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Search2020-05-20T12:01:36-05:00
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Search Results for Ultrasound
Abstract Number: 3
PRACTICE DOES NOT MAKE PERFECT: THE ROLE OF INDEPENDENT PRACTICE IN POINT-OF-CARE ULTRASOUND
Hospital Medicine 2020, Virtual Competition
Background: Ultrasonography is a safe, non-invasive bedside tool used by providers to obtain real-time, dynamic images to support diagnostic guidance, therapeutic decisions, and procedural success. Point-of-care ultrasonography (POCUS) has demonstrated improved outcomes in states of critical illness such as trauma or shock and enhanced the command and accuracy of procedural skills. Despite these important measures, […]
Abstract Number: 3
PRACTICE DOES NOT MAKE PERFECT: THE ROLE OF INDEPENDENT PRACTICE IN POINT-OF-CARE ULTRASOUND
Hospital Medicine 2020, Virtual Competition
Background: Ultrasonography is a safe, non-invasive bedside tool used by providers to obtain real-time, dynamic images to support diagnostic guidance, therapeutic decisions, and procedural success. Point-of-care ultrasonography (POCUS) has demonstrated improved outcomes in states of critical illness such as trauma or shock and enhanced the command and accuracy of procedural skills. Despite these important measures, […]
Abstract Number: 50
Impact of Clostridium Difficile Infection on Medicare Beneficiary Health Care Utilization and Outcomes
Hospital Medicine 2020, Virtual Competition
Background: Clostridium difficile infection (CDI) primarily occurs in elderly adults and contributes to excess patient mortality, readmissions, and hospital and postdischarge costs. Two‐thirds of CDI hospitalizations are for patients with CDI as a secondary diagnosis (secondary CDI). These patients, who either acquired CDI in the hospital or were admitted for a more serious condition, may […]
Abstract Number: 50
TABLET ULTRASOUND DEVICES INCREASE INTERNAL MEDICINE RESIDENT POCUS PERFORMANCE COMPARED TO STATION-BASED LAPTOP ULTRASOUND MACHINES
Hospital Medicine 2020, Virtual Competition
Background: Point-of-care ultrasound (POCUS) is becoming an important part of internal medicine (IM) residency training. Achieving competency requires performing a large volume of clinical exams which can be difficult within the constraints of residency. Often cited barriers include insufficient resident time and the interruption of daily workflow. Methods: Prospective cohort study within a 700-bed, quaternary […]
Abstract Number: 59
PORTABLE ULTRASOUND DEVICE USAGE AND LEARNING OUTCOMES AMONG INTERNAL MEDICINE TRAINEES: A PARALLEL-GROUP RANDOMIZED TRIAL
Hospital Medicine 2020, Virtual Competition
Background: Little is known about how to effectively train residents with point-of-care ultrasonography (POCUS) despite increasing usage. This study sought to assess whether handheld ultrasound devices (HUDs), alongside a year-long lecture series, improved trainee image interpretation skills with POCUS. Methods: Internal medicine intern physicians (n=149) at a single academic institution from 2016-18 participated in the […]
Abstract Number: 59
The Sleepy and Restless? Physical Activity and Sleep in Adult Inpatients
Hospital Medicine 2020, Virtual Competition
Background: Despite recommendations for mobility, older inpatients often stay in bed, increasing the risk for functional decline after discharge. Although studies show poor sleep is associated with lowered daytime physical activity in community‐dwelling adults, no study has examined this association in hospitalized adults who suffer acute sleep loss from a variety of disruptions. The aim […]
Abstract Number: 92
RELIABILITY OF PROCEDURAL HOSPITALISTS IN DETERMINING THE PRESENCE OF SONOGRAPHIC PLEURAL FLUID LOCULATIONS.
Hospital Medicine 2020, Virtual Competition
Background: The latest guidelines on parapneumonic effusion (PPE) management1 recommend immediate evaluation of PPE with ultrasound. Recognizing that bedside procedure services (BPSs) staffed with procedural hospitalists (proceduralists) are becoming the first point of ultrasound contact for many patients admitted with PPE our study sought to demonstrate that proceduralists can reliably agree with radiologists (viewed as […]
Abstract Number: 92
When and How Does Picc‐Related DVT Occur? An Epidemiological Study
Hospital Medicine 2020, Virtual Competition
Background: Despite widespread use of peripherally inserted central catheters (PICCs), about 1 in 20 patients who receive these devices will develop PICC‐related deep vein thrombosis (DVT). Preventing this complication is an important goal for hospitalists. Although prophylactic anticoagulation with heparin for the duration of catheter placement (both in and out of the hospital) has been […]
Abstract Number: 248
Incidental‐Oh‐My!
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 72‐year‐old man with a history of coronary artery disease, diabetes mellitus type 2, hypertension, and nonfunctional left adrenal cortical adenoma resected 1 month ago presented after a syncopal episode lasting several minutes. He felt lightheaded prior to losing consciousness. There was no seizure activity, confusion, unilateral weakness, chest pain, palpitations, or shortness […]
Abstract Number: 248
MIXED METHODS QUALITY ASSURANCE OF POINT-OF-CARE ULTRASOUND TRAINING IN A RURAL DEVELOPING NATION
Hospital Medicine 2020, Virtual Competition
Background: Imaging diagnostics such as CT and MRI are practically inaccessible to many of this developing nation’s 42 million citizens. Ultrasound, however, is more readily available but primarily limited to use in obstetrics. With proper training, the diagnostic utility of ultrasonography may be expanded to non-obstetric point-of-care examinations. In this study, we aimed to evaluate […]
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