Alexander R. Carbo, MD, SFHM
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Mortality Risk in Patients Older than 75 Presenting with Non-ST-Elevation Acute Coronary Syndrome
September 9, 2015
Clinical question: Is there a score that will predict the mortality rate in elderly patients presenting with a non-ST-elevation myocardial infarction (NSTEMI)? Background: Although they represent only 9% of patients in clinical trials, patients over the age of 75 make up one third of patients wit
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Who Should Be Screened for HIV Infection?
January 7, 2015
Case A 31-year-old male with a history of asthma is admitted with an asthma exacerbation. He has no regular outpatient provider. He denies tobacco use and reports that he is in a monogamous relationship with his girlfriend.
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Risk-Prediction Model Effective for Recurrent Clostridium Difficile Infection
October 27, 2014
Tool identifies infection risk factors at illness onset, predicts likelihood of recurrence
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Higher Mean Arterial Pressure in Septic Shock Patients Doesn’t Decrease Mortality
September 2, 2014
Mortality rates not significantly different in patients with septic shock randomized to higher MAP targets
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Infection Risk Decreases With Lower Red Blood Cell Transfusion Thresholds
September 2, 2014
Restrictive RBC transfusion guidelines associated with less risk of healthcare-acquired infections than liberal transfusion thresholds
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Head Computed Tomography Scans Not Needed for Most Delirium Inpatients
September 2, 2014
CT scans found to have low diagnotistic utility for delirious inpatients without head trauma, fall, or known intracranial process
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Hospitalist Efficiency Impacted by Increased Workloads
September 2, 2014
Inpatient length-of-stay, costs may increase when hospitalist workloads exceed 15 patients daily
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Peri-Operative Clonidine Increases Hypotension, Bradycardia, Nonfatal Cardiac Arrest
September 2, 2014
Study finds peri-operative clonidine brings increased risks, has no effect on myocardial infarction rate among patients undergoing vascular surgery
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Fibrinolytics Increase Stroke Risk, Hemorrhage in Intermediate-Risk Pulmonary Emboli
September 2, 2014
Study finds increased risks, no mortality benefit to treatment of intermediate-risk pulmonary emboli with fibrinolytics
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AHA/ACC Atrial Fibrillation Guidelines Updated
September 2, 2014
American Heart Association, American College of Cardiology, Heart Rhythm Society issue first comprehensive update since 2006, guidelines on patient selection for anticoagulation, role of oral anticoagulants