October 2015

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Which chest pain patients can go home?

Research on risk algorithms and tests helping to identify unnecessary hospitalizations.

Taking better care of transgender patients

Hospitals working to improve resources, education, and training for transgender care.

Maintain vigilance for MERS

Updated criteria, expert advice on when to suspect Middle East respiratory syndrome.

Change in the air for oxygen delivery

High-flow oxygen gaining ground in adult ICUs.

Mandatory flu vaccines work but can raise issues for workers

More hospitals requiring flu shots for health care workers.

Acute decompensated heart failure

Morning Report, a new feature, discusses the clinical and administrative aspects of a fictional but realistic hospital case from admission to discharge.

Engaging a team to stop C. diff

A 528-bed acute care hospital reduced C. diff rates by 53% over 2 years.

Panel picks appropriate uses for PICCs

An expert discusses new collaborative recommendations.

ICD-10: New documentation opportunities

Depression, sepsis, respiratory failure, stroke, and heart disease are discussed.


For thousands of years, ancient civilizations in Asia Minor have been cultivating the opium poppy.

Letter from the Editor

This month's issue includes a cover story on determining admission or discharge for chest pain and articles on improving care of transgender patients, remaining on the alert for Middle East respiratory syndrome, and more.

MKSAP quiz on chest pain

Cases involving chest pain are presented.

New cholesterol drug class; FDA investigates gadolinium

Details on the latest recalls, warnings, and approvals.

Recent Research

Beta-blockers and mortality in afib and sepsis, corticosteroids in CAP, dual versus triple antiplatelet therapy, and more.

In the News

Unnecessary telemetry, CAP rates and causes, sepsis and acute kidney injury, and more.