Background: More than two million people are evaluated for syncope each year in the United States, and approximately 30-40% of these patients are hospitalized for further costly investigation. Total annual cost of syncope related hospital evaluation is estimated to be over 2 billion dollars. The most common cause of syncope is reflex mediated. It does […]

Background: Continuous infusions of unfractionated heparin (UFH) are still commonly used in the initial treatment of venous thromboembolism (VTE). As a result of UFH's high‐risk profile and common usage, weight‐based UFH nomograms were developed more than 2 decades ago to standardize its dosing. Since that time, there has been scant literature on improving UFH administration. […]

Background: The ability to effectively practice consultative medicine is increasingly important. The increase in medical specialization, as well as an increasing number of providers responsible for patient care, makes this particularly evident in inpatient settings. Indeed, a dedicated consultation rotation is required of every internal medicine residency program. Few formal curricula for teaching consultative medicine […]

Background: Syncope is usually an isolated occurrence in younger patients whereas it is multi factorial with many predisposing factors in the elderly. Medication use, co-morbidities and functional decline further complicate syncope evaluation in the elderly. Hence, elderly patients presenting with syncope must be risk stratified uniquely. San Francisco Syncope Rule (SFSR) and Evaluation of Guidelines […]