Session Type
Meeting
Search Results for Delayed
Abstract Number: 11
SHM Converge 2021
Background: “Time is brain” is a trope from the neurologist Camilo Gomez that emphasizes the importance of early treatment to improve the neurological prognosis of ischemic stroke patients. Given the short therapeutic window of evidence-based therapies such as thrombolysis and endovascular treatment, it is important to diagnose ischemic stroke from the numerous possible diagnoses accurately […]
Abstract Number: 133
SHM Converge 2021
Background: Acute otitis media (AOM) is a commonly overtreated pediatric diagnosis. Since 2014, the American Academy of Pediatrics (AAP) has recommended a ‘wait-and-see’ strategy and shorter antibiotic courses for mild or moderate AOM in qualifying patients. While this strategy has been successfully implemented in some pediatric emergency units (EUs), studies have shown that 30-90% of […]
Abstract Number: 157
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Delays in antibiotic administration in sepsis – particularly after the development of hypotension – are associated with increased mortality. Current guidelines recommend antibiotic initiation within one hour of sepsis recognition. However, it is not known how timing of hypotension relates to the timing of meeting sepsis diagnostic criteria and the initiation of treatment. We […]
Abstract Number: 648
SHM Converge 2021
Case Presentation: A 48-year-old female presented with a 1-day history of exertional, non-positional, mid-sternal, severe chest pain associated with nausea, palpitations and dyspnea. She denied orthopnea, ankle swelling, cough, wheeze, coryza, fever, chills, or recent ill contacts. Past medical history: asthma, vertebral artery dissection, hypothyroidism, migraines, and severe acute respiratory syndrome coronavirus 2 (COVID-19) infection […]
Abstract Number: 701
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 57 year old man with no significant medical or psychiatric history was admitted to our hospital after a suicide attempt. He was found unconscious in his car with the ignition running in a closed garage. His carboxyhemoglobin level was elevated at 13%. He regained consciousness within a few hours without requiring intubation […]
Abstract Number: 728
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: An 84 yo female with a past medical history of HTN, HLD, GERD and reactive airway disease presented with acute shortness of breath and wheezing. Patient appeared anxious, with cyanotic lips and labored breathing. O2 sat on RA was 78%. Associated symptoms included vomiting, diarrhea and an urticarial rash. Patient was successfully treated for […]
Abstract Number: 838
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 68-year-old male presented to the emergency department with sudden onset shortness of breath (SOB) associated with chest pain. He had a past medical history significant for hypertension, history of deep vein thrombosis and pulmonary embolism for which an inferior vena cava (IVC) filter was placed 26 years ago. He was tachycardic and […]
Abstract Number: 983
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 60 year-old woman with a history of chronic hepatitis C without cirrhosis and schizophrenia with paranoid delusions was admitted with severe progressive bilateral burning foot pain. She had a history of intermittent alcohol use and recent homelessness. She lacked a primary care doctor and sought care for her bilateral lower extremity pain […]
Abstract Number: F33
SHM Converge 2022
Case Presentation: 71-year-old female with history of DM2, HTN, breast carcinoma in situ status post mastectomy, B-cell lymphoma (R-CHOP in 2016 & RT, currently in remission), autoimmune hepatitis related cirrhosis on Azathioprine presented to the hospital with a 4-day history of progressively worsening productive cough, mild hemoptysis, fever and shortness of breath. In the Emergency […]
Abstract Number: H13
SHM Converge 2022
Background: Missed doses have been associated with adverse outcomes and directly correlate to time off the floor. Pharmacist-assisted administration has decreased omitted doses. At Eskenazi Health, most patients requiring intermittent hemodialysis move to the dialysis unit for hemodialysis which occurs during standard medication administration times. As it relates to antihypertensives, some patients benefit from holding […]