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Clinical Briefs
In this section: potential good cardiovascular news; spironolactone best add-on for resistant hypertension; and questions about Vitamin D for primary care practice.
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Mepolizumab Injection (Nucala)
Mepolizumab is indicated for add-on maintenance treatment of adult patients ≥ 12 years of age with severe asthma and with an eosinophilic phenotype.
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A burnout barometer to assess your work culture
The American Association of Critical-Care Nurses’ has created tools to address issues associated with a healthy work environment, including burnout and “compassion fatigue,” available at http://www.aacn.org/.
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Carotid Occlusion Rarely Develops from Asymptomatic Carotid Artery Stenosis
Recent study indicates that the risk of progression to carotid occlusion is well below the risk of carotid stenting or carotid endarterectomy.
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Physician flameout: It’s time to heal the healers
American medicine is nearing a tipping point with physicians that could adversely affect broader populations of both patients and healthcare workers. More than half of U.S. physicians are experiencing professional burnout and the problem is getting worse, researchers report.
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Utility of Non-traditional Risk Factors in Patients Ineligible for Statin Therapy
Adding additional risk factors not in the pooled risk equation to low-risk subjects identified a sub-group with an observed event rate > 7.5% who may warrant statin therapy.
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Effect of Modified Valsalva Maneuver for Emergency Treatment of Supraventricular Tachycardia
In patients presenting with supraventricular tachycardia, a modified Valsalva maneuver with leg elevation and supine positioning at the end of strain was demonstrated to be more effective than the standard Valsalva maneuver at restoring normal sinus rhythm.
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Defuse hostile nursing work culture by speaking up immediately, directly
Listening to human resources expert Laura MacLeod, LMSW, describe the dysfunctional work cultures she has observed in healthcare and other industries, one is immediately reminded of the truism: “Every system is perfectly designed to get the results it gets.”
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VA hospital system may mandate staff flu shots
With a new study finding that virtually none of the nation’s 150 Veterans Health Administration hospitals have mandatory flu shot policies for healthcare workers — leaving vaccination rates languishing in the 55% range — the VA system is considering a vaccine mandate to protect patients and coworkers, Hospital Employee Health has learned.
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TB Q&A for patients after exposure incidents
As part of notifying patients of a possible TB exposure to an infected employee, Santa Clara Valley Medical Center in San Jose, CA, issued the following “frequently asked questions” TB information for patients. Employee health professionals may want to consider something like this should they find themselves facing a similar situation: