ACP Hospitalist

June 2007

Internal Medicine 2007 logo

John G. Bartlett, MACPAvian flu prompts pandemic planning but system is far from ready
June '07



Lee J. Dunn, Jr., JDMaking malpractice a little less scary for practitioners
June '07



Daniel J. Diekema, FACPCommunity-acquired MRSA moves in on hospitals
June '07





Alpesh Amin, FACPHospital medicine update:
New trends in compensation, training will affect internists
June '07





ACP's Board of Governors at Internal Medicine 2007Hospitalist issues take hold at Board of Governors meeting
June '07



Patient Safety

The IV team at Evangelical Community Hospital in Lewisburg, Pa., includes, from left, James Perle, ACP Member; Robert Scott, MD; James Morgan, MD; N. Richard Anderson, RN; and Tamara F. Persing, RN, MS.Aiming for zero
Hospitals work to eliminate catheter-related bloodstream infections
June '07


Clinical Issues

Chest wall configuration at functional residual capacity of a normal person (left hemithorax) and a patient with severe COPD (right hemithorax). The patient with COPD has a flattened diaphragm, which increases the radius of curvature and increases the tension for a given pressure. This patient's ribs are horizontal and the zone of apposition between the pleural surfaces is reduced, greatly reducing the diaphragm's efficiency in expanding the chest wall. Also, intrinsic PEEP poses an inspiratory load, adding further to inspiratory work. Exhalation is slowed by airway collapse and the loss of elastic recoil. Reproduced with permission from: Hill NS. Current concepts in mechanical ventilation for chronic obstructive pulmonary disease. Semin Respir Crit Care Med. 1999;20(4):375-395.MKSAP primer: Mechanical ventilation
June '07



Clinical Issues

Test yourself: Acute ventilatory failure
June '07


Research News

Recent studies of note
June '07

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