An Approach to Refractory Hypoxemia

A 74-year-old female with no significant pulmonary history presented as a transffer from an outside hospital for persistent refractory hypoxemia

Improving Outpatient Pneumococcal Vaccination Rates in Patients age \u3c65

Objectives To increase pneumococcal vaccination rates for patients 19-64 at JHAP to reach 70% over 3 months. To increase resident knowledge of indications for pneumococcal vaccination in patients 19-64 by 25% over 3 month

From the Chief Residents

The four of us have had the unique opportunity to work alongside you and watch you grow throughout the last three years. During an extremely turbulent time at Jefferson, in the city of Philadelphia, and the larger healthcare landscape you all have been the constant presence that has kept the Jefferson IM residency culture alive. Jefferson residents are: Compassionate, intelligent, dedicated, fun, and resilient. But most of all, Jefferson residents look out for each other and have each other’s backs. This is the culture that brings people to our program and the culture that makes residency training which would otherwise be grueling into a manageable, and at times, fun experience. You all have embodied this culture, and we as well as the residency program are so grateful to each and every one of you. While it is sad that we are now parting ways, we are so proud to have called you all colleagues during these crazy years, and we could not imagine a better group of people to have gone through this with than you. It’s been an honor and a privilege to be your Chieves this year. We cannot wait to work alongside you and see all that you will accomplish in your careers. Cheers to you all

Sugar Crash! Time to Insulin Administration in the Emergency Department for Diabetic Ketoacidosis

Project AIM: The time to insulin administration from ordering through JIIP protocol has been delayed in the Emergency Department. We have established a way to store prepared insulin infusions in the Emergency Department so they are readily available for administration. We anticipate to see a decrease in time to administration with our intervention of about 30 minutes