General Hospital Medicine   

Do you prescribe it universally or based on specific risk factors?

If so, do you recommend any specific workup, monitoring, or intervention?

If so, is there a particular method or process you suggest?

Hatzl et al., PMID 40971881

Do you involve additional specialists, such as ENT, to further evaluate? Is there a particular algorithm followed by your institution, or is it just d...

For example, anticoagulation for recent, significant PE or dual antiplatelet therapy for recent MI, but requiring urgent procedures such as biopsy of ...

For example, do you consider "cautious" IV fluids or otherwise consider early vasopressors?

Rahman et al., PMID 38224592

Does your approach change depending on whether and how long the patient has been anticoagulated?

If placed for this indication, how do you decide when to remove?

In other words, are there benefits to identifying URI pathogens that do not necessarily have targeted therapies (e.g., rhinovirus, non-COVID-19 Corona...

If they have been on IV heparin for 3 days, for example, would you subtract those days from the recommended loading dose time?

For example, what do you do when someone requests aggressive, life-prolonging treatments but then is not receptive to elements of day-to-day care in t...

When do you have consider sending them as part of your initial workup?

If the patient does not have underlying diabetes, do the benefits of an insulin drip for this indication outweigh the risks?

Do you prefer anticoagulation? Is there a role for aspirin? How strongly do you recommend line removal?

Do you find it helpful to monitor for treatment response, resolution, and/or recurrence?

How does your approach vary by indication (critical illness, acute renal failure, hyponatremia, diuresis, etc.)?

How do factors like the presence of varices, severity of coagulopathy, etc., play into your decision?

In particular, how do you reconcile situations where lung POCUS findings contradict other components of volume assessment (e.g. JVD, peripheral edema,...

For example, do you find trending WBC, procalcitonin, CRP, etc., more or less helpful?

What situations prompt you to prescribe dexamethasone to complete a 10-day course at discharge?

While many US guidelines have supported a threshold of > 50k, there does not appear to be robust data to support it. Notably, the 2025 AABB and ICT...

Mahé et al., PMID 40162636

Seethapathy et al., PMID 38320180

How would you decide on the duration of antibiotics in this case?

Do you use the traditional strict limit of 1.5 L, or do you consider removing more volume if a patient appears to tolerate it?