Hospital Medicine Alert – September 1, 2015

September 1, 2015

• Emergent Vascular Access: Is Intraosseous Better Than Central Venous Catheter Placement?

  Traditionally, the easiest vascular access has been placement of a triple lumen catheter in the femoral vein, as anatomic landmarks here are often easier to identify than other areas, minimizing the need for ultrasound assistance.

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• Is Peripheral Intravenous Administration of Vasopressors Really Safe?

  Vasoactive medications are most commonly administered through central venous catheters

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• Antibiotics for Acute Appendicitis

  Appendectomy has been the treatment for acute appendicitis since the late nineteenth century. During the past decade, the notion of treating acute appendicitis with antibiotics alone has been proposed and evaluated in several clinical trials. However, these trials have been criticized because of methodological limitations.

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• A Modern Epidemiologic View of Status Epilepticus in the United States

  Although definitions have changed, status epilepticus is presently defined as a prolonged seizure or multiple seizures with incomplete return to baseline function lasting longer than 5 minutes.

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• Does Bacteremia Associated with Bone and Joint Infections Require Prolonged IV Antibiotic Therapy?

  Two hundred sixty-five previously healthy children with culture-proven acute bone or joint infection (age range 3 months to 15 years) were studied.

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