Ascension - MD

Medical Resources

Lewis P. Gundry Health Sciences Library

900 S Caton Ave, Baltimore MD 21229
Phone: 667-234-3134
Email: stagneslibrary@ascension.org

1st Floor (main building)

Library Open Hours: 7:30AM - 4:00PM (Monday - Friday)

After Hours Access limited (door unlocks at 6:30AM weekdays) 

Librarian: Lucinda Bennett

Medical Databases & Platforms

Access Medicine

Cochrane Database of Systematic Reviews

PubMed

PICO Search

Options:

Mobile Apps

http://www.imedicalapps.com/

"iMedicalApps is the leading online publication for medical professionals, patients, and analysts interested in mobile medical technology and health care apps. Our physician editors lead a team of physicians, allied health professionals, medical trainees, and mHealth analysts in providing reviews, research, and commentary of mobile medical technology. Our publication is heavily based on our own experiences in the hospital and clinic setting."

 

http://www.medscape.com/public/iphone?src=emed-call

8,500+ prescription and OTC drugs, herbals, and supplements
6,200+ Reference articles for decision-making support
Clinical tools: drug interaction checker, calculators, and pill identifier
And more!

 

sanfordguide.com/coronavirus

"In the interest of providing the medical community with concise information about the rapidly changing SARS-CoV-2/COVID-19 situation, Sanford Guide has made its resources related to the pandemic available without a digital subscription."
Access is available on the Web, on IPhone or IPad, and Android devices.

 

Access App

"Learn when you want, where you want, and how you want. Access is your personal medical resource library that makes studying easier and more efficient. Currently available in its preview phase, as early adopters, you have the opportunity to shape the future of optimized and personal medical education. Access personalizes and tailors your medical education experience, giving you the healthcare content you need, on the go, even when you’re offline."

Be sure to create an account on Access Medicine first (on a desktop) and then use those credentials to log into the app.

Inclusive Language & Mental Health Environments

Healthcare is an ever-changing and dynamic environment. It is important that providers in all fields learn the language and skills to compassionately care for patients of vast backgrounds and mental health status. The following PDFs are crafted by the American Hospital Association to help healthcare workers practice such language. Take a look and feel free to print, share and spread the word in your department.

Compassionate SUD Language

Culturally Aware Language

Mental Health Conditions

People First Language

PTSD Supportive Language

Suicide Destigmatizing Language

Medal - The Medical Algorithms Company

Check out the Medical Algorithms Project, now called Medal The Medical Algorithms Company. 

It has been around for over a decade, and has 1,000s of medical care algorithms for over 45 different specialties in medicine and nursing.  

It was developed by Dr. Sriram Iyengar, Ph.D., of the School of Health information Systems, University of Texas, Houston, and the Institute for Algorithmic Medicine.  For individuals, it is still freely accessible at the URL below. 

You will need to register to gain access; it has iOS and Android apps available. This is an evidence-based clinical decision support tool, with over 22,000 plus calculators and risk scores.  

Here is the URL below:

https://www.medicalalgorithms.com/ 

Open Access Journals & Other Resources

 

Top Medical Journals

Citation Matcher

Titles From Our Print Collection

Catalog: Search for Print Resources 

ABOG Recertification

Reading List for January 2025 is now available!

Access the electronic readings lists below. Note, there will be no August reading list. The Library will no longer be providing print copies of the articles, but we will announce the full reading lists here with live links to each citation. 

 

 

 

  • August 2025 Reading List - COMING SOON

 

The ACOG Practice Advisory linked below has been added to the 2023 MOC from ABOG in the Emerging Topics section:

Maternal Respiratory Syncytial Virus Vaccination

Articles of Interest - From our Subscriptions

Postoperative Nausea and Vomiting in Pediatrics: Incidence and Guideline Adherence—a Retrospective Cohort Study

 Portnoy, Y. , Glebov, M. , Orkin, D. , Katsin, M. & Berkenstadt, H. (2025). Postoperative Nausea and Vomiting in Pediatrics: Incidence and Guideline Adherence—a Retrospective Cohort Study. Anesthesia & Analgesia, 141 (1), 77-85. doi: 10.1213/ANE.0000000000007291.

Abstract

BACKGROUND:

Postoperative nausea and vomiting (PONV) in pediatric patients is a common and clinically significant postoperative complication. The incidence of PONV has not been extensively studied in large pediatric cohorts. Furthermore, in 2020, the Fourth Consensus Guidelines for the management of PONV were published. However, the association between perioperative factors and adherence to these guidelines remains unclear. This study aims to assess both the incidence of PONV and guideline adherence within a large and diverse pediatric population.

METHODS:

We conducted a retrospective observational study at a large tertiary medical center, including pediatric patients (≤18 years) who underwent surgery between September 2020 and March 2023. We conducted a retrospective analysis of data from our electronic health records, focusing on patient demographics, surgical details, anesthesia details, and prophylaxis for PONV. We calculated the incidence of PONV and used multivariable logistic regression to identify the predictors of guideline adherence.

RESULTS:

The cohort included 3772 patients with a median (interquartile range [IQR]) age of 9.21 (3.55–14.68) years. The incidence (95% confidence intervals) of early PONV was 1.0% (0.7–1.4) and 3.8% (3.2–4.5) for delayed PONV. Adherence to the fourth consensus guidelines for PONV management was observed in 32.5% (31.0–34.0) of cases. A high risk of PONV was identified in 55.9% (54.3–57.5) of the patients. The most common number of PONV risk factors was 3, observed in 1151 patients (30.5% [29.1–32.0]). Significant predictors of guideline adherence included the intraoperative use of long-acting opioids (odds ratio [OR], 2.711, P < .001) and age ≥3 years (OR, 2.074, P < .001). Nonadherence was associated with a higher incidence of PONV at 24 hours postsurgery (4.4% (3.6–5.2) vs 2.7% (1.9–3.8), P = .012). Factors such as specific high PONV risk surgeries ( P = .001), maintenance with inhalational agents solely ( P = .017), and neostigmine use ( P < .001) were also all statistically significant.

CONCLUSIONS:

Our study revealed a lower-than-expected incidence of PONV in pediatric patients, highlighting the need for standardized definitions and improved reporting. Adherence to PONV guidelines was suboptimal, emphasizing the need for better implementation strategies.

Sexual Trauma, Suicide, and Overdose in a National Cohort of Older Veterans

 
Hargrave, A. S. , Cohen, B. E. , Gibson, C. J. , Keyhani, S. , Li, Y. , Boscardin, J. W. & Byers, A. L. (2025). Annals of Internal Medicine, 178 (6), 775-787. doi: 10.7326/ANNALS-24-01145.

Abstract

Background:

Little is known about the association between military sexual trauma (MST) and risk for suicide-related outcomes later in life.

Objective:

To determine the association between MST and risk for suicide, overdose, and related mortality among older men and women at specific age landmarks and to investigate whether posttraumatic stress disorder (PTSD) modifies risk.

Design:

Longitudinal cohort study; baseline in 2012 to 2013, with follow-up through 31 December 2020.

Setting:

All U.S. Department of Veterans Affairs (VA) medical centers in the United States.

Participants:

5 059 526 veterans aged 50 years or older.

Measurements:

Positive MST screening result, nonfatal suicide attempt, death by suicide, or overdose death.

Results:

MST was documented for 15.7% of older women and 1.3% of older men. The adjusted cumulative incidence of any suicide attempt was higher for those with MST (men, 18.67%; women, 8.66%) than for those without MST (men, 6.25%; women, 2.92%) at age 90 years. The adjusted risk differences among men and women were 12.41% (95% CI, 11.72% to 13.10%) and 5.74% (CI, 5.22% to 6.26%) for any late-life suicide attempt, 11.92% (CI, 11.27% to 12.57%) and 5.58% (CI, 5.08% to 6.08%) for nonfatal suicide attempt, 0.27% (CI, 0.00% to 0.54%) and 0.15% (CI, 0.00% to 0.30%) for fatal suicide attempt, and 1.05% (CI, 0.79% to 1.31%) and 0.48% (CI, 0.28% to 0.68%) for any drug overdose at age 90 years. MST remained a significant risk factor for any suicide attempt among people with and without PTSD.

Limitations:

Selection bias, generalizability to non-VA veterans, possible unmeasured confounding, and missingness.

Conclusion:

Late-life suicide attempt and death by suicide or overdose are associated with prior MST. These findings advance our understanding of the lasting effect of sexual trauma on suicide risk and mortality and suggest that monitoring and treatment of MST-related conditions are vital over the long term.

Long‐term benefits of single‐dose psilocybin in depressed patients with cancer

 Agrawal, M. , Roddy, K. , Jenkins, B. , Leeks, C. & Emanuel, E. (2025). Long‐term benefits of single‐dose psilocybin in depressed patients with cancer. Cancer, 131 (12), e35889. doi: 10.1002/cncr.35889.
 

Excerpt:

Approximately 25% of people living with cancer have depression that can impact treatment outcomes. Physicians have limited tools to effectively manage mental health care in these patients. Psilocybin has demonstrated efficacy in treating depression; however, there are no data on its long‐term effectiveness for depression.
We evaluated the length of impact of psilocybin combined with psychological support in 30 patients with cancer and diagnosed with major depression disorder (MDD). By 2 months, 80% of patients experienced significant reduction in depression severity scores,  This report evaluates depression reduction at 24 months.
 
 Porter, L. , Wijntjes, K. , Simons, K. , van den Boogaard, M. , Custers, J. & Zegers, M. (2025). Beyond Functional Outcomes: Exploring Quality of Life After Critical Illness—A Qualitative Study. Critical Care Medicine, 53 (6), e1190-e1201. doi: 10.1097/CCM.0000000000006665.

Abstract

OBJECTIVES:

 
After ICU admission, the quality of life (QoL) of ICU survivors is often significantly lower compared to their peers. However, recent studies showed that this impaired QoL cannot be fully explained by the physical, mental, and cognitive problems post-ICU, alluding to other determinants of QoL. Therefore, we aimed to explore ICU survivors’ experienced QoL 1–2 years post-ICU, focusing on factors beyond functional outcomes.

DESIGN:

Qualitative interview study.

SETTING:

Seven hospitals in the Netherlands.

PATIENTS:

ICU survivors aged greater than or equal to 16 years admitted to the ICU between July 2022 and January 2023.

INTERVENTIONS:

None.

MEASUREMENTS AND MAIN RESULTS:

ICU patients were purposively sampled. Interviews were audiotaped, transcribed, and analyzed according to the principles of thematic content analysis. All interviews were coded independently by two researchers and participant recruitment was continued until no new themes were identified. Twenty-four semistructured interviews were performed between March and June 2024. The interviews resulted in 28 categories, from which seven main themes emerged regarding patients’ experienced QoL: functional impairments (e.g., physical problems), participation (e.g., independence, work), support (e.g., informal care), environment (e.g., financial resources, personal circumstances), individual values (e.g., perspective on life, religion), comparison (e.g., expectations, reference), and coping (e.g., adaptation, acceptance). Patients described how these themes affected their QoL, both positively and negatively.

CONCLUSIONS:

This study shows that perceived QoL after critical illness is impacted not only by patients’ functional impairments but also by participation, support, environment, individual values, comparison, and coping. The themes identified in this study stress the importance of considering patients’ individual and context factors to provide optimal post-ICU support.
 Alvarez, R. , Huh, W. , Connolly, A. , Young, A. , Alston, M. , Advincula, A. , Dalrymple, J. , Johnson, D. , Goff, B. , Cedars, M. & Coutifaris, C. (2025). A Framework for Building Surgical Competence in the Practice of Gynecology. Obstetrics & Gynecology, 146 (1), 27-33. doi: 10.1097/AOG.0000000000005925.
 

Abstract:

This report summarizes key points from a session at the 2024 American Gynecological & Obstetrical Society Annual Meeting focused on developing a framework on how to build and sustain competency in gynecologic surgical skills, an issue of importance for both graduating residents and practicing obstetricians and gynecologists. Recommendations include increasing focus in surgical skill training and adopting a culture of competency guided by Accreditation Council for Graduate Medical Education–directed curriculum flexibility and evolving American Board of Obstetrics and Gynecology, Inc. competency-based initial and continuing certification processes.

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American Academy of Pediatrics Resources

As of November 2021, all publications via the AAP have been on a single platform All journals subscribed to by the Library will be housed on the following pages, which will be made available on the Library site:

Briggs

These helpful guides on how to access Briggs Drugs in Pregnancy have been shared by a fellow Ascension Librarian in Wisconsin.

How to get to Briggs Drugs in Pregnancy & Lactation through Lexicomp

Briggs Drugs in Pregnancy & Lactation – via LexiComp [Direct Link]

MKSAP

Medical Knowledge Self-Assessment Program 19: Parts A & B now available for check-out!

Print copies of the latest Parts A & B are available for check-out in the Library Office - not in the stacks! MKSAP 18 IS in the stacks.

The borrowing time for each volume is 2 weeks. There is only a single copy of each volume so please be mindful of your due dates.

If you have a personal subscription to the online content of MKSAP, using the print resource as a supplement is an excellent way to diversify your study game.

Blogs & Podcasts

  • Elsevier Clinical Insights
     
     
  • Not Otherwise Specified 
    • "In “Not Otherwise Specified,” Dr. Lisa Rosenbaum, cardiologist and national correspondent for the New England Journal of Medicine, defies our sound-bite culture to go deep with some of medicine’s most innovative thinkers. Her guests’ stories and ideas about health care’s toughest challenges and greatest promise may change the way you think about medicine, health, and society."

Guideline Resources

Academy Websites & Publisher's Open Access  

Official Government Guidelines

The US government's National Guideline Clearinghouse is a repository of US clinical practice guidelines as well as some international guidelines with the goal of improving patient safety standards and healthcare measures.  Click on the NGC links below to take you to the URLs, to the link for the Agency for Healthcare Research and Quality, and to the link to the US government site for the Preventive Taskforce guidelines.

Governments & Free Agency Websites

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