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Placenta Accreta Spectrum Among Patients Seeking Abortion
Placenta accreta spectrum (PAS) in patients seeking abortions poses significant risks, especially for those with prior cesarean deliveries. PAS, often related to prior cesarean deliveries, increases abortion-related complications. Ultrasound is key for detection, but access to skilled care may be limited because of state-based abortion restrictions, leading to worse outcomes for affected patients.
Antibiotic Choice for Preventing SSIs in Gynecologic Surgery
In a retrospective review of 3,087 patients undergoing hysterectomy or laparotomy for gynecologic surgery at a single institution who received cefazolin alone or a combination cefazolin and metronidazole for surgical prophylaxis, the combination resulted in a significantly lower surgical site infection rate (4.5% vs. 2.3%; P = 0.0115).
Malpositioned IUDs: How Easy Are They to Remove?
In this retrospective cohort study of 436 malpositioned intrauterine devices (IUDs), of the 281 that underwent removal, 82% were removed on the first attempt and 73% were removed using only ring forceps. Most embedded and partially perforated IUDs also were removed using only ring forceps (59% and 67%, respectively).
Using Deep Learning to Identify Fetal Head Position in Labor
An artificial intelligence (deep learning) model accurately detected fetal head position during the second stage of labor using transperineal ultrasound, but validation of the model on larger datasets and real-time patients before clinical use is important.
Acute Abdominal Pain in Older Adults
Abdominal pain is a common chief complaint for patients presenting to an emergency department. This article will discuss history and physical exam findings, diagnostic tools, and analgesia, as well as several, but not all, pathologies that can cause acute abdominal pain in an older adult.
Evaluation of Syncope in the Pediatric Emergency Department
Syncope is a frightening event for a child’s family. Fortunately, the majority of etiologies are benign. However, there are rare, potentially life-threatening causes of cardiac diseases that cannot be missed. The authors review and present a balanced approach to a child with syncope.
Taking a Deep Dive into Diving
This article describes the various gas laws that govern underwater physiology and common underwater trauma and mishaps.
Adverse Event Interviews Require Tact, Careful Process
Conducting an adverse event interview in healthcare is a process that requires careful planning and execution to ensure that all relevant information is gathered while maintaining a supportive environment for those involved.
Avoid Common Errors in Documentation
Documentation is fundamental to both patient safety and risk management, but quality documentation relies on adhering to best practices and avoiding some of the most common mistakes.
Respond Carefully to Notice of Intent
Receiving a notice of intent to sue is a common occurrence for hospitals and health systems, so common that it may be unclear how to respond to each one. After all, many of the notices will amount to nothing in the end, so it can be tempting to delay or even avoid a response.