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Meeting
Search Results for Hospital Medicine
Abstract Number: 826
SHM Converge 2023
Case Presentation: A 62-year-old female presented with a two-week history of right upper quadrant abdominal pain radiating to the back. Her pain was described as sharp and intermittent and associated with subjective fever, nausea, vomiting, headache, and dizziness. On examination, the patient was hypertensive but afebrile. Abdominal tenderness was noted in the right upper quadrant […]
Abstract Number: 871
SHM Converge 2023
Case Presentation: A two–year-old previously healthy boy presented with the chief complaint of acute onset left-sided weakness in the setting of recent fever and upper respiratory symptoms. Admission exam was notable for left-sided facial droop, weakness of upper and lower extremities, and inability to walk. Initial CT head was notable for a right basal ganglia […]
Abstract Number: A11
SHM Converge 2022
Background: Community-acquired pneumonia (CAP) is the most common infectious diagnosis necessitating adult hospitalization in the United States (US). Timely diagnosis of CAP is important to improve patient outcomes. However, overdiagnosis of CAP, or treatment of CAP despite inadequate signs or symptoms of CAP, may also pose a significant threat to patient safety. Potential harm of […]
Abstract Number: B15
SHM Converge 2022
Background: Fewer hospitalized patients are discharged per day on weekends as compared to weekdays.1 Hospital medicine groups have implemented quality improvement (QI) initiatives to increase weekend discharges, however, the factors contributing to lower rates of weekend discharges are not well-described.2 To better understand contributors to missed opportunities for weekend discharge, we analyzed patients discharged on […]
Abstract Number: C20
SHM Converge 2022
Background: Point-of-care ultrasound (POCUS) is a growing interest in pediatric hospital medicine, however few Pediatric Hospital Medicine (PHM) fellowships incorporate POCUS training formally into their curriculum. In addition to its ability to expedite care, POCUS can improve the ability of pediatric hospitalists to take care of patients in resource-limited settings or when specialists are not […]
Abstract Number: C23
SHM Converge 2022
Background: Observation Units (OUs) are a common healthcare delivery model for health systems across the United States. OUs vary from a type 1 to type 4 based on several factors[1]. Another category of OUs – second-level OUs – does not fit this traditional classification due to a different patient population composition and staffing model. The […]
Abstract Number: F13
SHM Converge 2022
Background: The use of metered-dose inhalers (MDIs) with spacers for delivering bronchodilator therapy is established as equivalent to the use of nebulizers (nebs) for symptom response.[1-3] Additional well-documented benefits to using MDIs in place of nebs include fewer systemic side effects, better long-term patient adherence to therapy, and, in the era of COVID-19, decreased use […]
Abstract Number: G13
SHM Converge 2022
Background: In 2017, Emory University Hospital Midtown (EUHM) instituted fast track dialysis (FTD) which identified low risk patients in the emergency department (ED) in need of hemodialysis (HD) and provided it efficiently. The FTD development team consisted of hospital medicine, emergency medicine, nephrology, dialysis unit nursing, and ED nursing. This program showed a reduction in […]
Abstract Number: G28
SHM Converge 2022
Case Presentation: A 90-year-old-male with history of hypertension, coronary artery disease and chronic lymphocytic lymphoma presented with shortness of breath that had been getting worse over the previous few weeks, particularly at night and with lying down. He also reported increased cough and worsening leg swelling. In the ED, he was hypoxic (84% on room […]
Abstract Number: H19
SHM Converge 2022
Background: There is recognition by educational regulatory bodies that physicians need to have some level of leadership skills. In 2007 the Residency Review Committee for Family Medicine approved a new requirement for training in leadership during family medicine residency. Seven years later in 2014, the Journal of Graduate Medical Education published the relationship between physician […]