Case Presentation: A 4-year-old previously healthy boy presented with 10 days of fevers, intermittent abdominal pain, and poor appetite. Exam was notable for mild abdominal distension without tenderness. Labs showed leukocytosis, normocytic anemia, and elevated inflammatory markers. An echocardiogram showed mild dilation of his left anterior descending and left main coronary arteries, and he was […]

Case Presentation: A twenty-year-old female with acute lymphoblastic leukemia presented to the ED with one day of fever and a non-productive cough. Her vitals were significant for a fever of 102.8 F. Lung auscultation revealed diminished air entry to the right lower lung field. The rest of her physical exam was unremarkable.Chest radiograph demonstrated a […]

Case Presentation: A 15-year-old female with history of migraines presented to the emergency department with six days of headache, fatigue, and fever to 105F. Three days prior, she developed diffuse body aches and severe neck pain. On the day of presentation, the patient developed a nonpruritic rash on her face, trunk, and extremities. She had […]

Case Presentation: Sepsis is a primary cause of death in nearly 23.5% of chronic heart failure patients. The relationship between acute cholecystitis and cardiovascular disease is vague but there have been few studies suggesting cholecystocardiac link. Here we describe a similar case that presented as pulmonary edema and myocardial ischemia.81-year-old male with past medical history […]

Background: Despite evidence that the use of medications for patients with opioid use disorder (OUD) leads to reduced mortality and improved engagement in outpatient addiction treatment, these life-saving medications are underutilized in the hospital setting. This study reports the outcomes of a hospitalist-led interprofessional and multidisciplinary inpatient program, known as the B-Team (buprenorphine team), to […]

Background: “Hospital at Home” (HaH) models of care have existed for over 20 years in the U.S. Demand for healthcare value has driven renewed attention to HaH, including from the Centers for Medicare and Medicaid Services. The COVID-19 pandemic has only magnified consideration of alternative sites of care. Where studied, HaH models have had desirable […]

Background: A small number of patients account for a disproportionate number of hospital readmissions. The Complex High Admission Management Program (CHAMP) is designed to improve care and reduce hospitalizations for frequently readmitted patients. Non-randomized studies of CHAMP found reductions in readmission but may be subject to regression to the mean. We conducted a randomized trial […]

Background: The COVID-19 pandemic has necessitated rapid changes in healthcare delivery in the United States, including changes in the care of hospitalized children. Our study aimed to identify the major changes in inpatient pediatric healthcare delivery and potential learnings from these changes. Methods: We conducted semi-structured interviews for this qualitative study. We purposefully sampled hospitals […]

Background: Delirium is a common complication within the hospital setting with nearly one in three older patients experiencing it during hospitalization. Reduction in delirium is associated with decreased falls, decreased distress of patients and caregivers, and decreased length of stay as a result. Identification and reduction of delirium, therefore, is of the utmost importance to […]

Background: Procedural complications are a common source of adverse events in hospitalized patients(1, 2). In academic centers, bedside procedures have traditionally been performed by trainees, often without experienced proceduralist supervision, or referred to interventional radiology or consultant services, often with an associated delay in procedure performance. Many trainees report discomfort with their skill in performing […]