The Curbsiders Internal Medicine Podcast

#389 Recap: SHM 2023 #Converge

14 snips
Apr 10, 2023
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INSIGHT

Procalcitonin Adds Little In COPD/Pneumonia

  • Procalcitonin did not change length of stay or antibiotic duration meaningfully for COPD or pneumonia.
  • Avoid reflexively ordering procalcitonin unless it will alter management.
ADVICE

Engage Outpatient Teams For Sickle Cell Care

  • For sickle cell VOC, contact the outpatient sickle cell provider early and respect patient distraction therapies.
  • Recognize frequent utilizers often have more severe disease and need individualized plans.
ADVICE

Limit Opioids; Favor NSAIDs And Procedure Guides

  • Use procedure-specific opioid prescribing guidelines to limit excess discharge opioids.
  • Use NSAIDs first when appropriate; low-dose NSAIDs often reduce pain substantially and limit opioid need.
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