Noteworthy recent articles for COPD

Not all-inclusive and can be updated. These are recent articles with findings that may impact or change how you currently practice. 1. Noninvasive ventilation in patients with chronic hypercapnea improves survival, if the PCO2 was lowered by 20% (or to 48 mmHg). Lancet 2014 2. NAC for exacerbations. Meta-analysis Eur Respir Rev 2015; 24: 451–461. […]

Image Upload Instructions

Procedure to upload outside images to Epic without having to take disk to Image Upload Station at HFH-Detroit (1st Floor) or HFH-West Bloomfield (Medical records) 1. Put the disc in the CD drive. 2. Navigate to http://lifeimage.hfhs.org in Internet Explorer. 3. Change the Domain to HFHS and enter your Henry Ford login. 4. Click Upload […]

Pneumococcal Vaccine cheat sheet

———— Relevant EPIC orders: PPSV23 =’Pneumococcal Polysaccharide PPSV-23’ = ‘Pneumovax’ = ‘IMM53’ PCV13 = ‘Pneumocococcal Conjugate PCV 13’ = ‘Prevnar-13’ = ‘IMM78’ Please link to appropriate diagnosis: 1. ‘need for prophylactic vaccination against strep pneumococcus’ (Z23) added to Quick Dx section 2. also associate relevant diagnosis (asthma, copd, chronic immunosuppression) if More details including Epic […]

ROSE study inclusion and exclusion criteria

INCLUSION 1. Age > 18 years 2. Presence of all of the following conditions for 8 cm H2O. OR, IF ABG NOT AVAILABLE SpO2/FiO2 ratio that is equivalent to a PaO2/FiO2 8 cm H2O (Appendix A1), and a confirmatory SpO2/FiO2 ratio between 1-6 hours after the initial Sp02/Fi02 ratio determination. b. Bilateral opacities not fully […]