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Author Archives: Joseph Esherick
Ultrasound is More Sensitive Than Chest X-ray for Detection of a Pneumothorax
Pneumothoraces are a common problem in the ER and the ICU. The traditional screening test for a pneumothorax in the hospital is the chest radiograph; however, chest radiographs are not very sensitive in the setting of trauma and in ventilated … Continue reading
Posted in Authors, Hospital Medicine Blog
Tagged CT scan, Dr. Joseph Esherick, E-FAST, Pneumothorax, sonography, thoracic, x-ray
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Simulation-Based Procedural Training Improves Job & Patient Satisfaction
Dr. Joseph Esherick Monthly Blog – February 2012 Are you a hospitalist who would like to incorporate procedures into your practice but don’t feel competent or confident in your skills? Are you a hospitalist who does procedures so infrequently that you feel … Continue reading
Posted in Hospital Medicine Blog, Primary Care
Tagged American Board of Internal Medicine, American College of Physicians, bedside procedures, Dr. Joseph Esherick, hospital medicine, hospitalist, patient, physician, point-of-care, simulation-based training, Society of Hospital Medicine, surgical skills
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Beta-Blockers: Beneficial For Older Patients with Chronic Obstructive Pulmonary Disease?
Dr. Joseph Esherick Monthly Blog – January 2012 When I was in medical school in the early 1990’s, one of the principles that I learned was to never prescribe beta-blockers to patients with chronic obstructive pulmonary disease (COPD). We knew that … Continue reading
Posted in Authors, Cardiology, Hospital Medicine Blog
Tagged beta-blocker therapy, beta-blockers, bronchospasm, cardiovascular disease, chronic obstructive pulmonary disease, COPD, Dr. Joseph Esherick, Tarascon Hospital Medicine Pocketbook, Tarascon Medical Procedures Pocketbook, Tarascon Primary Care Pocketbook
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The Rise and Fall of Xigris (Drotrecogin-alfa)
Dr. Joseph Esherick Monthly Blog – October 2011 Drotrecogin-alfa (DrotAA) has been an integral part of the care bundle for adult patients hospitalized with severe sepsis or septic shock and a high risk of death since 2002. DrotAA is a synthetic … Continue reading
Posted in Hospital Medicine Blog
Tagged Activated Protein C, APC, clotting, Dr. Joseph Esherick, DrotAA, hospital medicine, sepsis, septic shock
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Do Resident Work Hour Restrictions Improve Either Patient Safety or Postgraduate Medical Education?
Dr. Joseph Esherick Monthly Blog – September 2011 National resident work hour restrictions were first implemented by the ACGME in 2003. The debate started initially after the unfortunate death of Libby Zion in 1984 which prompted the state of New York … Continue reading
Posted in Authors, Hospital Medicine Blog
Tagged ACGME, Institute of Medicine, Joesph Esherick, Libby Zion, medical educaction, physician, resident, work hour restrictions
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Antibiotic Stewardship with the Aid of Procalcitonin Measurements
Dr. Joseph Esherick Monthly Blog – August 2011 There has been considerable interest in antibiotic stewardship programs over the past decade given the increase in drug-resistant bacteria. The best way to combat the problem of drug-resistant bacteria is to develop systems … Continue reading
Posted in Authors, Hospital Medicine Blog, Prescribing
Tagged antibiotic, Dr. Joseph Esherick, drug-resistant bacteria, hospital medicine, viral infection
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A Simple Checklist for Central Lines Saves Lives and Money
Dr. Joseph Esherick Monthly Blog - June 2011 Safety checklists have been adopted by numerous industries to prevent errors and save lives. Checklists have been used for decades by industries as diverse as the aviation industry, construction companies, and professional chefs … Continue reading
Posted in Authors, Global Health Blog
Tagged CRBSI, Dr. Joseph Esherick, Dr. Peter Provonost, hospital medicine, hospitalist, ICU, Keystone Project, medicine, safety checklist
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