Infectious Disease
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Is There AV Block?
The long lead II rhythm strip in the figure was recorded at the standard 25 mm/second speed. This tracing was obtained from a middle-aged woman who presented to an outpatient clinic with noncardiac chest pain. How would one interpret this rhythm? Are there signs of AV block? Is it apparent if there is a cardiac problem?
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Esketamine Nasal Spray (Spravato) CIII
Esketamine, in conjunction with an oral antidepressant, is indicated for the amelioration of treatment-resistant depression in adults.
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Witness Observations in Diagnosing Transient Loss of Consciousness
Investigators found that adding witness-reported observations to patient demographics and patient-reported symptoms improved the diagnostic accuracy between epilepsy, syncope, and psychogenic nonepileptic seizures.
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Medication First? Ablation First? Either Way, Make Weight Loss a Priority
Weight loss management and aggressive risk factor modification associated with slowing or even reversal of atrial fibrillation progression.
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Behavioral Interventions in Adults for Weight Loss or Weight Loss Maintenance
The U.S. Preventive Services Task Force evaluated the risks and benefits of interventions for weight loss and weight loss maintenance to prevent complications from obesity. Panelists found a moderate net benefit from weight loss-intensive behavioral interventions.
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New CDC TB Guidelines Will Emphasize Blood Tests
Workflow may get a little smoother for infection preventionists who also wear an occupational health hat. The CDC is expected to soon issue new tuberculosis testing guidelines for healthcare workers that will end routine annual TB screening in favor of a baseline test on hire and retesting after an occupational exposure. -
IPs Prepare for Ebola as Outbreak in Africa Continues
As an Ebola outbreak continues in the Democratic Republic of Congo, infection preventionists again face the threat of an ill traveler from the region walking through the doors of their EDs. -
Once in Retreat, MRSA Makes a Stand
The CDC is no longer on track to meet the 2020 goal of a 50% reduction in hospital-onset MRSA bloodstream infections from the 2015 baseline. -
Vaccines: We Forget the Past, Risk Repeating It
"The antivaccine sentiment is so deeply rooted. In my experience, and also in talking to my colleagues, it is very difficult to change the mindset of people who are intensely antivaccine."
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A Patient Tale That Beggars Belief
Amid ongoing measles outbreaks and the threatened return of other vaccine-preventable diseases, we begin with a single case that speaks to the intensity of resistance some parents have to childhood immunizations.