Sometimes the sheer breadth of medicine can be overwhelming - between UpToDate, JAMA, ACP, NEJM, every subspecialty journal, and a myriad of study materials it's hard to know what to grasp at. This is a place where the Chiefs can help stimulate discussion and go beyond the guidelines. Here they will debate new topics in medicine, discuss interesting studies, and highlight subjects that we may not have done that well on during our most recent ITE.
Chief Corner: I have seen the flow charts for how to use procalcitonin and it seemed so simple… when I delved into the actual papers about it, I only got more confused. There are tremendous nuances to this test and we should know what questions people are actually asking when they study procalcitonin.
Chief Corner: Today we had the first of many journal clubs at the VA interpreting the data behind the guidelines. In ACS, our knee jerk response is for anticoagulation - but do you know the mortality and morbidity benefits from heparin?
Let’s talk about seizures…
Urine looking frothy? Let’s take a closer look at proteinuria…
During our Intern Boot Camp about Chest Pain, someone asked about nitrates and inferior MIs. This made me wonder about what the data is behind this “tradition”.
Would you give nitrates to a patient with an Inferior MI? Let’s look at what the data says…
How many times have you ordered blood cultures when called about a patient having a fever? The “culture when spikes” dogma has become ingrained in inpatient culture. Well let’s exam that. How helpful are cultures? When should cultures be ordered if at all?
A recent NEJM article got me thinking about the effective motivations and aids to be used for smoking cessation
JAMA recently release a review of infective endocarditis. We’ll take some time to discuss some of the most interesting and nuanced aspects of the article
Chief’s Corner focuses on high yield information and important new studies. Check out the new post from the chiefs about the differences between aspiration pneumonitis and aspiration pneunomia as well as the features that can help differentiate the two diagnoses.
Chief’s Corner focuses on high yield information and important new studies. Check out the new post from the chiefs about the recently published SYGMA 1 Trial - does an as needed inhaled steroid help in asthma?