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  • Contraceptive Simulation Can Teach IUD Insertion, Extraction, and Counseling

    Family planning staff could learn a lot about contraceptive patient care from realistic simulation sessions. Researchers found positive changes in clinicians’ knowledge and confidence when they practiced inserting IUDs, removing them, and counseling patients in a realistic family planning simulation.

  • Selected Orthopedic Emergencies

    Musculoskeletal complaints are among the most seen conditions presenting to the emergency department (ED), accounting for nearly 20% of all ED visits. The majority of these diagnoses involve significant patient discomfort but are not typically associated with significant morbidity. However, there are a few diagnoses that are considered true orthopedic emergencies. The emergency physician should be familiar with the evaluation and management of these critical diagnoses.

  • COVID-19 and Headache

    Headache is a common feature of acute COVID-19 infection, as well as a long-standing feature of “long COVID” after recovery from the acute infection. Treatment is symptomatic, based on the characteristics of the headache syndrome.

  • Are SGLT2 Inhibitors Effective for HFpEF Patients Without Diabetes?

    After comparing empagliflozin to placebo for patients with heart failure and preserved left ventricular ejection fraction, researchers found no differences in the significant reduction of the primary outcome of cardiovascular death or heart failure hospitalization over 36 months based on whether patients were diabetic.

  • Measure Stroke Risk with Asymptomatic Severe Carotid Artery Stenosis

    A community-based, retrospective, observational study of patients with asymptomatic severe carotid artery stenoses showed the crude stroke risk over five years was about 5%. Patients whose stenoses progress to high grade or start at that severity were at the highest risk for stroke.

  • Cirrhosis and Infections

    Infections in patients with cirrhosis are frequent and potentially lethal, with pneumonia associated with the highest risk for mortality.

  • Smallpox and Monkeypox Vaccine, Live, Non-Replicating (Jynneos)

    Jynneos can be administered to prevent smallpox and monkeypox in adults age 18 years and older who are at high risk for contracting the infections.

  • Those Anterior T Waves

    The ECG in the figure was obtained from a man in his 60s who was seen in the field for new chest pain. How might one interpret this tracing?

  • An Overview of Parasites in Pediatric Patients

    As we have learned from the recent COVID-19 pandemic, we are susceptible to infections from a diversity of locations. Awareness of infections that may travel to our emergency departments is critical to making an accurate diagnosis and institute appropriate treatment.

  • Special Report: Humbled CDC Seeks Reinvention, Culture Change

    The CDC has taken responsibility for its haphazard response to the COVID-19 pandemic in the United States, admitting to mistakes and miscalculations that often directly affected healthcare workers.