
Clamping trials for chest drain removal didn't appear to reduce pneumothorax recurrence
About a third of patients requiring an intercostal chest drain for spontaneous pneumothorax underwent a clamping trial for drain removal, but the recurrence rate of pneumothorax was not significantly different with or without clamping, a retrospective British study found.
Levetiracetam linked to lower risk for recurrent poststroke seizure than valproic acid
Patients with a recent history of stroke who were admitted for a seizure were significantly less likely to be rehospitalized for another seizure if they were prescribed levetiracetam versus valproic acid before discharge, although their mortality risk did not differ, a retrospective study in Taiwan found.
Take a quiz about the Nov. 5 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.