News
What is the best approach to treat an upper-extremity DVT?
October 1, 2011
Key Points: UEDVT risk factors include central venous catheters, malignancy, thoracic outlet syndrome or other anatomic abnormalities, previous DVT, “effort-related” activities, and hypercoagulable states; A significantly increased mortality rate exists among people diagnosed with UEDVT; UEDVT should be treated similarly to LEDVT: UFH or LMWH followed by warfarin for at least three months; The ACCP recommends against the routine use of thrombolytics, angioplasty, stent placement, or surgery. Still, some patients may benefit from these approaches, so each patient should be considered individually.
Opinion
Laborists, Defined
October 1, 2011
Certain traits, practices make the OBGYN hospitalist model a breed apart
News
Dr. Hospitalist
October 1, 2011
HM Should Determine Admission Status, Location
News
ONLINE EXCLUSIVE: A Discharge Solution—or Problem?
October 1, 2011
Although helpful for some, discharge lounges won’t solve systemic bed-management issues
Audio
ONLINE EXCLUSIVE: Experts discuss strategies to improve early discharges
October 1, 2011
Emergency Nurses Association President AnnMarie Papa discusses patient partnerships; Ken Simone explains the pressures hospitals face in moving patients and potential incentives to get nurses on board the early-discharge train
News
Nocturnists’ Compensation Puzzles Practice Leaders
September 2, 2011
Welcome to “Survey Insights,” a new section devoted to exploring and interpreting information from the survey conducted jointly by SHM and the Medical Group Management Association (MGMA).
News
In the Literature: The latest research you need to know
September 2, 2011
High-dose vs. low-dose clopidogrel after cardiac stenting; Rates of overdiagnosis of PE with CTPA; Outcomes of hospitalists with PAs or residents; White coats and MRSA; Correlation of vital signs and pain
News
What Is the Best E&M of Heparin-Induced Thrombocytopenia?
September 2, 2011
Management of HIT includes the continuation of a nonheparin anticoagulant for at least 30 days after diagnosis. Warfarin should not be used until the platelet count has reached 150x109/L.
News
Purposeful Visits Enhance Hospitalized Seniors’ Quality of Life
September 1, 2011
An abstract presented at HM11, “Purposeful Visits for Hospitalized Elderly Patients,” describes a service at the University of Colorado Hospital (UCH) in Denver that has shown improvements in participating patients’ mood, agitation, and orientation. The purposeful-visit program was started, says
News
Fiddling As HM Burns
September 1, 2011
It’s time hospitalists start turning words into deeds