D-dimer thresholds rule out PE in meta-analysis
Data from a large review support use of D-dimer levels to diagnose PE without imaging.
ASNC rejects new chest pain guideline it helped create
“We believe that the document fails to provide unbiased guidance to health care professionals on the optimal evaluation of patients with chest...
POCUS in hospital pediatrics
Point-of-care ultrasound is an extremely valuable bedside tool in pediatric hospital medicine.
Use of point-of-care ultrasound (POCUS) for heart failure
Hospitalist use of POCUS may include guiding procedures, aiding in diagnosis, and assessing effectiveness of treatment.
No prehydration prior to contrast-enhanced CT in patients with stage 3 CKD
What is the renal safety of omitting prehydration with sodium bicarbonate prior to iodine-based contrast media in patients with stage 3 chronic...
Abnormal exercise EKG in the setting of normal stress echo linked with increased CV risk
What is the significance of an abnormal exercise EKG with a normal stress echo?
Fact or fiction? Intravascular contrast and acute kidney injury
The risks of contrast-associated AKI are overstated, implying the truer danger lies with inadequate imaging.
Are left atrial thrombi that defy preprocedure anticoagulation predictable?
Features that predispose to such persistent LA thrombi, which are not very rare, could potentially guide more targeted TEE screening before rhythm...
In acute lower GI bleeding, there may be no benefit to early colonoscopy
Does early colonoscopy within 24 hours of presentation for adults with acute lower gastrointestinal bleeding improve outcomes, compared with...
Update in Hospital Medicine relays important findings
Two panelists highlighted the year of research in areas most relevant and important to hospital medicine.