Search results for "Guidelines"
Avoiding the antibiogram
Hospitalists don't use antibiograms, a study found. One of the authors discusses why he thinks they're probably right not to.
https://acphospitalist.acponline.org/archives/2024/05/22/avoiding-the-antibiogram.htm
22 May 2024
Med rec for hospitalists and hospitals
An expert explains how to do a good medication reconciliation for a single patient, and how to improve them throughout a whole system.
https://acphospitalist.acponline.org/archives/2024/05/15/med-rec-for-hospitalists-and-hospitals.htm
15 May 2024
Sepsis and other inpatient emergencies
An intensivist offered hot tips for hospitalists during a precourse at Internal Medicine Meeting 2024.
https://acphospitalist.acponline.org/archives/2024/04/24/sepsis-and-other-inpatient-emergencies.htm
24 Apr 2024
Early minimally invasive surgery may improve outcomes for certain intracerebral hemorrhages
An industry-sponsored trial found that functional outcomes at 180 days were better with minimally invasive hematoma evacuation plus guideline-based medical management than medical management alone, if surgery could be done within 24 hours.
https://acphospitalist.acponline.org/archives/2024/04/17/early-minimally-invasive-surgery-may-improve-outcomes-for-certain-intracerebral-hemorrhages.htm
17 Apr 2024
Patients with low-risk S. aureus bacteremia may not need routine imaging
In a retrospective cohort study in the Netherlands, relapse-free survival at 90 days was similar in patients with low-risk S. aureus infection who received additional imaging and those who did not.
https://acphospitalist.acponline.org/archives/2024/04/17/patients-with-low-risk-s-aureus-bacteremia-may-not-need-routine-imaging.htm
17 Apr 2024
The limited evidence for IV albumin
An expert explains recent guidelines on IV albumin that recommended against the blood product in the settings where it is most commonly used.
https://acphospitalist.acponline.org/archives/2024/04/10/the-limited-evidence-for-iv-albumin.htm
10 Apr 2024
Two in five HF patients not on guideline-directed medical therapy at discharge
A study of Veterans Affairs hospitals found that 42% of patients hospitalized for heart failure (HF) in 2013 to 2019 were not prescribed all guideline-recommended medications at discharge, and those receiving care at urban hospitals were even less likely to receive the treatments.
https://acphospitalist.acponline.org/archives/2024/04/10/two-in-five-hf-patients-not-on-guideline-directed-medical-therapy-at-discharge.htm
10 Apr 2024
Government highlights need for consent before exams on patients under anesthesia
In response to reports of intimate exams being performed by trainees on patients under anesthesia, officials called on academic hospitals and medical schools to always obtain and document informed consent.
https://acphospitalist.acponline.org/archives/2024/04/10/government-highlights-need-for-consent-before-exams-on-patients-under-anesthesia.htm
10 Apr 2024
Few guidelines address inpatient blood pressure management
A search of current guidelines did not find any recommended goals for inpatient blood pressure or any recommendations on how to manage asymptomatic moderately elevated blood pressure in the hospital.
https://acphospitalist.acponline.org/archives/2024/04/03/few-guidelines-address-inpatient-blood-pressure-management.htm
3 Apr 2024
Disseminated varicella infection in an immunocompromised patient
A patient with a history of liver transplant presented with a progressive rash.
https://acphospitalist.acponline.org/archives/2024/04/03/free/disseminated-varicella-infection-in-an-immunocompromised-patient.htm
3 Apr 2024