General Hospital Medicine   

Questions discussed in this category



For example, do you routinely supplement with calcium carbonate, magnesium hydroxide, aluminum hydroxide, simethicone, sucralfate, etc.?

Assume QTc is not prolonged, electrolytes are reasonably normal, and the patient is not already on heavy psychotropic polypharmacy.

Do you use the traditional strict limit of 1.5 L, or do you consider removing more volume if a patient appears to tolerate it?

For example, would you consider alternatives to paracentesis (Denver shunt placement, CART therapy, or permanent tunneled catheters) that might better...

For example, do you think the benefits of sequential compression devices outweigh the risk of falls, delirium, etc.?

In particular, how do you reconcile situations where lung POCUS findings contradict other components of volume assessment (e.g. JVD, peripheral edema,...

Should we consider this as a unique point during goal of care discussions, separate from code status, comfort measures only, etc.?


Papers discussed in this category


Microbes and infection, 2024 May 06

The New England journal of medicine, 2023 Jan 19

JAMA, 2022 Aug 23

Critical care medicine, 2017-12

Journal of palliative medicine, 2012-02

Journal of the American Medical Directors Association, 2022 Mar 23

Palliative medicine, 2022 Jul

Annals of emergency medicine, 2006-01

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2019-01

Neurology. Clinical practice, 2020 Aug

Cureus, 2020 Nov 18

European journal of endocrinology, 2023 Aug 02

Journal of the American College of Radiology : JACR, 2024 Jun

AJR. American journal of roentgenology, 2010-02

The American journal of medicine, 1991 Aug 08

Gut, 1990 Jul

Journal of cardiac failure, 2021 Oct

JAMA, 1989 Feb 10