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
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
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
Heart failure pearl from Anju Nohria: crackles are not a sensitive physical exam finding for heart failure! Only 15% of patients have crackles involving one-third or more of the lung fields, due to lymphatic compensation. Elevated jugular venous pressure is the most sensitive physical finding
November 18, 2024 at 1:58 AM
Heart failure pearl from Anju Nohria: crackles are not a sensitive physical exam finding for heart failure! Only 15% of patients have crackles involving one-third or more of the lung fields, due to lymphatic compensation. Elevated jugular venous pressure is the most sensitive physical finding
Agustina Saenz on artifical intelligence and the hospitalist (including liability issues): one of over outstanding 40 talks at this year's Brigham Update in Hospital Medicine! #HMShospmed24 hospitalmedicine.hmscme.com/registration...
November 18, 2024 at 1:58 AM
Agustina Saenz on artifical intelligence and the hospitalist (including liability issues): one of over outstanding 40 talks at this year's Brigham Update in Hospital Medicine! #HMShospmed24 hospitalmedicine.hmscme.com/registration...
We mourn the sudden loss of our friend Galen Henderson, director of the neuro ICU at the Brigham, and one of our most popular speakers. Galen wrote of his journey from rural Mississippi to Harvard, and the challenges of "doctoring while black," in this essay medicine.at.brown.edu/article/doct...
November 18, 2024 at 1:58 AM
We mourn the sudden loss of our friend Galen Henderson, director of the neuro ICU at the Brigham, and one of our most popular speakers. Galen wrote of his journey from rural Mississippi to Harvard, and the challenges of "doctoring while black," in this essay medicine.at.brown.edu/article/doct...
Apixiban reduces stroke rates in subclinical atrial fibrillation, compared to aspirin, but was associated with higher rates of bleeding. No difference in intracranial bleeding or mortality between groups www.nejm.org/doi/full/10....
November 18, 2024 at 1:58 AM
Apixiban reduces stroke rates in subclinical atrial fibrillation, compared to aspirin, but was associated with higher rates of bleeding. No difference in intracranial bleeding or mortality between groups www.nejm.org/doi/full/10....
Take home points from a great COVID-19 update today by @paulsaxmd.bsky.social!
November 18, 2024 at 1:58 AM
Take home points from a great COVID-19 update today by @paulsaxmd.bsky.social!
How long should dual-antiplatelet therapy be continued after cardiac stenting? The answer: it depends on bleeding risk. From Marc Sabatine's talk on acute coronary syndromes at this year's course
November 18, 2024 at 1:58 AM
How long should dual-antiplatelet therapy be continued after cardiac stenting? The answer: it depends on bleeding risk. From Marc Sabatine's talk on acute coronary syndromes at this year's course
Should we use the daptomycin/ceftaroline combo for all cases of Staph aureus bacteremia? In a retrospective cohort, early switch to dapto/ceftaroline was associated with faster clearance of bacteremia and a trend toward lower mortality. From Jen Johnson's excellent antibiotic talk today #IDSky
November 18, 2024 at 1:58 AM
Should we use the daptomycin/ceftaroline combo for all cases of Staph aureus bacteremia? In a retrospective cohort, early switch to dapto/ceftaroline was associated with faster clearance of bacteremia and a trend toward lower mortality. From Jen Johnson's excellent antibiotic talk today #IDSky
A good 16-gauge peripheral IV provides a higher volume of fluid than all 3 lumens of a triple lumen angiocath combined. Shocking info on fluid resuscitation from Tyler Berzin's excellent GI bleeding talk today
November 18, 2024 at 1:58 AM
A good 16-gauge peripheral IV provides a higher volume of fluid than all 3 lumens of a triple lumen angiocath combined. Shocking info on fluid resuscitation from Tyler Berzin's excellent GI bleeding talk today
Need a liver transplant? Your best bet might be to move to Florida. Advice that you hopefully won't need, from Anna Rutherford's excellent cirrhosis talk at #HMShospmed2023
November 18, 2024 at 1:58 AM
Need a liver transplant? Your best bet might be to move to Florida. Advice that you hopefully won't need, from Anna Rutherford's excellent cirrhosis talk at #HMShospmed2023
Hearing loss increases fall risk by 2.4 times in the elderly, due to lower awareness of people, pets, and objects, and mental preoccupation with straining to hear. Hearing aids eliminate this excess fall risk. From Shoshana Streiter's excellent #geriatrics talk today #MedEd
November 18, 2024 at 1:58 AM
Hearing loss increases fall risk by 2.4 times in the elderly, due to lower awareness of people, pets, and objects, and mental preoccupation with straining to hear. Hearing aids eliminate this excess fall risk. From Shoshana Streiter's excellent #geriatrics talk today #MedEd
A standardized pain management pathway, with ample use of acetaminophen/ibuprofen, lidocaine patches, heat/cold Rx, and IV ketorolac, and emphasizing oral opioids over IV, eliminated racial and first-language disparities in opioid prescribing at Brigham and Women's
November 18, 2024 at 1:58 AM
A standardized pain management pathway, with ample use of acetaminophen/ibuprofen, lidocaine patches, heat/cold Rx, and IV ketorolac, and emphasizing oral opioids over IV, eliminated racial and first-language disparities in opioid prescribing at Brigham and Women's
GPT-4 is better at the USMLE than you are. From Agustina Saenz's excellent talk on AI at this year's course
November 18, 2024 at 1:58 AM
GPT-4 is better at the USMLE than you are. From Agustina Saenz's excellent talk on AI at this year's course
New therapy for C difficile: live-brpk (Vowst) is given after vancomycin or fidaxomicin in patients at high relapse risk. It seems to be as effective as fecal transplantation (the current "brown standard"), but it is prohibitively expensive at present
November 18, 2024 at 1:58 AM
New therapy for C difficile: live-brpk (Vowst) is given after vancomycin or fidaxomicin in patients at high relapse risk. It seems to be as effective as fecal transplantation (the current "brown standard"), but it is prohibitively expensive at present
Lisa Vercollone on methadone initiation for opioid dependence at #HMShospmed2023. Her preference is Option 2 (methadone 30 mg x one dose, plus another 10 mg in >4 hrs on Day 1 if needed for withdrawal) #MedEd
November 18, 2024 at 1:58 AM
Lisa Vercollone on methadone initiation for opioid dependence at #HMShospmed2023. Her preference is Option 2 (methadone 30 mg x one dose, plus another 10 mg in >4 hrs on Day 1 if needed for withdrawal) #MedEd
Treatment summary for drug rashes in the hospital setting from Alexandra Charrow. Stevens-Johnson and DRESS syndromes (Drug Rash with Eosinophilia and Systemic Symptoms) are treated with systemic corticosteroids. Morbilliform rashes and AGEP are treated supportively #MedEd #Medsky
November 18, 2024 at 1:58 AM
The most common causes of Stevens-Johnson/toxic epidermal necrolysis can be grouped into "four big buckets": TMP-SMX, beta-lactams, anticonvulsants, and allopurinol. Alexandra Charrow at #HMShospmed2023 Medsky Meded
November 18, 2024 at 1:58 AM
The most common causes of Stevens-Johnson/toxic epidermal necrolysis can be grouped into "four big buckets": TMP-SMX, beta-lactams, anticonvulsants, and allopurinol. Alexandra Charrow at #HMShospmed2023 Medsky Meded