Background: Patients with cardiac arrest, either with a shockable or non-shockable rhythm, are at high risk of death and neurological impairment. Hypoxic-anoxic brain injury is a major cause of morbidity and mortality in these patients. (1) International Liaison Committee on Resuscitation (ILCOR) recommends moderate therapeutic hypothermia (32°C to 36°C) for patients who achieve return of [...]

Background: Copper is an essential trace element in the human body acting as a cofactor in many enzymatic reactions. Notably copper is involved in iron metabolism, neurohormone homeostasis, production of collagen, electron transport, regulation of gene expression, immune system function and melanin production. Two diseases that have been well documented in regards to copper regulation [...]

Case Presentation: A 47-year-old woman with lupus presented with one week of urinary frequency and dysuria. Over the prior year, she had pelvic pain, night sweats, 20 pounds of unintentional weight loss, and eight episodes of pan-susceptible E. coli urinary tract infections (UTIs), each successfully treated. Her chronic medications were prednisone, hydroxychloroquine, and azathioprine.A computed [...]

Case Presentation: A 44-year-old man with multiple myeloma and cardiac amyloidosis on chemotherapy, and atrial fibrillation on apixaban, presented with three days of worsening shortness of breath and edema. He was admitted to the emergency room observation unit for treatment of a mild heart failure exacerbation. He was noted on admission to have rapidly developed [...]

Background: The discharge process has been identified as a choke point for efficient patient flow through the hospital1,2. Delayed discharges have been associated with ER overcrowding, increased length of stay, and increased risk for patient harm1-4. Early discharge initiatives such as discharge by noon have been adopted by hospital systems as a way to improve [...]

Background: The abrupt transition from internal medicine resident to early-career hospitalist marks the end of routine clinical feedback in the apprenticeship model. A new hospitalist’s experience during this transition can impact well-being and the ongoing development of self-directed learning skills. In addition, practicing in the first year as a hospitalist has been associated with inferior [...]

Background: Approximately 40% of first-time adult shelter users have an Emergency Department (ED) visit or hospitalization within one year of shelter entry. Physicians must know patients’ housing statuses to develop appropriate care plans after discharge. Standardized tools for universal screening exist, however the rate of correct identification of homelessness appears to be low and is [...]

Background: While improving the American healthcare system has been a top focus of the domestic policy agenda for decades, health reform debates since early 2020 have taken place against the backdrop of a global pandemic that has highlighted key challenges in public health infrastructure and healthcare access. U.S. physicians are at the forefront of this [...]

Background: The role of bedside ultrasound to evaluate traumatic cardiac injury and aortic aneurysm rupture is well established. However, there is a lack of robust data to support the accuracy of use of immediate ultrasonography procedures at the point of care to detect other cardiovascular conditions. Aim of this umbrella meta-analysis was to evaluate a [...]

Background: Patients with diabetes who are hospitalized with COVID-19 have been found to have increased lengths of stay and greater intensive care unit utilization compared to those without diabetes. Diabetic ketoacidosis (DKA) is an acute diabetes emergency that accounts for a high number of hospitalizations, hospital readmissions, and healthcare utilization. Our study aims to evaluate [...]