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Indications for Bioprosthetic vs. Mechanical Aortic Valve Replacement
A large U.S. database study comparing mechanical vs. bioprostheses for surgical aortic valve replacement in patients 40 to 75 years of age has shown that all-cause mortality is reduced with a mechanical valve in those age 60 years or younger.
POPular PAUSE TAVI Trial Supports Interrupting Oral Anticoagulation Before TAVR in Patients with Afib
In this investigator-initiated, open-label trial, continuing oral anticoagulation leading up to a transcatheter aortic valve replacement procedure led to more bleeding and no reduction in thromboembolic events compared with interrupting anticoagulation.
Evaluation and Management of Elbow Injuries in the Emergency Department
Elbow injuries continue to be a very common complaint that presents to the emergency department. These injuries involve a complex joint that includes many important structures, with injuries that vary greatly. It is important that emergency medicine clinicians remain prepared to evaluate, diagnose, and treat these various elbow injuries.
Self-Testing for STIs Can Help Improve Access and Reduce Outbreaks
The increasing cases of syphilis, congenital syphilis, and some other sexually transmitted infections (STIs) in the post-pandemic era suggest clinicians and public health departments need additional strategies and tools to combat the problem.
Vaccine Hesitancy Could Dampen Enthusiasm for Vaccines to Combat STIs
While the sexually transmitted infection (STI) prevention world’s research pipeline contains new vaccines to fight major STIs — a potentially exciting development — there also is concern about growing vaccine hesitancy and misinformation in the United States.
Abortion Training Increasingly Affected by Dobbs Decision
OB/GYN abortion training programs have been negatively affected by logistical and financial burdens in the nearly three years since the U.S. Supreme Court overturned Roe v. Wade and universal abortion access rights with its decision in Dobbs v. Jackson Women’s Health Organization on June 24, 2022.
Pharmacists Increasingly Prescribe Hormonal Contraception
Increasing evidence shows that pharmacists are capable of prescribing hormonal contraception and even prescribing abortion medication in states with laws protecting women’s access to abortion care.
Contraceptives Can Be Used to Prevent Cancer, Help with Multiple Medical Conditions
Contraceptives can help patients who are experiencing other conditions, including menstrual pain, endometriosis, heavy menstrual bleeding, menopause, and disabilities.
Airway Management in Trauma
Rapid assessment and management of the airway in trauma patients is critical, and timely, decisive, and skillful intervention often can make the difference between life and death. Every emergency medicine physician must have an escalating stepwise approach to securing even the most difficult airway. The authors comprehensively review the initial airway assessment, basic and advanced methods and techniques for establishing a definitive airway through endotracheal intubation and surgical airways, airway adjuncts, medications selection, and strategies to address specific factors that complicate airway management in trauma.
Managing Pediatric Bone Infections
Pediatric osteoarticular infections may be subtle in their presentation, and clinicians must have a high degree of suspicion to make a timely diagnosis and institute appropriate therapy. The authors provide the essential information clinicians require to understand the presentation, diagnostic evaluation, and management of bone and joint infections in this population.