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Search Results for covid
Abstract Number: A33
SHM Converge 2022
Case Presentation: A 63 year old African American female with history of hypertension was admitted to the hospital for COVID-19 and hypoxia. She was treated with Remdesivir, dexamethasone and convalescent plasma in January 2021. Symptoms improved and she was discharged on steroids and anticoagulation. Six weeks later she started complaining of shortness of breath. CTA […]
Abstract Number: A49
SHM Converge 2022
Case Presentation: A 54-year-old female with essential hypertension, hyperlipidemia, hypothyroidism and MGUS presented to Wheeling Hospital complaining of weakness, dyspnea on exertion and right lower extremity pain for two weeks. Patient was treated for a right gastrocnemius DVT, acute SARS-CoV-2 pneumonia and pulmonary emboli in right middle and lower lobe pulmonary artery branches with smaller […]
Abstract Number: B11
SHM Converge 2022
Background: Oxygen saturation (SpO2) is often overestimated in darker skinned individuals (1–3), but the ideal method to quantify this phenomenon and measure its impact on clinical outcomes is unclear. Studying the distributions of SpO2 may not be the appropriate method because these distributions are influenced by clinicians’ real time efforts to maintain SpO2 in a […]
Abstract Number: B16
SHM Converge 2022
Background: Patients hospitalized with COVID-19 are at risk for clinical deterioration after discharge. Because of this concern, hospitals established home monitoring programs during the pandemic. This study sought to describe these programs among a sample of US academic medical centers. Methods: We conducted a voluntary survey of hospital medicine leaders who participate in the Hospital […]
Abstract Number: B17
SHM Converge 2022
Background: The management of patients with COVID-19 is challenging for front-line healthcare providers given limited validated, evidence-based clinical decision support. Determining patient mortality risk is critical for effective triage, management, and discharge decision making. Numerous COVID-19 risk prediction models have been created, though the robustness of these models varies. The 4C Mortality Score, created by […]
Abstract Number: B29
SHM Converge 2022
Case Presentation: A 69-year-old male with past medical history of bipolar disorder, schizophrenia, and substance abuse presented to the ED with suicidal and homicidal ideations, and hallucinations. He tested positive for COVID-19 at an outside hospital a week prior to presentation. He endorsed subjective fevers and productive cough with non-bloody sputum and denied dyspnea, chest […]
Abstract Number: B46
SHM Converge 2022
Case Presentation: A 44-year-old male with a past medical history of psoriatic arthritis [on Guselkumab], asthma presented to the ED with worsening shortness of breath for 10 days and midsternal chest pain for 3 days. He tested positive for COVID-19 one week before and received monoclonal antibodies 2 days before presentation. He had COVID-19 infection […]
Abstract Number: C14
SHM Converge 2022
Background: The AHRQ-funded REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients (RESET) study was designed to improve teamwork and quality for hospitalized patients by providing mentorship and resources to hospitals as they implemented 5 interventions, which included (1) Unit-based Physician Teams, (2) Unit Nurse-Physician Co-leadership, (3) Enhanced Interprofessional Rounds, (4) Unit-level Performance Reports, […]
Abstract Number: C21
SHM Converge 2022
Background: The onset of the global COVID-19 pandemic created innumerable challenges and demanded rapid innovation for perioperative medicine. In March 2020, in response to our institution’s expectations, our hospitalist-led preoperative medicine clinic rapidly pivoted to patient care via telehealth. Purpose: Before the pandemic, our hospitalist-led preoperative medicine clinic was already in the early planning stages […]
Abstract Number: C31
SHM Converge 2022
Case Presentation: 45 year old female with history of pulmonary embolism seven years ago not on anticoagulation presented with chest pain of 4 weeks. Chest pain was sharp, retrosternal, radiating to left upper extremity, neck & back. Chest pain was also positional, worse laying flat but improved on sitting up. It started 48-72 hours of […]