Southern medical journal
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Southern medical journal · Aug 2003
Case ReportsEpidural hematoma associated with dextran infusion.
The authors describe a case of epidural hematoma in association with dextran infusion in a patient who had undergone a peripheral vascular operation with epidural analgesia. Possible mechanisms for the anticoagulant effect of dextran and guidelines for the use of anticoagulant therapy in patients undergoing epidural anesthesia are discussed.
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Southern medical journal · Aug 2003
The rotating hospitalist: a solution for an academic internal medicine practice.
Concerns have been raised about the role that hospitalists may have in changing the educational process for medical students and residents, especially with regard to the primary care specialties. ⋯ Rotating hospital with office duties among a small group of internists has resulted in most of the advantages with few of the drawbacks related to the hospitalist approach.