Gastrointestinal bleeding prophylaxis for critically ill ... - The BMJ
WebClinical question What is the role of gastrointestinal bleeding prophylaxis (stress ulcer prophylaxis) in critically ill patients? This guideline was prompted by the publication of a new large randomised controlled trial. Current practice Gastric acid suppression with proton pump inhibitors (PPIs) or histamine-2 receptor antagonists (H2RAs) is commonly done to …
Quality improvement into practice | The BMJ
WebMar 31, 2020 · Definitions of quality improvement. Improvement in patient outcomes, system performance, and professional development that results from a combined, multidisciplinary approach in how change is delivered. 3. The delivery of healthcare with improved outcomes and lower cost through continuous redesigning of work processes and systems. 4.
BMJ Careers | jobs | Choose from 1,132 live vacancies
WebBrowse jobs by Profession. Armed forces doctor 1. Child and adolescent psychiatry 61. Anaesthesia 56. GP partner 20. Locum GP 5. Cardiology 20. Salaried GP 94. Medical leadership 7.
The BMJ: Leading Medical Research, News, Education, Opinion
WebHigh impact medical journal. Champion of better research, clinical practice & healthcare policy since 1840. For GPs, hospital doctors, educators, policymakers.
Investigating hypertension in younger patients | The BMJ
WebMar 24, 2022 · Secondary hypertension may account for up to 30% of diagnoses of young onset hypertension. Thyroid dysfunction, renal parenchymal disease, and renal artery stenosis secondary to fibromuscular dysplasia are the most common causes of secondary hypertension in younger patients. Testing for 24 hour urinary metanephrines should be …
Indications for anticoagulant and antiplatelet combined therapy
WebOct 5, 2017 · Antithrombotic medications reduce thromboembolic events by inhibiting platelet aggregation and coagulation. Antiplatelet drugs and oral anticoagulants are examples of antithrombotic medications and are among the most commonly prescribed drugs in both primary and secondary care. 1 Clinicians are familiar with their use, …
Diagnosis and management of autoimmune hepatitis | The BMJ
WebAutoimmune hepatitis is an inflammatory disease of the liver of unknown cause that may progress to liver cirrhosis and end stage liver failure if diagnosis is overlooked and treatment delayed. The clinical presentation is often that of acute hepatitis, sometimes very severe; less frequently, it can be insidious or completely asymptomatic. The disease can affect …
Reduce unnecessary use of proton pump inhibitors | The BMJ
WebOct 24, 2022 · Proton pump inhibitors (PPIs) are effective and widely used, but often for longer than needed, adding to medication burden and resource waste. Discuss with patients reducing or stopping PPIs if they have been taken for longer than eight weeks unless there is a specific indication for long term use. PPI deprescribing options include dose ...
NHS workforce shortages and staff burnout are taking a toll
WebApr 11, 2022 · All across the NHS, widespread workforce shortages and staff burnout are taking their toll on hard working, but overstretched professionals under sustained pressure. Over the past few weeks, covid-19 infection rates have soared again in England. Hospital admissions and deaths have risen too, although not as high as before thanks to a …
How to present patient cases | The BMJ
WebMay 17, 2017 · Presenting patient cases is a key part of everyday clinical practice. A well delivered presentation has the potential to facilitate patient care and improve efficiency on ward rounds, as well as a means of teaching and assessing clinical competence. 1. The purpose of a case presentation is to communicate your diagnostic reasoning to the ...
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