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Search Results for ACE
Abstract Number: 82
SHM Converge 2024
Background: Biases and microaggressions are common in the clinical setting and can impact the wellbeing of medical trainees and faculty. From our knowledge, this is the first study to assess workplace experiences based on group identity of medicine faculty and trainees across sites and subspecialities using qualitative and quantitative data to help design re-enactment upstander […]
Abstract Number: 91
SHM Converge 2021
Background: Angiotensin-converting enzyme (ACE) inhibitors and angiotensin receptor blockers (ARBs) are commonly-used antihypertensives which, despite renoprotective properties, can contribute to acute kidney injury (AKI)(1). Iodinated contrast media may also precipitate AKI, namely contrast-induced nephropathy (CIN), which has been associated with adverse patient outcomes(1–3). ACE inhibitors and ARBs are often held in the setting of iodinated […]
Abstract Number: A5
SHM Converge 2022
Background: Under-representation of women and people of color (POC) in leadership positions has recently gained significant attention, and there are ongoing efforts to enhance their recruitment and advancement. The same intensity of work must be applied to also improve their workplace experiences. Discrimination, bias, and microaggressions are common day-to-day experiences among both POC and women […]
Abstract Number: B8
SHM Converge 2022
Background: Osteomyelitis is an acute or chronic infection of the bone structures which can be caused by either bacteria, fungi, or mycobacteria. Studies have reported a high annual incident of about 1 in 675 hospital admission in the United States. The overall incident is higher in the male population for reasons unclear and increases with […]
Abstract Number: E3
SHM Converge 2022
Background: Communication, teamwork, and conflict navigation amongst physician colleagues are core competencies. Yet, how these core elements of professional behavior are enacted in practice remains poorly characterized, and interpersonal interactions continue to be a central source of workplace conflict. While this has been described in the nursing literature, physicians’ experience of conflict with other physician […]
Abstract Number: K1
SHM Converge 2022
Case Presentation: A 49-year-old male with primary sclerosing cholangitis and newly diagnosed locally advanced cholangiocarcinoma was initiated on 5-Fluorouracil (FU) based chemotherapy (FOLFOX) as an outpatient (Figure 1). Within one day of receiving FOLFOX, the patient presented to the ED with acute, intermittent chest pain radiating to his left arm and shortness of breath. Vital […]
Abstract Number: P8
SHM Converge 2022
Background: Previous studies have identified racial differences in sepsis incidence and sepsis mortality. Some evidence points towards differential treatment and subsequent sepsis outcomes in Black versus White patients. However, it is unclear to what extent racial differences exist in presentation and subsequent interpretation of complaints in the early phase of sepsis. Using History and Physical […]
Abstract Number: 107
SHM Converge 2024
Background: Sepsis and septic shock, critical health concerns in the U.S., demonstrate varied mortality rates across different racial groups. This study examines the impact of race on mortality and complications in septic shock, providing insights into healthcare disparities. Methods: Using data from the National Inpatient Sample database (2016-2020), this retrospective analysis included 2,789,890 patients with […]
Abstract Number: 109
SHM Converge 2024
Background: Paracentesis is a common procedure for patients with decompensated cirrhosis. In patients with cirrhosis and superimposed renal impairment, clinicians may hesitate to perform a large volume paracentesis, given concerns of intraabdominal fluid shifts resulting in further renal dysfunction. In this study, we aimed to answer whether greater ascites fluid removal was associated with 48-hour […]
Abstract Number: 113
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Ultrasound-guidance has become the standard for bedside procedures in the emergency and inpatient settings due to its perceived impact on first attempt success and complications. Prior literature on paracentesis notes a 10% rate of overall complications, 5% rate of technical problems, and a 1% rate of bleeding. However, existing cohorts often include outpatients or […]