Hospital Medicine

CDC: EMS Administration of Naloxone Up From 2012 to 2016

CDC: EMS Administration of Naloxone Up From 2012 to 2016

Monitoring non-fatal overdose events from EMS data may aid in developing emergency response.

Resource Use Greater for More Severe Pediatric Appendicitis

Resource Use Greater for More Severe Pediatric Appendicitis

Findings suggest need for reimbursement to have severity adjustment, especially in underserved areas.

Elevated Late Mortality Persists After Blood or Marrow Transplant

Elevated Late Mortality Persists After Blood or Marrow Transplant

But in past 3 decades, decrease in late mortality seen among those who underwent BMT in childhood.

Majority of Patients With Liver Metastases From Colorectal Cancer Eligible for Laparoscopy

Majority of Patients With Liver Metastases From Colorectal Cancer Eligible for Laparoscopy

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In high-volume centers, patients with liver metastases from colorectal cancer may often be eligible for minimally invasive liver surgery via laparoscopy, thereby reducing potential morbidity risks associated with open surgery.

Ethical Guidelines for Living Donor Transplantation

Ethical Guidelines for Living Donor Transplantation

The Belmont Report provides an appropriate framework for living donor organ transplantation.

Pediatric Ward Noise at Night Exceeds Recommended Levels

Pediatric Ward Noise at Night Exceeds Recommended Levels

Poorer quality sleep for children, parents attributed to high levels of noise.

More Preventive Care Guidelines Linked to Less Preventive Care Utilization

More Preventive Care Guidelines Linked to Less Preventive Care Utilization

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An increase in guideline-recommended preventive services may be associated with a decrease in patient utilization of each suggested service, which may have a negative impact on patient life expectancy or quality of life.

Embezzlement Not Uncommon in Medical Practices

Embezzlement Not Uncommon in Medical Practices

Employees should undergo detailed background checks; practices should have zero-tolerance for theft.

2001 to 2015 Saw Decline in Self-Employment in Health Care

2001 to 2015 Saw Decline in Self-Employment in Health Care

Gap in earnings between self-employed and employed health care professionals also decreased.

Pelvic Exam in ER Doesn't Help Predict STI for Young Females

Pelvic Exam in ER Doesn't Help Predict STI for Young Females

Pelvic exam doesn't add to history for diagnosis of STIs in young females with suspected cervicitis, PID.

fMRI Evidence for Social Motivation Hypothesis of Autism

fMRI Evidence for Social Motivation Hypothesis of Autism

These data show that ASD may arise from an early neurobiological difference in response to rewarding social stimuli, which could result in reduced social motivation.

Red Cross Calls for Blood Donors

Red Cross Calls for Blood Donors

While all blood types are needed, type O negative and positive are especially crucial.

WHO Calls for Renewed Effort to Combat Chronic Disease

WHO Calls for Renewed Effort to Combat Chronic Disease

Commission makes 6 recommendations to meet 2030 goals for non-communicable diseases

FDA Permits Marketing of Devices to Create Arteriovenous Fistula

FDA Permits Marketing of Devices to Create Arteriovenous Fistula

Two devices designed to create arteriovenous fistula in patients with CKD in need of hemodialysis

AMA Calls for Electronic Health Record Training

AMA Calls for Electronic Health Record Training

Association says medical students, residents should undergo training with evaluative feedback.

Should Clinicians Treat Family and Friends? Three Experts Weigh In

Should Clinicians Treat Family and Friends? Three Experts Weigh In

Although all of the guidelines acknowledge that there are emergent situations in which providing care for a family member or friend is not only permissible but also essential, other situations are frowned upon.

Intensive Management Program Benefits High-Risk Patients

Intensive Management Program Benefits High-Risk Patients

Use of an intensive management program for high-risk patients is associated with greater receipt of outpatient care with no increase in total costs.

AMA: Docs Declare Drug Shortages Public Health Emergency

AMA: Docs Declare Drug Shortages Public Health Emergency

AMA calls for greater manufacturer transparency in order to prepare for disasters, mitigate shortages.

Discharge Tools, Follow-Up Calls Reduce Readmission for Congestive Heart Failure

Discharge Tools, Follow-Up Calls Reduce Readmission for Congestive Heart Failure

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A literature review revealed that the use of care navigators in conjunction with follow-up telephone calls from nursing staff improved transition of care and readmission rates in patients with congestive heart failure.

Preoperative Testing, Management: Addressing a Potential Hospitalist NP Gap

Preoperative Testing, Management: Addressing a Potential Hospitalist NP Gap

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Hospitalist NPs are key to successfully implementing Society of Hospital Medicine guidelines for preoperative testing and management.

Quantification of Prevalence, Outcomes of Incidental Imaging Abnormalities

Quantification of Prevalence, Outcomes of Incidental Imaging Abnormalities

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Incidental abnormalities are most frequently observed in computed tomography colonoscopy, computed tomography of the chest, and cardiac magnetic resonance imaging.

Clotting Time in Transfemoral PCI Linked to Bleeding Risk

Clotting Time in Transfemoral PCI Linked to Bleeding Risk

More major bleeding seen at maximal activated clotting time greater than 290 seconds.

Study Compares Treatment Options for T1a Renal Cancer

Study Compares Treatment Options for T1a Renal Cancer

Percutaneous ablation compared with partial, radical nephrectomy for 4,310 patients aged 66 years

<i>C difficile</i> Risk Higher With Stoma Reversal vs Colectomy

C difficile Risk Higher With Stoma Reversal vs Colectomy

Findings based on examination of 30-day postoperative period in large cohort

Double Lung Transplantation Improves Survival in Interstitial Pulmonary Fibrosis

Double Lung Transplantation Improves Survival in Interstitial Pulmonary Fibrosis

Double lung transplantation appears to offer superior survival outcomes to single lung transplantation in patients with interstitial pulmonary fibrosis who are younger than 70 years.

Restricting perioperative fluid for abdominal surgery patients does not reduce complications: The RELIEF trial

Among patients at increased risk for complications undergoing abdominal surgery, those randomized to perioperative fluid restriction did not have increased disability-free survival at one year compared to patients who received liberal perioperative fluid management.

Lower and higher oxygen saturation targets result in equal but contrasting outcomes for extremely preterm infants

In this meta-analysis, there was no significant difference between lower and higher oxygen saturation targets on a primary composite of mortality or major disability at a corrected age of 18-24 months for infants born extremely preterm.

No benefit of negative pressure wound therapy for lower extremity open fractures

In this randomized controlled trial, there was no difference in the self-reported disability 12 months after injury between patients treated with negative pressure wound therapy and those treated with standard wound dressings.

ABIM research suggests that doctors who maintain board certification provide better patient care

Physicians who maintained Board Certification were associated with improved Health Effectiveness Data and Information Set score.

Increase in Global Cancer Incidence, Drop in Death Rates

Increase in Global Cancer Incidence, Drop in Death Rates

From 2006 and 2016, smallest increase seen in high Sociodemographic Index countries.

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