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Abstract Number: 365
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Altered Mental Status in a Psychiatric Patient: A Case of Anti-NMDA Encephalitis Case Presentation: 29-year-old female with a history of Bipolar I Disorder, in remission off medication, presented to the Psychiatric Emergency Department with hyperactivity, insomnia, impulsive purchasing and audiovisual hallucinations for two weeks. The patient was admitted to psychiatry for treatment of mania with […]
Abstract Number: 365
SHM Converge 2024
Background: The growth of academic hospitalists has lagged behind the expansion of hospital medicine as a specialty, and leaders within the field have called the lack of academic hospitalists a challenge to the academic credibility of the field.1 Previous publications have cited challenges to developing academic hospitalists including lack of access to resources, an absence […]
Abstract Number: 365
SHM Converge 2021
Case Presentation: Our patient is a 74-year-old male with a history of thrombocytopenia thought secondary to ITP, hypothyroidism, and prior spontaneous coronary artery dissection requiring cardiac bypass who was transferred from an outside hospital for acute kidney injury and abdominal distention. A few weeks prior to admission, the patient experienced congestion, cough and low-grade fever […]
Abstract Number: 366
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: In-hospital cardiac arrest (IHCA) is an unpredictable, catastrophic event affecting approximately 200,000 US adults annually. Best outcomes during IHCA result from focused training and credentialing by AHA (ACLS, BLS). Although hospitalists supervise IHCA, best practices for resuscitation skills, preparedness, plus overall approach remain undefined. Methods: We developed an online survey of IHCA resuscitation responsibilities […]
Abstract Number: 366
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: CT Head imaging for patients with altered mental status is a common procedure that many clinicians utilize to establish a diagnosis. As health care costs rise, practitioners are becoming more conscious about ordering costly imaging studies that are unlikely to change management. The purpose of the study is to determine when obtaining CT imaging […]
Abstract Number: 366
Hospital Medicine 2020, Virtual Competition
Background: Interprofessionalism is an increasingly important part of hospitalist clinical practice, allowing providers to maximize the breadth of care provided to patients. As a result, teaching Interprofessional (IP) skills has become an integral part of Undergraduate Medical Education (UME), as guided by the Interprofessional Education Collaborative (IPEC) Core Competencies for Interprofessional Collaborative Practice . At […]
Abstract Number: 368
SHM Converge 2024
Background: Hospital Medicine (HM) based procedure services have demonstrated improved outcomes for patients by reducing time to procedure, improving throughput, and decreasing length of stay. Notable barriers to service implementation and sustainability include staffing shortages, training, and payment models. Provision of bedside procedural care in the community teaching hospital setting may facilitate access to other […]
Abstract Number: 369
SHM Converge 2023
Background: Admitted patients with Type II Diabetes Mellitus (T2DM) are often placed on sliding scale insulin with four fingerstick blood glucose (FSBG) tests per day, regardless of home insulin use or baseline glycemic control. FSBG testing in the inpatient setting allows for real-time insulin adjustment to protect patients from significant hypo- or hyperglycemia, but FSBG […]
Abstract Number: 371
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: To facilitate interdisciplinary collaboration targeting specific quality improvement (QI) and patient safety goals, the Armstrong Institute of Johns Hopkins Medicine has facilitated development of “clinical communities”—interdisciplinary groups of clinicians and administrators from across the health system with a shared interest in a specific patient type or clinical issue. Within this framework, the hospitalist clinical […]
Abstract Number: 375
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: There is a huge desire to have hospitalist program in smaller community and rural hospitals. Few hospitals will be reluctant to have their own hospitalist program due to multiple issues. Bothwell Regional Health Center (BRHC) is a general medical and surgical hospital in Sedalia, MO, with 132 beds, located 68 miles west of Columbia, […]