hospital medicine

Question 1

VTE risk factors

Answer 1

advanced age, decreased mobility, surgery, cancer, infection, obesity

Question 2

stress ulcer prophylaxis indications

Answer 2

mechanical vent >48h
TBI with GCS<10
burns >35%
spinal cord injury
septic shock
high dose steroids
coagulopathy

Question 3

3 requirements for ICU telemedicine

Answer 3

-method for electronic patient monitoring
-clinical information system for facile transmission of real-time clinical data
-method for the distance-based provider to communicate the care plan to the bedside clinicians2

Question 4

2 major outcomes of icu telemedicine

Answer 4

match supply of intensivists to meed current and future demands

facilitation of early recognition of physiological deterioration

Question 5

telemedicine barriers

Answer 5

cost
staffing
logistics - billing, reimbursement
provider acceptance

Question 6

example of time when telemedicine would be beneficial

Answer 6

access to psychiatric services to children and adults in emergency departments using two way audio-video services