Article
The STRONG-HF Trial: Evaluating the Safety, Tolerability, and Effectiveness of Up-titrating GDMT in Acute Heart Failure
August 1, 2024
Clinical question: Does rapid up-titration of guideline-directed medical therapies (GDMT) following admission for acute heart failure improve patient outcomes? Background: GDMT provides...
Article
Updates in Pediatric Sepsis
August 1, 2024
An 8-year-old girl presents with five days of worsening cough. She has a temperature of 38.6 °C, a respiratory rate of 38, a blood pressure of 85/45, and a heart rate of 120. Pulse oximetry reveals...
Article
Clinical Update: RSV Vaccines for Adults
December 7, 2023
Respiratory syncytial virus (RSV) is a common seasonal virus that can cause serious illness in children and adults alike. It was first isolated in a group of chimpanzees in 1956 and was originally...
Article
Questions Remain About Nirsevimab’s Impact
November 16, 2023
The new monoclonal antibody nirsevimab may radically change incidence and outcomes for respiratory syncytial virus (RSV) infections in young pediatric patients, especially when combined with the...
Article
Best Approach to a Cavitary Lung Lesion–Update
October 2, 2023
This is an update of our 2015 article on cavitary lung lesion.1 Case A 60-year-old man with alcohol use disorder presented to the hospital with fatigue, chest pain, and productive cough for two...
Article
Lessons from a Med-Psych Unit
October 2, 2023
In 2019, I accepted a position at the University of Rochester’s Strong Memorial Hospital in Rochester, N.Y. I knew this wouldn’t be bread-and-butter hospital medicine, but rather a unique...