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

Open Access Journals & Other Resources

 

PICO Search

Options:

Top Medical Journals

Citation Matcher

Titles From Our Print Collection

Catalog: Search for Print Resources 

ABOG Recertification

Reading Lists for 2026 are 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! 

 

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:

The Medical Letter

"We want to make sure you are aware of the valuable features of The Medical Letter on Drugs and Therapeutics so you can immediately maximize the benefits and find what you need.

We have prepared this brief Getting Started Guide to provide your users with tips on how best to use your new subscription to The Medical Letter."

Getting Started Guide. [Power Point Download]

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/ 

Library Request FormUse this form to request
* Literature Searches
* Journal Article(s)
* Book Chapter
* or Borrow a Book

Ascension Resources

Ascension Patient Health Library

"Ascension has partnered with WebMD Ignite on a new Patient Health Library, which has recently launched on Ascension.org. This library increases our community's access to trusted education content in video, digital, and print formats, in both English and Spanish. By keeping patients, their family and friends informed throughout their journey, we can improve health outcomes, build trust and reinforce out Vision of health, healing and hope for all."

Ascension Care Management Library

This tool is a Health Encyclopedia that lists medical terms in A - Z fashion. Select "Search Clinical Content" for provider educational entries, or select "Search Patient Health Library" for quick references for the patient side of health questions. 

What's Trending

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]

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

    • 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."

  • 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.

    Merck Manuals

    First published in 1899 as a small reference book for physicians and pharmacists, The Manual grew in size and scope to become one of the most widely used comprehensive medical resources for professionals and consumers. As the Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information of the day to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers.

    Clinical Key

    This app allows our nurses and allied health professionals to access our new point of care tools directly from their mobile devices, empowering them to make informed clinical decisions and enhance patient care by finding the most relevant answers wherever they are.

Miscellaneous Resources

Rethinking the Autism "Epidemic": What's Driving the Rise in Diagnosis

JAMA
Published Online: April 22, 2026
Podcast 36 min 6 sec

"What is behind the rise in autism diagnoses? Join Jeremy Veenstra-VanderWeele, MD, professor of developmental neuropsychiatry at Columbia University, and JAMA Psychiatry Editor Dost Öngür, MD, PhD, as they discuss the history of autism spectrum disorder, the role that genetics and environmental factors play, the importance of early intervention in treatment, and more with JAMA Senior Editor Derek Angus, MD, MPH."

Articles of Interest - From our Subscriptions

The Myth of Depth of Anesthesia Monitors: When a “Normal” Bispectral Index Does not Mean What You Think It Means

García, P. & Goldstein, P. (2026). The Myth of Depth of Anesthesia Monitors: When a “Normal” Bispectral Index Does not Mean What You Think It Means. Anesthesia & Analgesia, 142 (6), 1050-1054. doi: 10.1213/ANE.0000000000007934.

Excerpt:

First approved in October 1996, the bispectral index (BIS) monitor was the first electroencephalogram (EEG)-based “depth of anesthesia” monitor promoted as a means to guide titration of hypnotic medications. In 2004, the US Food and Drug Administration (FDA) supported its use as a means of minimizing the risk of intraoperative awareness with recall during administration of a general anesthetic. Although the first large randomized control trial (B-Aware) to explicitly test this latter hypothesis confirmed that prediction, subsequent work by Avidan et al demonstrated that in a high-risk surgical population, simply measuring end-tidal anesthetic-agent concentration (ETAC) and maintaining age-adjusted ETAC > 0.7 was equally efficacious in preventing that outcome. Although ETAC is irrelevant in the setting of total intravenous anesthesia, a similar result might be expected if a study were conducted with a minimum dose of propofol. Yet, if setting a dose “floor” is as effective as titrating to a BIS number in preventing unintended awareness during general anesthesia, the question remains: what exactly are we “titrating” our hypnotic medications toward? Is it to some proprietary, algorithmic abstraction (the BIS index) that purports to quantify anesthetic “depth?” And what, precisely, is “depth of anesthesia?” Is the patient whose BIS reads 30 more “unconscious” than one who demonstrates a BIS value of 50? What do those numbers mean—clinically, mechanistically, or even philosophically? This brings us to the article at hand. This echoes the concern raised over a decade ago, and others have questioned what it even means to “monitor the brain for anesthesia,” and whether a single metric can meaningfully represent the hypnotic state.

Functional Status of Adults at Risk of Medicaid Disenrollment Under National Work Requirements

 
Vyas, D. A. , Mein, S. A. , Tale, A. P. & Wadhera, R. K. (2026). Annals of Internal Medicine, 179 (5), 666-672. doi: 10.7326/ANNALS-25-04811.

 

Abstract

Background:

The One Big Beautiful Bill Act (H.R.1) implemented Medicaid work requirements for beneficiaries in states participating in the Affordable Care Act, but congressional policymakers are considering extending work requirements nationally to all Medicaid enrollees. However, little is known about Medicaid-enrolled adults at risk of disenrollment.

Objective:

To assess the functional status and overall health of adults at risk of Medicaid disenrollment under national work requirements.

Design:

Cross-sectional study.

Setting:

Medical Expenditure Panel Survey, 2022-2023.

Participants:

Adults aged 19 to 64 years enrolled in Medicaid who did not meet common H.R.1 exemption criteria. Beneficiaries were classified as at risk of disenrollment if they worked less than 20 hours per week.

Measurements:

Measures of functional impairment across physical, neuropsychological, and independent living domains and composite measures of physical and mental health.

Results:

The annual weighted population of Medicaid beneficiaries aged 19 to 64 years was 16.5 million (mean age, 40.5 years; 54.4% female). Among these enrollees, 50.4% or 8.3 million (SE ±0.5 million) would be at risk of disenrollment by working too few hours. Compared with beneficiaries meeting work requirements, those at risk of disenrollment reported higher levels of functional impairment across physical, neuropsychological, and independent living domains. Proportions with poor self-reported health were also higher among beneficiaries at risk of disenrollment than those reporting better health (poor physical health: 32.7% vs. 10.9% and poor mental health: 28.2% vs. 19.5%, respectively).

Limitation:

Self-reported measures and inability to capture all exemption criteria.

Conclusion:

Under national Medicaid work requirements considered by Congress, half of all beneficiaries would be at risk of disenrollment even though they had greater functional impairment and poorer health than those who were not at risk. These impairments might not meet formal disability criteria but could compromise enrollees' ability to adhere to work requirements, thereby increasing their risk of coverage loss.

The American Cancer Society National Lung Cancer Roundtable strategic plan: Challenges in clinical guideline recommendations for biomarker testing in lung cancer

Patel SA, Heald JL, Nead M, et al. The American Cancer Society National Lung Cancer Roundtable strategic plan: challenges in clinical guideline recommendations for biomarker testing in lung cancer. Cancer. 2026;e70384. doi:10.1002/cncr.70384

Abstract

Molecular profiling has revolutionized the diagnosis and management of patients with non-small cell lung cancer (NSCLC), enabling personalized treatment approaches that have significantly improved patient outcomes. Identifying specific gene mutations and protein expression profiles guides therapeutic decisions and has become standard in the management of patients with NSCLC. Multiple organizations have published guidelines for biomarker testing. However, differences in the timing, methodology, and scope of recommended targets create potential for inconsistencies in clinical practice. This article reviews the clinical importance of biomarker testing in NSCLC, compares major guidelines, and highlights the challenges and implications of guideline variability in formulating recommendations on biomarker testing for patients with NSCLC.

 
 
Vavilala, M. , Lujan, S. , Velonjara, J. , Bell, M. , Guadagnoli, N. , Wang, J. , Mock, C. , Weiner, B. & Petroni, G. (2026). Results of the Pediatric Guideline Adherence and Outcomes (PEGASUS) Program Versus Usual Care Pragmatic Randomized Controlled Trial in Severe Traumatic Brain Injury. Critical Care Medicine, 54 (6), 1442-1453. doi: 10.1097/CCM.0000000000007118.
 

Abstract

OBJECTIVES:

High-quality approaches to increase evidence-based severe traumatic brain injury (TBI) practice is lacking. We examined whether a facilitated, multilevel program improves TBI guideline adherence in children with severe TBI, including extracranial injury patients. The primary outcome was first 3-day cumulative ICU TBI guideline adherence rate for all and stratified by extracranial injury.

DESIGN:

This was an open-label, pragmatic, multicenter, phase 3, superiority, parallel cluster randomized controlled trial. Unadjusted and adjusted percent differences were based on intention-to-treat.

SETTING:

Sixteen South American hospitals (14 Argentina, one Chile, and one Paraguay) regularly treating pediatric patients with severe TBI participated.

PATIENTS:

Patient inclusion criteria were younger than 18 years, severe TBI (Glasgow Coma Scale [GCS] score ≤ 8 or, if intubated, motor GCS ≤ 5), and ICU admission.

INTERVENTIONS:

Sites provided usual care ( n = 8) or the Pediatric Guideline Adherence and Outcomes (PEGASUS) intervention ( n = 8) to participating patients. The PEGASUS intervention included checklists, case reviews, and other components designed to improve adherence to Brain Trauma Foundation pediatric guidelines.

MEASUREMENTS AND MAIN RESULTS:

Three hundred eighty-nine patients were enrolled (208 control and 181 intervention). Control patients had less extracranial injury than intervention patients (70.7% vs. 82.9%; p = 0.005). TBI guideline adherence rates were 83.7% for control and 84.4% for intervention arms. There was no overall difference in adjusted first 3-day cumulative guideline adherence rate between arms (0.1% [–3.3% to 3.5%]). Intervention sites achieved higher guideline adherence rates than control sites in patients with isolated severe TBI (7.9% [1.9–13.8%]; p = 0.01).

CONCLUSIONS:

Implementing an evidence-based TBI program was not superior to usual care in increasing first 3-day cumulative ICU TBI guideline adherence rates in all children with severe TBI. However, implementation increased adherence rates in children with isolated severe TBI.
Granillo Arce, M. , Montgomery, A. , Koo, K. , Koritsanszky, L. , Crevecoeur, T. , Fox, E. , Khoury, R. , Louis, K. , Ameresekere, M. & Truong, S. (2026). Centering Reproductive and Migrant Justice. Obstetrics & Gynecology, 147 (6), e129-e140. doi: 10.1097/AOG.0000000000006289.
 

Abstract

Forced displacement has profound detrimental consequences on reproductive health, including maternal morbidity and mortality. Pregnant newcomers are a particularly high-risk group and are susceptible to adverse reproductive health outcomes due to the interplay of migration, sexual violence, trauma, disrupted care, racism, and xenophobia. Newcomers have higher rates of preventable pregnancy-related risk factors such as delayed prenatal care, malnutrition, and exposure to infectious diseases, in addition to structural, socioeconomic, language, and cultural barriers to accessing comprehensive pregnancy and abortion care. Perinatal mental health conditions are more prevalent among newcomers (particularly refugees and asylees), but they face greater barriers to accessing mental health care. In this perspective piece, we share two clinical cases that demonstrate how—at the intersection of reproductive justice and migrant justice—dismantling inequities in newcomer reproductive health requires interdisciplinary, trauma-informed, culturally responsive, and linguistically accessible care. We present best practices from an interdisciplinary model for newcomer pregnancy care. We end with a call to action for improving birth outcomes and experiences for newcomer patients.

 

 

 

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