Harvard Update in Hospital Medicine
@harvardhospmed.bsky.social
In this intensive 4-day course, leading Harvard faculty review practice-changing updates in hospital medicine. #HMShospmed2025
Live Streaming • Nov 3-6, 2025 https://hospitalmedicine.hmscme.com/
https://vimeo.com/1100597093/6d4483a984?share=copy
Live Streaming • Nov 3-6, 2025 https://hospitalmedicine.hmscme.com/
https://vimeo.com/1100597093/6d4483a984?share=copy
Confused about when to give steroids in severe pneumonia, if ever? Turns out they are only useful in patients with high CRP (≥205 mg/L). From a great talk today by Mike Klompas #IDSky
November 5, 2025 at 9:46 PM
Confused about when to give steroids in severe pneumonia, if ever? Turns out they are only useful in patients with high CRP (≥205 mg/L). From a great talk today by Mike Klompas #IDSky
Great talk from Jean Connors today on anticoagulation and hypercoagulable states!
Clinical pearl: clinical outcomes may be better with warfarin than DOACs in patients with BMI >40
Clinical pearl: clinical outcomes may be better with warfarin than DOACs in patients with BMI >40
November 3, 2025 at 5:09 PM
Great talk from Jean Connors today on anticoagulation and hypercoagulable states!
Clinical pearl: clinical outcomes may be better with warfarin than DOACs in patients with BMI >40
Clinical pearl: clinical outcomes may be better with warfarin than DOACs in patients with BMI >40
Reposted by Harvard Update in Hospital Medicine
Old man post: when I was an intern, digoxin was a go-to med for heart failure, but it is all but forgotten today. A new study in @nejm.org found that digitoxin reduced the combined end-point of death or CHF hospitalization in patients maxed out on guideline-directed medical therapy
Digitoxin in Patients with Heart Failure and Reduced Ejection Fraction | NEJM
www.nejm.org
September 26, 2025 at 1:04 PM
Old man post: when I was an intern, digoxin was a go-to med for heart failure, but it is all but forgotten today. A new study in @nejm.org found that digitoxin reduced the combined end-point of death or CHF hospitalization in patients maxed out on guideline-directed medical therapy
New in peri-operative medicine: two strategies for blood pressure management in non-cardiac surgery (hypotension-avoidant and hypertension-avoidant) had no effect on delirium risk or long-term cognitive outcomes #hospmed #medsky
Effects of a Hypotension-Avoidance Versus a Hypertension-Avoidance Strategy on Neurocognitive Outcomes After Noncardiac Surgery | Annals of Internal Medicine
Background: Perioperative hemodynamic abnormalities have been associated with neurocognitive outcomes after noncardiac surgery. Objective: To compare the effects of perioperative hypotension-avoidance...
www.acpjournals.org
July 16, 2025 at 5:37 PM
Interesting subset analysis of HIP ATTACK trial, showing lower mortality in patients with hip fracture and elevated troponins if they get surgery within 6 hours of diagnosis
Surgery is often delayed in this group because of cardiac concerns, but this data suggests that this is the wrong approach
Surgery is often delayed in this group because of cardiac concerns, but this data suggests that this is the wrong approach
July 1, 2025 at 2:19 PM
Interesting subset analysis of HIP ATTACK trial, showing lower mortality in patients with hip fracture and elevated troponins if they get surgery within 6 hours of diagnosis
Surgery is often delayed in this group because of cardiac concerns, but this data suggests that this is the wrong approach
Surgery is often delayed in this group because of cardiac concerns, but this data suggests that this is the wrong approach
Reposted by Harvard Update in Hospital Medicine
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Congrats to our very own Dr. Dustin Smith who was featured in The Hospitalist this month as he discussed his strategies for balancing clinical demands and teaching! You can read more here: www.the-hospitalist.org/hospitalist/...
#WeAreEHM
@emorydeptofmed.bsky.social
Congrats to our very own Dr. Dustin Smith who was featured in The Hospitalist this month as he discussed his strategies for balancing clinical demands and teaching! You can read more here: www.the-hospitalist.org/hospitalist/...
#WeAreEHM
@emorydeptofmed.bsky.social
The Balancing Act: How Hospitalists Juggle Clinical and Teaching Responsibilities - The Hospitalist
Preparation, organization, and priorization help physicians balance clinical care and teaching.
www.the-hospitalist.org
April 10, 2025 at 1:11 PM
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Congrats to our very own Dr. Dustin Smith who was featured in The Hospitalist this month as he discussed his strategies for balancing clinical demands and teaching! You can read more here: www.the-hospitalist.org/hospitalist/...
#WeAreEHM
@emorydeptofmed.bsky.social
Congrats to our very own Dr. Dustin Smith who was featured in The Hospitalist this month as he discussed his strategies for balancing clinical demands and teaching! You can read more here: www.the-hospitalist.org/hospitalist/...
#WeAreEHM
@emorydeptofmed.bsky.social
Interesting finding from this study: patients in rooms with manual paper towel dispensers are at higher C difficile risk than those in rooms with automated ones
New from Singh et al:
Examining the impact of clinical features and built environment on risk of hospital onset Clostridioides difficile infection
#IDSky #EpiSky
📄: doi.org/10.1017/ice....
Examining the impact of clinical features and built environment on risk of hospital onset Clostridioides difficile infection
#IDSky #EpiSky
📄: doi.org/10.1017/ice....
February 5, 2025 at 8:42 PM
Interesting finding from this study: patients in rooms with manual paper towel dispensers are at higher C difficile risk than those in rooms with automated ones
Reposted by Harvard Update in Hospital Medicine
ID Consultation Nugget - please please please exchange a chronic catheter before taking a urine culture from it. Otherwise we are culturing the tubing which is open to the world. Also urinalysis with urine culture is always helpful, along with assessment for symptoms #IDSky
February 5, 2025 at 5:42 PM
ID Consultation Nugget - please please please exchange a chronic catheter before taking a urine culture from it. Otherwise we are culturing the tubing which is open to the world. Also urinalysis with urine culture is always helpful, along with assessment for symptoms #IDSky
Practice changing thoughts from @jasmohanbajaj.bsky.social about the weak evidence for antibiotic prophylaxis for spontaneous bacterial peritonitis, just published in @cidjournal.bsky.social
Before reading this excellent perspective, I had no idea that the data supporting the use of antibiotic prophylaxis for SBP were so weak. Really time to re-think this "standard-of-care" practice!
Highly recommended. #IDSky
doi.org/10.1093/cid/...
Highly recommended. #IDSky
doi.org/10.1093/cid/...
Rethinking Antibiotic Prophylaxis for Spontaneous Bacterial Peritonitis in Patients with Cirrhosis: First, Do No Harm
Abstract. Antibiotic prophylaxis for spontaneous bacterial peritonitis (SBPPr) in patients with cirrhosis has been considered standard of care since the 19
doi.org
February 5, 2025 at 4:34 PM
Practice changing thoughts from @jasmohanbajaj.bsky.social about the weak evidence for antibiotic prophylaxis for spontaneous bacterial peritonitis, just published in @cidjournal.bsky.social
Reposted by Harvard Update in Hospital Medicine
So much this.
People don't realise how much of hospital medicine is getting people OFF unnecessary drugs due to the side-effects and keeping the helpful ones going.
People don't realise how much of hospital medicine is getting people OFF unnecessary drugs due to the side-effects and keeping the helpful ones going.
What I've often found funny about alt-health propaganda about doctors as "pill-pushers" is how much we LOVE deprescribing.
Want to make a doctor happy? Have them see a string of patients in a row who need their meds discontinued. Feels amazing.
Want to make a doctor happy? Have them see a string of patients in a row who need their meds discontinued. Feels amazing.
January 5, 2025 at 5:54 PM
So much this.
People don't realise how much of hospital medicine is getting people OFF unnecessary drugs due to the side-effects and keeping the helpful ones going.
People don't realise how much of hospital medicine is getting people OFF unnecessary drugs due to the side-effects and keeping the helpful ones going.
Reposted by Harvard Update in Hospital Medicine
Public service announcement from addiction medicine and an Important article for my hospital medicine colleagues: Use methadone! It works and there is no reason to avoid it. #stoppuntingtopsychiatry this is well within your scope. #medsky
Things We Do for No Reason™: Avoiding methadone for opioid withdrawal
Click on the article title to read more.
shmpublications.onlinelibrary.wiley.com
January 26, 2025 at 6:34 AM
Public service announcement from addiction medicine and an Important article for my hospital medicine colleagues: Use methadone! It works and there is no reason to avoid it. #stoppuntingtopsychiatry this is well within your scope. #medsky
Reposted by Harvard Update in Hospital Medicine
At the Boston Medical Center,
their Clean Power Prescription program will help 80 patients with complex, chronic medical needs keep the lights on. 519 solar panels installed on the hospital's roof are split b/w powering the hospital & reducing patients' utility bills.
www.npr.org/sections/sho...
their Clean Power Prescription program will help 80 patients with complex, chronic medical needs keep the lights on. 519 solar panels installed on the hospital's roof are split b/w powering the hospital & reducing patients' utility bills.
www.npr.org/sections/sho...
Why these doctors started writing medical 'prescriptions' for solar power
Doctors in Boston got tired of writing letters to power companies asking them to help vulnerable patients. Then they realized the solar panels on the hospital roof might offer a solution.
www.npr.org
December 9, 2024 at 5:58 PM
At the Boston Medical Center,
their Clean Power Prescription program will help 80 patients with complex, chronic medical needs keep the lights on. 519 solar panels installed on the hospital's roof are split b/w powering the hospital & reducing patients' utility bills.
www.npr.org/sections/sho...
their Clean Power Prescription program will help 80 patients with complex, chronic medical needs keep the lights on. 519 solar panels installed on the hospital's roof are split b/w powering the hospital & reducing patients' utility bills.
www.npr.org/sections/sho...
Reposted by Harvard Update in Hospital Medicine
A new Review Article focuses on drug reaction with eosinophilia and systemic symptoms, or DRESS, a serious drug-induced T-cell–mediated condition with marked cutaneous and systemic effects. Read the full review: nej.md/3ONkyL9
#MedSky
#MedSky
Drug Reaction with Eosinophilia and Systemic Symptoms | NEJM
This review focuses on DRESS, a serious drug-induced T-cell–mediated condition with marked cutaneous and systemic effects.
nej.md
December 13, 2024 at 5:04 PM
A new Review Article focuses on drug reaction with eosinophilia and systemic symptoms, or DRESS, a serious drug-induced T-cell–mediated condition with marked cutaneous and systemic effects. Read the full review: nej.md/3ONkyL9
#MedSky
#MedSky
Reposted by Harvard Update in Hospital Medicine
Pretty much use metronidazole 500mg q12 for all indications aside from CNS at this point
🆕️✨️The largest study to date of patients with Bacteroides spp. bacteremia
Metronidazole 500mg q12h dosing was not associated with worse outcomes compared to metronidazole 500mgq8h
Metro:500mgq12h must be used for most types of infections #idsky #medsky #EMIMCC
www.sciencedirect.com/science/arti...
Metronidazole 500mg q12h dosing was not associated with worse outcomes compared to metronidazole 500mgq8h
Metro:500mgq12h must be used for most types of infections #idsky #medsky #EMIMCC
www.sciencedirect.com/science/arti...
Clinical outcomes of a twice daily metronidazole dosing strategy for Bacteroides bloodstream infections
The optimal metronidazole dose for the treatment of Bacteroides spp. has not been well-defined.This study was a multicenter, retrospective chart revie…
www.sciencedirect.com
December 12, 2024 at 1:31 AM
Pretty much use metronidazole 500mg q12 for all indications aside from CNS at this point
Reposted by Harvard Update in Hospital Medicine
Another reason to hate IV hydralazine? Sign me up!
December 8, 2024 at 2:51 PM
Another reason to hate IV hydralazine? Sign me up!
New approach to treating COPD flares: giving corticosteroids only if blood eosinophils are elevated reduces hyperglycemia and is non-inferior to conventional therapy. From Craig Hersh' excellent talk today #MedEd
November 18, 2024 at 1:58 AM
New approach to treating COPD flares: giving corticosteroids only if blood eosinophils are elevated reduces hyperglycemia and is non-inferior to conventional therapy. From Craig Hersh' excellent talk today #MedEd
New approach to treating COPD flares: giving corticosteroids only if blood eosinophils are elevated reduces hyperglycemia and is non-inferior to conventional therapy. From Craig Hersh' excellent talk today #MedEd
November 18, 2024 at 1:58 AM
New approach to treating COPD flares: giving corticosteroids only if blood eosinophils are elevated reduces hyperglycemia and is non-inferior to conventional therapy. From Craig Hersh' excellent talk today #MedEd
From Marc Sabatine's talk on acute coronary syndromes: troponins are much more sensitive than older cardiac biomarkers, such as CK-MB. High-sensitivity troponins can be repeated in as early as one hour to rule in or rule out myocardial infarction
November 18, 2024 at 1:58 AM
From Marc Sabatine's talk on acute coronary syndromes: troponins are much more sensitive than older cardiac biomarkers, such as CK-MB. High-sensitivity troponins can be repeated in as early as one hour to rule in or rule out myocardial infarction