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Search Results for Hospital Medicine
Abstract Number: 289
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Point-of-care ultrasound (POCUS) is increasingly recognized as an important adjunctive diagnostic tool in hospital medicine (HM). The incorporation of POCUS into clinical decision-making has been shown to increase the speed and accuracy of initial diagnosis, decrease procedural complications, and even increase patient satisfaction compared to usual care. It has already been widely adopted in […]
Abstract Number: 313
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Intensive Care Unit (ICU) beds are limited, so effective triage is important for resource utilization. However, inappropriate triage of critically ill patients to non ICU settings can lead to poor patient outcomes, as early unexpected ICU transfers are associated with increased mortality. Purpose: We sought to describe the effectiveness of Hospital Medicine (HM), Emergency […]
Abstract Number: 337
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Peripherally inserted central catheters (PICCs) are an increasingly popular choice in the acute care setting for intravenous therapy. However, compared to other catheters, PICCs are associated with a higher risk for venous thromboembolism and blood stream infection, with multi-lumen PICCs having higher complication rates than single lumen. Midline catheters are associated with a much […]
Abstract Number: 363
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Continuous intravenous (IV) infusions aimed at avoiding dehydration are often referred to as “maintenance fluids” (MF). These infusions are common in clinical practice. Though guidelines exist for MF use in other countries (NICE 2017), there are no specific guidelines in the US. A shortage of IV fluid has existed since 2013. In 2017, Hurricane […]
Abstract Number: 366
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: CT Head imaging for patients with altered mental status is a common procedure that many clinicians utilize to establish a diagnosis. As health care costs rise, practitioners are becoming more conscious about ordering costly imaging studies that are unlikely to change management. The purpose of the study is to determine when obtaining CT imaging […]
Abstract Number: 498
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 47 year old female with a history of depression and remote Roux-en-Y gastric bypass surgery, presented for an elective laparoscopic gastrectomy due to hypertrophic pyloric stenosis causing complete gastric remnant outlet obstruction. Her home medications included duloxetine, pantoprazole and alprazolam. Vital signs on admission revealed blood pressure 147/83 mm Hg, pulse 80 […]