Erica Grabscheid, MD, FACP, FHM
Article
Are You Asking the Right Questions in a Job Interview?
February 1, 2024
Every hospitalist program is unique because it is tailored to meet the specific needs of the hospital it serves. For instance, one employer may require hospitalists to rotate through a post-discharge...
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Neither Low-Dose Dopamine nor Low-Dose Nesiritide Improves Renal Dysfunction in Acute Heart Failure Patients
October 27, 2014
Clinical question: Does low-dose dopamine or low-dose nesiritide added to diuretic therapy enhance pulmonary volume reduction and preserve renal function in patients with acute heart failure and renal dysfunction, compared to placebo? Background: Small studies have suggested that low-dose dopamin
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Beta Blockers Lower Mortality after Acute Myocardial Infarction in COPD Patients
October 27, 2014
Clinical question: Does the use and timing of beta blockers in COPD patients experiencing a first myocardial infarction (MI) affect survival after the event? Background: Beta blockers are effective in reducing mortality and reinfarction after an MI; however, concerns regarding the side effects of
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Edoxaban Is Noninferior to Warfarin in Patients with Atrial Fibrillation
October 27, 2014
Clinical question: What is the long-term efficacy and safety of edoxaban compared with warfarin in patients with atrial fibrillation (Afib)? Background: Edoxaban is an oral factor Xa inhibitor approved for use in Japan for the prevention of venous thromboembolism after orthopedic surgery.
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Interdisciplinary Intervention Improves Medication Compliance, Not Blood Pressure or LDL-C Levels
October 27, 2014
Clinical question: Can intervention by pharmacists and physicians improve compliance to cardio-protective medications? Background: Adherence to cardio-protective medications in the year after hospitalization for acute coronary syndrome is poor. Study design: RCT. Setting: Four Department of
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Colloids vs. Crystalloids for Critically Ill Patients Presenting with Hypovolemic Shock
October 27, 2014
Clinical question: In critically ill patients admitted to the ICU with hypovolemic shock, does the use of colloid for fluid resuscitation, compared with crystalloid, improve mortality? Background: The current Surviving Sepsis Campaign guidelines recommend crystalloids as the preferred fluid for r
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“Triple Rule Outs” for Chest Pain: A Tool to Evaluate the Coronaries but Not Pulmonary Embolism or Aortic Dissection
October 27, 2014
Clinical question: How does “triple rule out” (TRO) computed tomographic (CT) angiography compare to other imaging modalities in evaluating coronary and other life-threatening etiologies of chest pain, such as pulmonary embolism (PE) and aortic dissection? Background: TRO CT angiography is a noni
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Patients Prefer Inpatient Boarding to Emergency Department Boarding
October 27, 2014
Clinical question: Do patients who experience overcrowding and long waits in the emergency department (ED) prefer boarding within ED hallways or within inpatient medical unit hallways? Background: Boarding of admitted patients in EDs can be problematic, especially with regard to patient safety an
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Benefit of Therapeutic Hypothermia after Cardiac Arrest Unclear
October 27, 2014
Clinical question: Does targeted hypothermia (33°C) after cardiac arrest confer benefits compared with targeted temperature management at 36°C? Background: Therapeutic hypothermia is a current recommendation in resuscitation guidelines after cardiac arrest.
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Pre-Operative Beta Blockers May Benefit Some Cardiac Patients
October 27, 2014
Clinical question: In patients with ischemic heart disease (IHD) undergoing non-cardiac surgery, do pre-operative beta blockers reduce post-operative major cardiovascular events (MACE) or mortality at 30 days? Background: Peri-operative beta blocker use has become more restricted, as evidence abo