medical consult service curriculum
Lecture videos
Refer to below prior to your rotation for essential med consult lectures given by the hospitalists.
Landmark articles
Perioperative Cardiovascular Evaluation - Non-cardiac surgery
Perioperative Bridging Anticoagulation
Post-op complications
Perioperative Beta Blockers
Perioperative Use of Aspirin and DAPT
Perioperative ACEi/ARB
Coronary Artery Revascularization before Elective surgery
Measure of exercise tolerance and functional capacity
surgical risk calculators
RCRI
The oldest but externally validated for predicting major adverse cardiac events.
MICA (Gupta)
acs nsqip surgical risk calculator
Can be used for more medically complex patients, predicts LOS, need for rehab and risk of non-cardiac post-op complications.
resources
Cardiac
Evaluation of cardiac risk prior to noncardiac surgery - UpToDate
Management of cardiac risk for noncardiac surgery - UpToDate
Perioperative myocardial infarction or injury after noncardiac surgery - UpToDate
Perioperative management of hypertension - UpToDate
Perioperative management of heart failure in patients undergoing noncardiac surgery - UpToDate
Noncardiac surgery in patients with aortic stenosis - UpToDate
Noncardiac surgery in patients with mitral or aortic regurgitation - UpToDate
Perioperative management of patients receiving anticoagulants - UpToDate
pulmonary
Evaluation of preoperative pulmonary risk - UpToDate
Strategies to reduce postoperative pulmonary complications in adults - UpToDate
Postoperative management of adults with obstructive sleep apnea - UpToDate
Endocrine
Perioperative management of blood glucose in adults with diabetes mellitus - UpToDate
The management of the surgical patient taking glucocorticoids - UpToDate
Nonthyroid surgery in the patient with thyroid disease - UpToDate
general pre-op and peri-operative
Preoperative medical evaluation of the healthy adult patient - UpToDate
Overview of the principles of medical consultation and perioperative medicine - UpToDate
Perioperative medication management - UpToDate
Overview of perioperative nutrition support - UpToDate
Assessing surgical risk in patients with liver disease - UpToDate
Management of acute perioperative pain - UpToDate
infectious disease
Fever in the surgical patient - UpToDate
Antimicrobial prophylaxis for prevention of surgical site infection in adults - UpToDate
Antimicrobial prophylaxis for the prevention of bacterial endocarditis - UpToDate
Surgical issues in HIV infection - UpToDate
Orthopedics
Hip fracture in adults: Epidemiology and medical management - UpToDate
Prevention of venous thromboembolic disease in adult nonorthopedic surgical patients - UpToDate
Rheumatology
Preoperative evaluation and perioperative management of patients with rheumatic diseases - UpToDate - refer to section for medication management
Nephrology
Medical management of the dialysis patient undergoing surgery - UpToDate