What comes to mind when you think of getting CME? I bet most of you would say sitting in an auditorium, whether that be during your local grand rounds or at our professional society meeting, like Hospital Medicine 16 in sunny San Diego this past March. Hanging out in the Twitterverse? Probably not so much… […]
As a nurse practitioner in hospital medicine I have multiple opportunities to interact with all sorts of physician hospitalist colleagues, hospital medicine group leaders, quality officers etc. Often their interactions with me take on a certain wary curiosity, like I am some exotic monkey or another creature that is unfamiliar to them. If I am […]
By reading the headlines recently, practitioners would not know if they saved or tanked the healthcare system. One day disaster looms, the next we have moderated growth and business can continue as usual (and by business, I mean doing the correct things correctly). A new study, along with some recent data, helps shed some light […]
This large retrospective cohort of patients compared musculoskeletal symptoms between statin users and non-users and found they were 19% higher in users, including a 13% higher risk of strains/sprains. These symptoms are not trivial and should be considered when starting or continuing statins in patients (abstract).
In this small single center trial, acute CHF patients were randomized to fluid and sodium restriction (800cc and 800mg/day, respectively) or to no restriction. There were no differences between the groups in weight loss or congestion scores during the hospital stay, nor were there differences in 30 day readmission rates. The restricted group reported much […]
This meta-analysis of 12 studies of out-of-hospital cardiac arrest found that machine-delivered CPR was associated with ~1.5 times the odds of return of spontaneous circulation compared to human CPR. This may also be true for in-hospital arrest but needs further research (abstract).