Article
Most patients meeting sepsis criteria in the emergency department do not have a sepsis diagnosis
February 3, 2022
Dr. Taghvaei Clinical question: What percentage of patients treated for sepsis in the ED are diagnosed with sepsis at discharge? Background: Sepsis is a leading cause of death around the world...
Article
Treatment of acute pain in adults with sickle cell disease in an infusion center versus the emergency department resulted in faster treatment and fewer hospitalizations
February 3, 2022
Clinical question: Are outcomes better for sickle cell patients experiencing vaso-occlusive crises (VOCs) when treated in an infusion center (IC) rather than an emergency department...
Article
Hospitalists demonstrate resiliency in the face of challenge
February 3, 2022
Dr. Verplanke As he reflected upon his days as a hospitalist and unit medical director within the division of hospital medicine at NYU Langone Health in New York, since the COVID-19 pandemic...
Article
Helping others find their joy
January 7, 2022
Dr. Weijen Chang My last editor’s column focused on crisis leadership, specifically the example of Sir Ernest Shackleton’s doomed attempt to cross the Antarctic, which nonetheless proved to...
Article
Active diagnostic strategy for pulmonary embolism in COPD exacerbations does not significantly alter a composite clinical outcome compared to usual care
January 7, 2022
Dr. Lublin Clinical question: Can an active diagnostic protocol including a D-dimer and computed tomography pulmonary angiogram (CTPA) for pulmonary emboli (PE) improve outcomes for...
Article
Effect of vasopressin and methylprednisolone versus placebo on return of spontaneous circulation in patients with in-hospital cardiac arrest
January 7, 2022
Dr. Miller Clinical question: Does the administration of vasopressin and methylprednisolone during in-hospital cardiac arrest improve the likelihood of return of spontaneous circulation...
Article
Maintenance or discontinuation of antidepressants
January 7, 2022
Dr. Miller Clinical question: For patients on longstanding antidepressant therapy who feel well enough to discontinue antidepressants, what is the risk of relapse with maintaining or...
Article
Effective therapy for heart failure with preserved ejection fraction
January 7, 2022
Dr. Anderson Clinical question: What effect do sodium-glucose cotransporter 2 (SGLT2) inhibitors have on outcomes in adults with heart failure with preserved ejection fraction...
Article
Empiric therapeutic anticoagulation for severe COVID-19
January 7, 2022
Dr. Anderson Clinical question: For patients hospitalized with COVID-19, does empiric therapeutic-dose versus prophylactic-dose anticoagulation with enoxaparin affect clinical...
Article
Many hospitalized patients with type 2 diabetes and mild hyperglycemia on admission can be managed with sliding scale insulin alone
January 7, 2022
Dr. Knees Clinical question: In patients with mild hyperglycemia on admission, can sliding scale insulin (SSI) alone be used for blood glucose (BG) control? Background: Prior randomized...