Case Presentation: A 51‐year‐old man with a medical history of gastroesophageal reflux disease, herpetic whitlow, and nephrolithiasis presented to the emergency room (ER) with cough and headache after a zoanthoid coral from his home aquarium was cleaned. Hours prior to admission, he and a worker had soaked it and then used a pressure washer on […]

Background: Catheter associated urinary tract infections (CAUTI) are one of the most common hospital acquired infections and cost on average $13,793 per case according to the AHRQ. Many quality and safety organizations including the Society of Hospital Medicine recommend reducing the prevalence of indwelling urinary catheters (IUC) as a means to reduce the incidence of […]

Case Presentation: A 56‐year old previously healthy woman presented with 1‐month history of a pruritic ulcerated rash in both lower extremities associated with dysuria and intermittent chest pains. On presentation, the patient was hypotensive with a systolic blood pressure of 56 mm Hg. Physical exam disclosed a displaced point of maximal impulse and audible 3/6 […]

Background: Sepsis is a leading cause of morbidity and mortality in the US. Annually, over 250,000 people die from sepsis nationwide. Therefore, in 2013 New York State mandated that hospitals adhere to standardized protocols designed to improve sepsis outcomes. A recent cohort analysis on the rollout of these standards demonstrated that mortality decreased by 6% […]