Background: Central venous lines (CVL), including temporary dialysis catheters, are often required in the inpatient setting. While CVLs are frequently placed in radiology suites or intensive care units (ICU), many institutions allow placement on medical-surgical wards by Hospitalist Bedside Procedure Services (BPS). The BPS at our institution began to perform CVL placement at the patient [...]

Background: Several case reports and case series have found that transcatheter mitral valve procedures (TMVP) improve hemodynamics and reduce symptoms in patients with mitral valve disease and concomitant hypertrophic obstructive cardiomyopathy (HOCM).(1-6) There is a lack of evidence regarding the outcomes of patients that undergo TMVP with HOCM, however several studies have evaluated the outcomes [...]

Background: Medical procedure services (MPS) are increasingly implemented in Hospital Medicine programs to promote resident learning, support provider workloads, and expedite performance of common bedside medical procedures, including thoracentesis, paracentesis, and lumbar puncture (LP) [. Prior work has demonstrated safety and positive educational experience with MPS but little data exists on the impact of MPS [...]

Background: While many physicians graduate from residency with competency to perform bedside procedures such as lumbar punctures (LPs) and paracentesis, the skillset often wanes after years in practice. Though a dedicated procedure service with full-time equivalent support may be a solution in settings where hospitalists need to perform numerous procedures per day, at our large [...]

Background: Hospital Medicine (HM) based procedure services have demonstrated improved outcomes for patients by reducing time to procedure, improving throughput, and decreasing length of stay. Notable barriers to service implementation and sustainability include staffing shortages, training, and payment models. Provision of bedside procedural care in the community teaching hospital setting may facilitate access to other [...]

Background: Total joint arthroplasties (TJA) are the most frequently performed orthopedic surgeries in the USA. Given the aging US population, the number of TJA surgeries is expected to grow by 559% by 2060. Additionally, the average medical comorbidity for patients undergoing TJA surgery is increasing, a trend that is expected to continue. Given both the [...]

Background: Bedside procedures are safe, cost effective, and efficient when performed by trained hospitalist physicians, unfortunately it is a skill that has been lost over the years when not practiced after residency. Interventional radiologists (IR) perform the bulk of these procedures in many different hospitals, but this can lead to delay in patient care, increased [...]

Case Presentation: A 41-year-old male with a history of dextro-transposition of the great arteries (D-TGA) presented after thirty minutes of global aphasia. Symptoms resolved prior to arrival, and the patient noted that this was the second episode in the last three months. Surgical history was notable for Mustard repair of D-TGA at the age of [...]