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2023 Course Highlights

ADDICTION AND PAIN MANAGEMENT

  • Is Grandma really using fentanyl? Pitfalls in interpreting toxicology screens
  • New FDA guidelines for using naloxone
  • Treating acute and chronic pain in patients with substance use disorder
  • Managing complicated alcohol withdrawal
  • Reducing the risk of recurrent opiate overdose at discharge

 

ALLERGY

  • What to do when there is no allergist
  • Getting rid of the low-risk penicillin allergy label
  • New anaphylaxis guidelines
  • Class action: sorting out the overlap between penicillin and cephalosporins
  • Things we do for no reason: steroids for anaphylaxis? 

 

CARDIOVASCULAR

  • Going with the flozin: state of the art CHF management
  • Dual anti-platelet therapy after stenting: are we overdoing it?
  • Rhythm control versus rate control for atrial fibrillation revisited
  • Peri-operative anticoagulation in patients on DOACs
  • Post-op atrial fibrillation: to anticoagulate or not to anticoagulate?
  • How low should you go? Hemoglobin targets in acute coronary syndromes
  • Reducing readmissions for heart failure: best practices in discharge planning
  • Overcoming diuretic resistance in heart failure
  • Is it ever OK to stop anticoagulation in unprovoked venous thrombosis?
  • When to refer patients with aortic stenosis for TAVR
  • Should we stop saying “provoked” vs “unprovoked” VTE?
  • Coronary CT: as good as cardiac catheterization?
  • “Wearables”—how new mobile technology is changing the detection and management of atrial fibrillation
  • “Holiday heart” revisited: the effect of alcohol consumption on atrial fibrillation

 

DELIRIUM

  • Update on pharmacotherapy for delirium
  • Non-pharmacologic interventions for preventing delirium
  • Preventing delirium in the high-risk geriatric patient: what works?
  • Difficult cases in delirium management
  • How important is deprescribing for older patients?

 

DERMATOLOGY

  • Cellulitis: antibiotic dilemmas and when to call dermatology
  • Inpatient dermatologic zebras
  • DRESSed to kill: drug reactions and other can't-miss dermatology diagnoses
  • Cutaneous findings of systemic disease
  • Diagnosing rashes in hospitalized patients
  • Cellulitis or venous stasis? Demystifying the swollen red leg
  • The importance of leg compression to prevent recurrent cellulitis of the leg
  • Understanding the newest data about optimal treatment durations for cellulitis

 

DIAGNOSTICS

  • Can't-miss ECG diagnoses
  • Radiology pearls: identifying subtle findings on CXR
  • Rapid-fire review of electrolyte, liver, and heme cases
  • Contrast or no contrast? Choosing the right imaging protocols

 

ENDOCRINE

  • Dangers of SGLT2 inhibitors: euglycemic DKA and UTIs
  • Challenging cases in insulin management
  • Continuous glucose monitoring in hospitalized diabetics
  • New guidelines for the management of hyperglycemia
  • Adrenal insufficiency: who to treat and how to taper
  • Pitfalls in managing thyroid disease in medically ill patients
  • What to do about adrenal incidentalomas
  • When to worry about pheochromocytoma
  • Inpatients with fragility fractures: are we doing enough?

 

EQUITY

  • Are you missing hypoxia? Racial bias in pulse oximetry
  • Race-based reference ranges: end of an error?
  • Anti-racism in hospital medicine, from triage to care transitions
  • Improving access to organ transplantation
  • Racial equity and pain management in the hospital
  • Improving patient outcomes with interpreter services

 

GASTROINTESTINAL

  • New guidelines for ascites and spontaneous bacterial peritonitis
  • New guidelines on management of upper and lower GI bleeds
  • Optimal timing for intra-abdominal drainage in necrotizing pancreatitis
  • Urgent endoscopy in acute GI bleeding: bad for patients?
  • Managing the cirrhotic patient with bleeding and thrombosis
  • Too soon? When to resume anticoagulation and antiplatelet agents after a GI bleed
  • Terlipressin for hepatorenal syndrome: promise and peril
  • Smartphones in the diagnosis of decompensated cirrhosis
  • Video capsule endoscopy: diagnostic procedure of choice for GI bleeds in the very elderly?
  • Fluid resuscitation in acute pancreatitis: less is more?
  • Procalcitonin to guide antibiotic use in acute pancreatitis
  • The newest risk scores to help manage patient with upper GI bleeds
  • The optimal timing of endoscopy in patient with upper GI bleeds
  • Current approaches to preventing post-ERCP pancreatitis
  • Understanding the urgent indications for ERCP

 

GERIATRICS

  • Orthostatic vitals: are we doing them all wrong?
  • IV acetaminophen in severe pain in older adults at risk for delirium
  • Is there a role for tramadol in treating musculoskeletal pain in older adults?
  • Rethinking the risk-benefit ratios of surgery and high-risk invasive procedures for older adults
  • Anticoagulation selection in the elderly Risk of anaphylaxis with IV iron in older adults

 

HEMATOLOGIC

  • Managing complex patients with bleeding and thrombosis
  • More data on DOACs in obesity and kidney disease
  • Diagnosing and managing thrombocytopenia
  • Diagnostic pearls for anemia in the hospitalized patient IV iron – what you need to know
  • The latest on COVID-associated thrombosis
  • New venous thromboembolism guidelines
  • Anticoagulation for rheumatic heart disease with atrial fibrillation
  • Thromboprophylaxis following extremity fractures

 

INFECTIOUS DISEASES

  • Intensive case-based review of inpatient antibiotic therapy
  • Short-course antibiotics for common infections
  • New antibiotics for MRSA and multidrug-resistant Gram-negative rods
  • Fecal transplantation: the best first-line treatment for C. difficile?
  • Do discharged patients give C. difficile to their loved ones?
  • Fecal microbiota enemas to prevent recurrent C. difficile: more than just a flash in the bedpan?
  • When are oral drugs appropriate for bacteremia?
  • Should we consult ID for bacteremia?
  • MRSA bacteremia: is vancomycin enough?
  • What still works for COVID
  • New CDC guidelines for long COVID
  • Pearls for interpreting culture and sensitivity data
  • New guidelines for endocarditis from injection drug use
  • When should we cover for MRSA pneumonia?
  • Breaking the cycle in patients with recurrent UTIs
  • New treatment options for complicated UTIs

 

PALLIATIVE CARE

  • Alternatives to the 10-point pain scale
  • Case-based approach to the complex palliative care patient
  • What time is the right time to call palliative care?
  • Serious illness conversations and documentation
  • The newest developments in pain management in palliative care

 

PERIOPERATIVE MEDICINE

  • The latest on perioperative aspirin, statins, beta blockers, and ACE inhibitors
  • Perioperative anticoagulation: when should patients be bridged?
  • Timing of surgery in hip fracture patients
  • Reducing pulmonary risk in perioperative patients
  • The role of biomarkers in preoperative management
  • Stress dose corticosteroids in the peri-operative setting
  • To hold or not to hold: understanding the latest on perioperative medication management
  • Troponins and the perioperative patient—recent guideline recommendations

 

PREGNANCY

  • HELLP me: managing medical complications in pregnant and post-partum patients

 

PSYCHIATRY

  • Pearls for managing personality disorders in the hospital
  • Perioperative management of medications for psychiatric diseases
  • Waking up patients to check vital signs—best practice or overdoing it?
  • Diagnostic yield of neuroimaging for common psychiatric presentations

 

PULMONARY/CRITICAL CARE

  • Tailored steroid therapy in acute exacerbation of COPD
  • New asthma guidelines: is albuterol still appropriate for rescue therapy?
  • State-of-the-art treatment for asthma and COPD exacerbations
  • Current recommendations for high-flow and supplemental O2
  • New Surviving Sepsis guidelines
  • Updated 2023 GOLD guidelines – triple therapy
  • Fluid restriction in septic shock?
  • Too much of a good thing? Vitamin C in sepsis
  • Short-course antibiotics in COPD exacerbations

 

RENAL

  • Dapagliflozin and reduction of progression of chronic kidney disease
  • New data: early renal replacement therapy in acute kidney injury
  • COVID and acute kidney injury: what the hospitalist needs to know
  • Dialysis access: what the hospitalist needs to know
  • A salty dispute: LR vs NS revisited
  • Diagnosing the patient with acute glomerulonephritis
  • Blood pressure management in end-stage renal disease
  • The latest on managing hyperkalemia and hyperphosphatemia
  • Diagnosing acute kidney injury and acute glomerulonephritis
  • What can hospitalists do to slow CKD progression?

 

STROKE

  • New AHA/ASA guidelines for stroke management
  • Updates on mechanical thrombectomy for ischemic stroke
  • Telestroke: an idea whose time has come?
  • How long should we monitor for atrial fibrillation after stroke?
  • Acute stroke and new atrial fibrillation: when to start anticoagulation?
  • To DAPT or not to DAPT: antiplatelet therapy in stroke and TIA

 

SYNCOPE

  • Syncope: when to worry about cardiac causes
  • New recommendations for the use of tilt table testing
  • Syncope as a presenting symptom of COVID
  • Diagnosing the patient with recurrent syncope
  • Midodrine for vasovagal syncope?
  • Identifying low-risk syncope patients