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CDC: Vaccinated Healthcare Workers Can Take Breaks Together Without Masks
Many healthcare workers suffering personal protective equipment fatigue, burnout, and some level of exhaustion may welcome new guidelines by the Centers for Disease Control and Prevention that fully vaccinated staff can gather maskless in break rooms and dining areas to converse and eat.
IPs at a Crossroads: Change Is Coming in Pandemic Aftermath
Will an aging and potentially burned-out workforce be able to retain and recruit infection preventionists (IPs), capitalizing on the value they have demonstrated during the COVID-19 pandemic? The larger question is if IPs can go beyond the hospital, bringing their expertise into many vulnerable areas exposed by the pandemic.
FDA, CDC Back COVID-19 Vaccine for Adolescents
The Pfizer/BioNTech solution will be available for Americans age 12 to 15 years.Report: U.S. Nurse Workforce to Play Pivotal Role Over Next Decade
National Academy of Medicine calls on extra funding, more comprehensive education, and expanded practice authority.Is a Vacuum-Induced Device Effective for Control of Postpartum Hemorrhage?
In this multicenter study across 12 centers in the United States, a vacuum-induced intrauterine device successfully treated 94% of participants who experienced a postpartum hemorrhage with a median time of three minutes to control of bleeding.
Anticholinergic Use for Three Months or More Increases Dementia Risk
There is a significant increase in dementia risk associated with the use of anticholinergic medications for three months or longer.
Does Maternal BMI Influence the Success of Trial of Labor After Cesarean?
In this retrospective cohort study between May 2007 and April 2016, women undergoing a trial of labor after cesarean (TOLAC) were analyzed to determine if pre-pregnancy or delivery obesity status made an impact on TOLAC success. Overall, maternal body mass index did not have a significant effect on TOLAC success rates.
Tranexamic Acid for the Prevention of Obstetric Hemorrhage
In this prospective, cohort, pharmacokinetic-pharmacodynamic (PKPD) dose-finding study by Ahmadzia and colleagues, 30 pregnant women (10 women in each study arm) received 5 mg/kg, 10 mg/kg, or 15 mg/kg doses of tranexamic acid for the prevention of postpartum hemorrhage. Advanced PKPD modeling demonstrated that 600 mg of tranexamic acid was the optimal dose to use in the prevention of postpartum hemorrhage.
Effective Remote Communication Improves End-of-Life Care
Even in the post-COVID-19 era, the remote communication techniques that were an invention of necessity during the pandemic likely will remain.
Poor Agreement Between ED Patients and Physicians on Goals of Care
Ideally, goals of care discussions do not happen for the first time when the patient presents to the ED. When goals of care conversations are held earlier in a patient’s disease course, advance care planning is possible. This can alleviate the use of aggressive interventions in the event the patient decompensates or does not make a meaningful recovery.