Thread by @jronenMD

Day 2/Lecture 2: full house for the one and only Brad Sharpe with Updates in Hospital Medicine! @UCSFDHM @ACPIMPhysicians #IM2023

1. Fluid resusc in pancreatitis: aggress (vs mod) fluids lead to more VOL in mild to mod disease

2. Intermediate LMWH for VTE PPX form highest degree of efficacy and lowest bleeding risk
3. Beta-lactam or Vanco first - B-lactam first decreased mortality by 50% per 48h and 7d mortality rate (GN sepsis…)

@ACPIMPhysicians #IM2023

4. Cellulitis Over-Dx 40% of the time…alt <18%: venous stasis, stasis dermatitis, abscess; shorter LOS, less Abx; consider consult in atypical cases
5. ID Consult on outcomes for Pseudomonal bacteremia: 50% drop in-hosp and 30d mortality

#IM2023 @ACPIMPhysicians

6. Nutrition in the Hospital: increased life span 1-3 mo
7. Hospitalist info cards: pts appreciate how to contact and daily schedule
8. Frailty and In-Hospital CPR (age>65): <15% survive; 55% to 84% mortality between low to high degree of frailty score

#IM2023 @ACPIMPhysicians