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Hospital Medicine
Concise perspectives and commentary on the latest literature and guidelines relevant to hospital medicine from generalists, specialists, and practicing hospitalists.
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Featured Article
SUMMARY AND COMMENT
Higher PEEP Improves Survival in ARDS Patients
- March 15, 2010
- Aaron J. Calderon, MD, FACP
Meta-analysis reveals that patients with severe acute respiratory distress syndrome are most likely to benefit from higher positive end-expiratory pressure.
- Reviewing:
- Briel M et al. JAMA 2010 Mar 3; 303:865
Recent Hospital Medicine Articles
SUMMARY AND COMMENT
Pharmacokinetics of Intravenous Immunoglobulin in Guillain-Barré Syndrome
- March 9, 2010
- Kenneth C. Gorson, MD
- Neurology
Low change in serum level of immunoglobulin G after treatment with IVIG is associated with a relatively severe clinical disease and poor outcome.
- Reviewing:
- Kuitwaard K et al. Ann Neurol 2009 Nov; 66:597
SUMMARY AND COMMENT
Polymerase Chain Reaction vs. Blood Culture in Sepsis
- March 10, 2010
- Thomas Glück, MD
- Infectious Diseases
Correlation with sepsis severity parameters was better for PCR than for blood culture; in patients with sepsis, concordance between the two methods was modest.
- Reviewing:
- Bloos F et al. Intensive Care Med 2010 Feb; 36:241
SUMMARY AND COMMENT
Survival to Discharge Doesn't Rule Out a Brain Still at Risk
- March 15, 2010
- Grace C. Huang, MD
Hospitalization for acute illness can be associated with cognitive decline in elders.
- Reviewing:
- Ehlenbach WJ et al. JAMA 2010 Feb 24; 303:763
SUMMARY AND COMMENT
Primary Prevention of Cardiovascular Events with Aspirin
- March 11, 2010
- Thomas L. Schwenk, MD
- General Medicine
No benefit was observed in a group at high risk for vascular disease. CME
- Reviewing:
- Fowkes FGR et al. JAMA 2010 Mar 3; 303:841
SUMMARY AND COMMENT
The Golden Hour: Myth or Reality?
- March 12, 2010
- Richard D. Zane, MD, FAAEM
- Emergency Medicine
Analysis of trauma registry data revealed no association between emergency medical services response time and in-hospital mortality.
- Reviewing:
- Newgard CD et al. Ann Emerg Med 2010 Mar; 55:235
SUMMARY AND COMMENT
Can Bedside Ultrasound Predict Central Venous Pressure?
- March 12, 2010
- Richard D. Zane, MD, FAAEM
- Emergency Medicine
In an emergency department study, ultrasound measurements of the inferior vena cava correlated with central venous pressure.
- Reviewing:
- Nagdev AD et al. Ann Emerg Med 2010 Mar; 55:290
SUMMARY AND COMMENT
Intracoronary vs. Intravenous Eptifibatide for Percutaneous Coronary Intervention
- March 10, 2010
- Howard C. Herrmann, MD
- Cardiology
Intracoronary infusion was better at achieving glycoprotein IIb/IIIa receptor occupancy and, ultimately, post-PCI microvascular perfusion.
- Reviewing:
- Deibele AJ et al. Circulation 2010 Feb 16; 121:784
SUMMARY AND COMMENT
Teaching Non-Dermatologists — The Challenge RevisitedFree
- March 5, 2010
- Lowell A. Goldsmith, MD, MPH
- Dermatology
Nondermatologist hospital staff were not good at identifying and treating common skin diseases.
- Reviewing:
- Davila M et al. Dermatol Online J 2010 Feb 15; 16:12
SUMMARY AND COMMENT
Is Elective Coronary Angiography Overused?Free
- March 10, 2010
- Harlan M. Krumholz, MD, SM
- Cardiology
According to data from a large registry, less than half of patients who undergo elective invasive testing have obstructive coronary artery disease.
- Reviewing:
- Patel MR et al. N Engl J Med 2010 Mar 11; 362:886
SUMMARY AND COMMENT
The ACCORD Lipid Study: Fenofibrate Doesn't HelpFree
- March 14, 2010
- Harlan M. Krumholz, MD, SM
- Cardiology
Although triglyceride levels improved markedly with fenofibrate, incidence of adverse cardiovascular events was not affected.
- Reviewing:
- The ACCORD Study Group. N Engl J Med 2010 Mar 14
Journal Watch Hospital Medicine discusses authoritative journal articles about wide-reaching topics within Hospital Medicine, including hospital administration, managed care, healthcare cost and quality, and other topics of critical importance to hospitalists.
