Articles Tagged With:
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Considering Systemic Treatment for Atopic Dermatitis
A recent panel of eczema experts convened to provide advice about when clinicians should consider systemic treatment.
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Cardiorespiratory Fitness and Mortality
In both men and women in the United States, levels of cardiorespiratory fitness are inversely related to mortality. An encouraging epidemiologic study of women found that even brisk walking for about 30 minutes daily was associated with near maximal cardiovascular health benefits.
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Searching for Answers on Knee Osteoarthritis
Data consistently show that for knee osteoarthritis, weight loss is associated with symptomatic and functional improvement. The mechanism of this is incompletely understood, since weight loss has not been shown to affect the progressive degradation of cartilage typical of osteoarthritis.
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New Pharmacologic Direction for Parkinson’s Disease
Most clinicians are used to thinking about dopamine modulation when considering treatments for Parkinson’s disease. Unfortunately, none of the current treatments can be designated as disease-modifying, even though such treatment provides transient symptomatic relief.
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Morphine in Dyspneic Acute Heart Failure
Based on recent data, clinicians should avoid morphine use in acute heart failure patients.
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CV Benefits of GLP-1RA Treatment in Type 2 Diabetes
Among the sodium-glucose cotransporter 2 inhibitor and glucagon-like peptide-1 receptor agonist classes of pharmacotherapy, there appears to be much more similarity than not. Should clinicians consider these salubrious cardiovascular effects a class effect? That is, should all members of the class be anticipated to experience similarly favorable cardiovascular outcomes?
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Revised Standards on Pain Assessment and Management Reflect Concerns About Opioid Epidemic
As of Jan. 1, 2018, The Joint Commission will judge accredited hospitals according to newly revised standards for pain assessment and management. The standards are intended to address some of the unintended consequences of a nationwide focus on the under-treatment of pain, reflected in earlier versions. The revised standards push practitioners to offer alternatives to opioids when appropriate, and to engage patients in treatment planning for their pain so that realistic expectations are established.
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Two-stage Screening Tool Improves Identification of Young Sepsis Patients in ED
Investigators at Children’s Hospital of Philadelphia have developed a two-stage process to better identify children with sepsis while also minimizing alert fatigue. The approach includes an electronic alert tool that flags children with abnormal vital signs, but includes screening questions that enable clinicians to eliminate patients with no sign of infection. This approach is paired with a sepsis huddle to bring clinician judgment into the equation.
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Electronic Tool, Clinical Judgment Replace Electronic Severity Index Triage System
Johns Hopkins Hospital in Baltimore has replaced a widely used triage system with a new decision-support tool that enables nurses at triage in the ED to better differentiate patients based on acuity level. The electronic tool, dubbed e-triage, is able to quickly factor in a patient’s medical history, vital signs, and chief complaint, and compare this information to thousands of other patients.
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How Las Vegas Hospitals Responded to Nation’s Deadliest Mass Shooting
Las Vegas medical professionals describe their experience responding to the nation's deadliest mass shooting that occurred in October. These providers also emphasize the importance of developing a versatile emergency response process that can be deployed in any type of mass casualty event.