Primary Care/Hospitalist
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Appropriate Cardiac Testing in an Inappropriate World
This two-part series will look at the rationale and causes of inappropriate testing and how to select the best, most appropriate cardiac test for each patient. The first part will focus on the theory of ordering tests and strategies to minimize unnecessary testing while the second part will focus on when and how to select each individual test given the patient's clinical scenario.
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Glucagon Nasal Powder (Baqsimi)
Glucagon nasal powder is indicated for the treatment of severe hypoglycemia in patients (≥ 4 years of age) with diabetes.
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EEG Reactivity for Prediction of Neurological Outcomes After Cardiac Arrest
Researchers found that EEG-R testing, by itself, is not sufficiently reliable to predict neurological outcomes after cardiac arrest.
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Medication Errors When Patients Transition Out of ICU
Three factors associated with decreased odds of an error occurring were daily patient care rounds in the ICU, discontinuing and rewriting medication orders during the transition of care from the ICU to a non-ICU setting, and 16-20 ICU beds in the transferring ICU.
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Blood Pressure Control: Exercise vs. Meds
A random-effects network meta-analysis demonstrated comparable reductions in systolic blood pressure among normotensive and hypertensive participants using either antihypertensive medication or exercise interventions.
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Eat Vegetables and Prevent Type 2 Diabetes
A large meta-analysis of high-quality observational studies shows that adherence to a plant-based diet is inversely related with developing type 2 diabetes.
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Is There Group Beating?
How should one proceed in analyzing this challenging rhythm strip?
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Dupilumab Injection (Dupixent)
This is the first FDA-approved treatment for chronic rhinosinusitis with nasal polyposis.
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Mechanism of Persistence of Moraxella catarrhalis in Patients With COPD
Investigators examined the mechanism that allows Moraxella catarrhalis to persist in some patients with COPD.
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Early vs. Delayed Cardioversion: A Nonshocking Result
For patients presenting to an ED with recent-onset atrial fibrillation, using rate control and outpatient cardioversion only as needed was associated with a high rate of spontaneous conversion within 48 hours of arrhythmia onset and noninferior short-term outcomes compared to immediate cardioversion in the ED.