It is estimated that only half of those infected with Hepatitis C Virus in the US are diagnosed and perhaps a third receive treatment. The arrival of new direct-acting antiviral medications with high cure rates has spurred the creation of…
New guidelines outlined in the ACOG & AAP Task Force Report on Neonatal Encephalopathy (NNE) include scientific updates on specific fetal heart rate patterns, sentinel events, and newborn assessment indicators that may indicate an acute intrapartum hypoxic-ischemic injury that leads…
Over 90% of obstetric-related malpractice involves EFM negligence. EFM-related malpractice claims decrease in facilities that adopt, implement, and consistently use standardized EFM terms and guidelines. Universal adoption of standardized nomenclature by every practitioner skilled in EFM is a national goal….
The majority of obstetric triage encounters include an assessment of both mother and fetus but under certain conditions, clinical data may be unavailable. EFM triage is a skill of necessity that includes a brief and rapid assessment of fetal heart…
Four out of five prescriptions for psychotropic medications in the US are prescribed by primary care providers. Psychotropic medications have a relatively high rate of adverse side effects, and are an increasing source of claims for medical malpractice. Clinical practice…
Occiput posterior (OP) malpresentation occurs 15-25% at term and 5-12% at birth, increases risk of surgical birth, and frequency coincides with category II or III FHR patterns. In an effort to reduce cesarean births, non-invasive and invasive rotational measures may…
UpToDate is an electronic learning tool that provides current, authoritative, and clinically focused information available on 10,000+ topics covering 22+ medical specialties. We integrate the best evidence with clinical experience to produce practical and detailed topics to answer physicians’ questions…
Typical interventions used during the second stage of labor frequently impede oxygen delivery and increase risk to the patient, fetus, and practitioner. Underutilization of laboring down, open-glottis breathing and upright positions by physicians is evident nationwide. This activity outlines the…
When medi-spas first appeared, spurred by advances in laser technology, they were largely unregulated. Now, many states are requiring medi-spas to be associated with a physician as an owner, supervisor or contractor. Offers are being made, and physicians of many…
Nursing home patients today are older, sicker, and more frail than ever before. Multiple chronic conditions, reduced mobility, and cognition put them at risk for polypharmacy, falls, malnutrition, and pressure ulcers. Primary care physicians not based in the nursing home…
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