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Abstract Number: 345
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Serum magnesium is a commonly checked laboratory assay during hospital admissions. However, there is little evidence demonstrating benefit from ordering and repleting magnesium for most inpatients – including critically-ill patients. Methods: Laboratory and magnesium repletion ordering data from 2015-2016 was obtained directly from laboratory and pharmacy databases for inpatient encounters with at least one […]
Abstract Number: 346
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Serum magnesium is a commonly checked laboratory assay. Unfortunately, there is little evidence demonstrating benefit from checking and repleting magnesium for the majority of inpatients – including those who are critically ill. Methods: An internet based survey was sent to internal medicine house staff and hospitalist services (including attending physicians and NPs/PAs) at Massachusetts […]
Abstract Number: 349
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Physician Assistants (PAs) and Nurse Practitioners (NPs) play a growing role within hospital medicine groups. We studied physician perceptions of NPs and PAs in Hospital Medicine and identified factors that impact these perceptions. Methods: Data was collected through a mixed methodology survey with both open and closed-ended questions on a 6 point Likert scale. […]
Abstract Number: 351
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Cellulitis is a common cause of hospitalization. In the United States there are approximately 650,000 hospitalizations for cellulitis yearly, accounting for 1% of all admissions and approximately $10 billion. Most patients when hospitalized are treated with combinations of antibiotics with broad-spectrum Gram-positive, Gram-negative and anaerobic coverage. The Infectious Disease Society of America recommends hospitalization […]
Abstract Number: 353
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Inadequate access to seven-day inpatient medicine services, particularly at weekends, can lead to poor outcomes. Most evidence in this area is from North America and Europe but there is little or no evidence from the Middle East region. Purpose: We evaluated our practice before and after the introduction of an attending physician hospitalist delivered […]
Abstract Number: 354
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Burnout is the syndrome of emotional exhaustion, depersonalization and reduced personal efficacy that occurs in individuals working in the human services field. Recent data suggests that 50% of physicians are experiencing at least one symptom of burnout. Factors that contribute to physician burnout include lack of efficiency and lack of input.There is growing concern […]
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 […]