• A-fib and rate control: Don't go too low 

    Deane, Kristen; Jones, Kohar; Stevermer, James J. (Family Physicians Inquiries Network, 2010-08)
    Aim for a heart rate of <110 beats per minute (bpm) in patients with permanent atrial fibrillation. Maintaining this rate requires less medication than more stringent rate control, resulting in fewer side effects and no ...
  • An alternative to warfarin for patients with PE 

    Morris, Laura; Stevermer, James J. (Family Physicians Inquiries Network, 2012-12)
    Consider treating patients with acute pulmonary embolism (PE) with rivaroxaban, a factor Xa inhibitor; it works as well as low-molecular- weight heparin (LMWH) followed by warfarin, but may cause fewer major bleeds. ...
  • Arthritis pain? These supplements provide little relief 

    Stevermer, James J.; Rogers, Nina Vergari (Family Physicians Inquiries Network, 2011-10)
    Tell patients with large joint arthritis that glucosamine and chondroitin have been found to be little better than placebo. Effects of glucosamine, chondroitin, or placebo in patients with osteoarthritis of hip or knee: ...
  • Consider this strategy for upper GI bleeds 

    Frazer, Kevin; Kirley, Kate; Stevermer, James J. (Family Physicians Inquiries Network, 2013-09)
    Do not order transfusions of red blood cells for patients with acute upper gastrointestinal bleeding unless their hemoglobin level <7 g/dL. A: Based on a single randomized controlled trial (RCT) consistent with other RCTs ...
  • Ear wax removal: Help patients help themselves 

    Rogers, Nina Vergari; Stevermer, James J. (Family Physicians Inquiries Network, 2011-11)
    Suggest that patients use drops to soften the wax in their ears and a bulb syringe to remove it. Reassure them that the process is safe, easy, and effective. Strength of Recommendation: B: A single well-designed randomized ...
  • Fracture pain relief for kids? Ibuprofen does it better 

    Morris, Laura; Stulberg, Debra; Stevermer, James J. (Family Physicians Inquiries Network, 2010-05)
    Use ibuprofen instead of acetaminophen with codeine for pediatric arm fractures. It controls the pain at least as well and is better tolerated. Strength of recommendation A: Based on 1 longer-term and 2 short-term randomized ...
  • Help for recurrent bacterial vaginosis 

    Jones, Kohar; Ewigman, Bernard; Stevermer, James J. (Family Physicians Inquiries Network, 2011-02)
    Recommend high-dose vaginal probiotic capsules to prevent recurrent bacterial vaginosis. Strength of recommendation B: Based on a single high-quality randomized controlled trial (RCT).
  • Is your patient still using rosiglitazone? 

    Gov-Ari, Hanna K.; Stevermer, James J. (Family Physicians Inquiries Network, 2011-05)
    Do not initiate rosiglitazone therapy for patients with diabetes, and consider switching those who are already taking it to pioglitazone. Strength of recommendation A: Based on a meta-analysis of 56 randomized trials.
  • It’s time to use an age-based approach to D-dimer 

    Urban, Karli; Kirley, Kate; Stevermer, James J. (Family Physicians Inquiries Network, 2014-03)
    Use an age-adjusted D-dimer cutoff (patient’s age in years × 10 mcg/L) for patients over age 50 years when evaluating for venous thromboembolism (VTE); it reduces false positives without substantially increasing false negatives.
  • A new adjunctive Tx option for venous stasis ulcers 

    Crenshaw, Benjamin H.; Roberson, Kortnee Y.; Stevermer, James J. (Family Physicians Inquiries Network, 2015-03)
    A new adjunctive Tx option for venous stasis ulcers. Practice changer: Consider adding simvastatin 40 mg/d to standard wound care and compression for patients with venous stasis ulcers.
  • Offer this contraceptive to breastfeeding new moms 

    Jones, Kohar; Egan, Mari E.; Stevermer, James J. (Family Physicians Inquiries Network, 2011-12)
    Recommend the etonogestrel implant to new mothers who plan to breastfeed; the insertion of this contraceptive within the first few days postpartum does not alter breastfeeding outcomes. Strength of Recommendation B: Based ...
  • Prescribing statins for patients with ACS? No need to wait 

    Gov-Ari, Hanna; Stevermer, James J. (Family Physicians Inquiries Network, 2014-12)
    PRACTICE CHANGER: Prescribe a high-dose statin before any patient with acute coronary syndrome (ACS) undergoes percutaneous coronary intervention (PCI); it may be reasonable to extend this to patients being evaluated for ACS.1
  • Pulse oximetry for newborns: should it be routine? 

    Swenson, Amanda; Brown, Dionna; Stevermer, James J. (Family Physicians Inquiries Network, 2012-05)
    Ensure that all newborns undergo pulse oximetry screening before discharge—and that abnormal results are immediately followed up with echocardiography. Strength of recommendation B: Based on a single cohort study ...
  • Ramipril for claudication? 

    Stephens, Luke A.; Rogers, Nina Vergari; Stevermer, James J. (Family Physicians Inquiries Network, 2013-10)
    This ACE inhibitor can help patients with peripheral artery disease walk longer while remaining pain free.
  • Screen teens for depression--it's quicker than you think 

    Pereira, Susan L.; Egan, Mari E.; Stevermer, James J. (Family Physicians Inquiries Network, 2010-11)
    The US Preventive Services Task Force (USPSTF) recommends screening all adolescents for depression—provided that effective treatments and counseling are available for those who need it. Nearly all primary care clinicians ...
  • A simple way to reduce catheter-associated UTIs 

    Pereira, Susan; Nguyen, Liz; Stevermer, James J. (Family Physicians Inquiries Network, 2014-05)
    The administration of a prophylactic antibiotic when a surgical patient’s urinary catheter is removed can cut the rate of urinary tract infections in half. PRACTICE CHANGER: Ensure that antibiotics are administered to ...
  • Trauma care: don't delay with TXA 

    Wells, Jack; Stevermer, James J. (Family Physicians Inquiries Network, 2013-05)
    Ensure that patients who incur serious trauma receive tranexamic acid (TXA) within 3 hours of the injury. Strength of recommendation B: An analysis of a large randomized controlled trial (RCT).