This classic, often-cited article informs us that among patients in the ICU, intensive glucose control of 81-108 increased mortality as compared to a more liberal glucose target of <180. How have you applied the findings of this research to your…
Current antibiotic stewardship guidelines at Olive View recommend 4 days of antibiotics for intraabdominal infections once source control is achieved. Here is clinical evidence of this "short" duration of antibiotics.
The Ativan Protocal at Olive View is a symptom-based algorithm for treatment of alcohol withdrawal. Here's the evidence for use of the symptom-based CIWA scale to determine the dosing of lorazepam as compared to fixed dosing of benzodiazepine. Read the…
What do speech pathologists do? Dysphagia and Aspiration Dysphagia and Aspiration Oral Care Oral Care Orders for Swallowing Swallow Studies Orders Cheat Sheet Speech Therapy Orders Cheat Thickened Liquids Thickened Liquids in Patients with Dysphagia
CURB-65: the easy-to-use clinical prediction rule helps us triage patients with pneumonia to inpatient or outpatient care. What is this actually based upon? This is the original study used to develop the CURB-65. Here are some things to think about…
This is the landmark trial that compares a restrictive to a liberal red blood cell transfusion strategy. Here are some things to think about when reading this article: What are our current pRBC transfusion goals for most patients? How are…
Sepsis continues to affect 1.5 million people and lead to 250,000 deaths in the U.S., according to the CDC. The CORTICUS study reviewed here (article below) is the landmark study evaluating the potential benefit of corticosteroids in septic patients. As…
Influenza is still in season, and we are certainly seeing primary flu and secondary complications like pneumonia. So here’s an interesting question: does combination therapy with the addition of clarithromycin and naproxen in patients hospitalized for acute influenza have any benefit?
As general internists, we often encounter and are expected to medically manage the acute complications of decompensated cirrhosis: Gastrointestional bleed Spontaneous bacterial peritonitis Hepatic encephalopathy Hepatorenal syndrome This article tackles an important cornerstone of treatment for SBP: the use of…