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FDA approves self-administration of nasal flu vaccine

The FDA announced that the nasal spray vaccine may now be administered by patients and caregivers, among other recent actions. A prescription is still required.

Periop cardiovascular guideline updated, calls for avoiding overscreening

The American College of Cardiology, American Heart Association, and other societies released new recommendations on evaluating and managing cardiovascular risk in patients undergoing noncardiac surgery.

New guideline calls for restrictive transfusion protocols in critically ill patients

The American College of Chest Physicians' guideline on red blood cell transfusion recommends using a hemoglobin level threshold of 7 to 8 g/dL for most critically ill patients based on evidence of reduced adverse events.

Restrictive transfusion thresholds associated with worse outcomes in MI plus anemia

In hospitalized patients with myocardial infarction (MI) and anemia, risk for death or repeat MI at 30 days was higher with hemoglobin thresholds for red blood cell transfusion below 8 g/dL than higher thresholds, but the results were imprecise, a recent analysis found.

Coronavirus | October 2, 2024 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

Lower mortality in COVID-19 with remdesivir plus dexamethasone than dexamethasone alone

An industry-funded retrospective study found that COVID-19 patients who got both remdesivir and dexamethasone had lower inpatient mortality than matched patients who got dexamethasone alone, across all levels of respiratory support.

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Take a quiz about the Sept. 25 issue!

Every week, ACP Hospitalist posts a question about the previous week's issue. See how well you remember what you've read compared to other readers.

Photo courtesy of Dr Brown

Be an antiracist hospitalist

A researcher provides insight into some of the problems faced by Black patients in the hospital.

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Brief Case | September 25, 2024 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

Severe rhabdomyolysis following COVID-19 infection

A patient was admitted with upper respiratory infection, dark urine, and myalgias.

Deaths from antimicrobial resistance could rise by nearly 70% by 2050, study finds

Between 1990 and 2021, deaths from antimicrobial resistance decreased by more than 50% among children under age five years but increased by more than 80% among adults ages 70 years and older, a global study found.

Putting subinterns on direct care hospitalist service increased teaching opportunities

One or two subinterns were paired with three hospitalists on three weeks of day service and five nights in an apprenticeship model at one academic medical center, with successful results described in a recent study.

Physical rehab safe, effective after HF hospitalization regardless of AF status

Older patients with and without atrial fibrillation (AF) had similar improvements in physical function after completing a rehab program focused on strength, balance, mobility, and endurance that began as soon as safely possible after admission for heart failure (HF) and continued following discharge, a trial found.

Review finds limited evidence to support oral antibiotics in S. aureus bacteremia, endocarditis

Rates of treatment failure and adverse events were similar among patients with Staphylococcus aureus who were randomized to fully IV treatment versus at least some oral antibiotics, but only four trials were judged eligible for inclusion by the authors of a recent meta-analysis.

Stuck in the hospital

Delayed discharges of medically stable patients are a problem that's not going away.

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Newman's Notions | September 18, 2024 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

Quincke's legacy

It's all you ever wanted to know about hereditary angioedema but were afraid to ask.


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