Article
The evolution of the hospitalist
March 30, 2022
Dr. Ramanathan Dr. Chmelik The term hospitalist was coined in 1996 in a New England Journal of Medicine article written by Dr. Robert Wachter—often considered the father of the field. The need...
Article
Learn to surf
March 3, 2022
Recently, three hospitalists turned what could have been a webinar focused on venting into something positive and inspirational. Sharmila Dissanaike, MD, FACS, FCCM, a hospitalist and a trauma,...
Article
Characteristics of hospitalized patients whose substance use increased amid the impacts of COVID-19
March 3, 2022
Nearly 20 million U.S. adults experience a substance use disorder (SUD) annually,1 leading to more than 650 thousand hospital admissions.2 Large-scale crises like the COVID-19 pandemic can...
Article
How to manage patients with eating disorders in the inpatient setting
March 1, 2022
Case Dr. Wimberly A 25-year-old female pharmacy student is brought to the emergency department by her parents after a presyncopal episode while at home for a school break. Her parents are...
Article
Outpatient COVID-19 therapeutics reduce hospitalization and mortality
February 10, 2022
Matching the right patient to the right therapeutic at the right time In late 2021 and early 2022, the Food and Drug Administration (FDA) granted emergency use authorizations (EUAs) for the...
Article
To treat or not to treat: interpreting syphilis serologies
February 3, 2022
Case A 32-year-old man with history of intravenous heroin use presents to the emergency department (ED) for fevers and redness with purulence over the left forearm. He is started on IV vancomycin...
Article
Can I use DOAC in a patient with renal disease?
February 3, 2022
Case A 76-year-old man is diagnosed with non-valvular atrial fibrillation. His comorbid conditions are hypertension, diabetes complicated by neuropathy, and chronic kidney disease stage 3. His...
Article
A proposed scoring system to assess COVID-19-induced coagulopathy and stratification of patients for anticoagulation therapy based on risk categories
February 3, 2022
Clinical question: Can a proposed new scoring system triage and assess risk in COVID-19 patients with coagulopathy? Dr. Ajala Background: COVID-19-induced coagulopathy (CIC), marked...
Article
Direct oral anticoagulants may be safe in cancer-related venous thromboembolisms, but use caution with gastrointestinal malignancies
February 3, 2022
Clinical question: Are direct oral anticoagulants (DOACs) a suitable alternative to low molecular weight heparin (LMWH) for treatment of venous thromboembolism (VTE) in patients with underlying...
Article
Breakthrough infection in COVID-19-vaccinated health care workers is associated with lower levels of neutralizing antibodies but less severe disease
February 3, 2022
Clinical question: How frequent are breakthrough infections in health care workers fully vaccinated against COVID-19, and how does vaccination correlate with immune response and infectivity? ...