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Noninvasive Ventilation Can Be Used Safely for Patients with COVID-19
When appropriate precautions (adequate room ventilation, use of total face masks, dual-limb circuits, and filters) are used, environmental contamination of SARS-CoV-2 during noninvasive ventilation is low. Noninvasive ventilation does not appear to increase the risk of COVID-19 infection for healthcare workers or patients when precautions are applied.
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Healthcare Workers Weather Respiratory Onslaught
In a seemingly interminable viral winter, healthcare workers are facing a rare convergence of a pandemic virus and unusually high levels of seasonal flu and respiratory syncytial virus. Some are tired and sick; others sick of being tired. As EDs stretch capacity to the limits to treat respiratory patients, others with various conditions and critical needs are backed up.
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Physicians Can Suffer Moral Injury if Oath to Patients Is Broken
Long before the pandemic, physicians were suffering from “moral injury” — a violation of one’s values, ethical code, or sworn duty — because too often they had to choose between their patients and the profits and performance measures of corporate medicine, claims the author of a new book.
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OSHA COVID-19 Draft Rule in Healthcare Expected Soon
As this report was filed, OSHA had finalized the COVID-19 standard to protect healthcare workers and submitted it to the White House. On Dec. 8, 2022, OSHA sent the standard to the Office of Management and Budget, with a decision on its fate expected sometime in early 2023.
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OSHA Violence Prevention Draft Regulation Expected in 2023
With the COVID-19 standard moving through the final stages toward finalization, OSHA is expected to next issue a violence prevention draft standard for healthcare in 2023.
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CDC Updates Rabies Guidance for Healthcare Workers
The CDC has updated its guidelines for occupational exposure to rabies to emphasize the rare but real risk to healthcare workers.
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Pregnancy in Abortion-Ban States Is Becoming More Dangerous
Maternal care and delivery services already are lacking for many pregnant people in the United States, especially in states that have enacted the most restrictive abortion bans nationally. The COVID-19 pandemic and subsequent healthcare labor shortages resulted in more hospitals ending maternal care and delivery. The overturn of Roe v. Wade likely will worsen this already worrisome situation as fewer ED physicians will be trained and experienced in performing an abortion procedure — even to save a pregnant patient’s life.
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Potentially Wide-Ranging Effects of Abortion Bans on Women’s Health and Safety
In June 2022, the Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization overturned the constitutional right to abortion care. Data are not yet available on whether medical schools and residency programs in abortion-ban states will teach students about abortion or provide any opportunities for hands-on experience with abortion care. Or they could be taught abortion procedures without actual human patients. Media reports indicate that medical students are using papayas in place of a cervix to learn the procedure in some cities.
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Premenstrual Anxiety, Mood Swings Are Common Among Women Worldwide
New research shows that women worldwide experience unpleasant premenstrual symtoms, including food cravings (85%) and mood swings or anxiety (64%). Other reported symptoms included fatigue, irritability, bloating, and breast tenderness.
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Telehealth for Contraception Works, Increasing Access for Patients
Contraceptive care providers and staff wish to sustain telehealth long past the COVID-19 pandemic era in which telehealth was more widely used, according to a recent study of telehealth in Illinois.