Articles related to Hospital Medicine

A hospitalist review of updated AHA resuscitation guidance highlights changes involving cardioversion energy, vascular access, POCUS, postarrest oxygen and temperature targets, medication use, and ethical decision-making during resuscitation.

In a single-center randomized trial, mouth-dissolving clobazam and intranasal midazolam showed no statistically significant difference in clinical or electrographic seizure-termination time, supporting further study rather than establishing comparable efficacy.

A physician-focused review of a spinal cord compression malpractice case highlights documentation, follow-up, communication, and escalation practices that experts believe may help clinicians identify neurologic deterioration and reduce diagnostic delays.

A multisociety consensus paper outlines hospital-level strategies to improve sepsis outcomes, emphasizing diagnostic stewardship, antimicrobial optimization, surveillance, infection prevention, and multidisciplinary infrastructure while prioritizing interventions judged most feasible and impactful for broad implementation.

Tranexamic acid was associated with lower rates of major bleeding among patients undergoing urologic surgery in a prespecified POISE-3 trial analysis, while thrombotic event rates remained similar between treatment groups.

Hospital ownership of health insurance plans increased from 18.3% in 2018 to 27.2% in 2023, with higher adoption among academic institutions. Effects on care, physician incentives, and costs remain uncertain.