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Toxicology Sessions - Plan B and Emergency Contraception

Stuart Swadron, MD, FRCPC and Sean Nordt, MD PharmD FAAEM
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11:18
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Nurses Edition Commentary

Mel Herbert, MD MBBS FAAEM, Lisa Chavez, RN, and Kathy Garvin, RN
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01:43

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EM:RAP 2014 August - Summary 1 MB - PDF

Your obese patients may need a new plan besides Plan B when it comes to emergency contraception.

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Pål AW -

Hello. This is an interesting topic however it does not concider recent development in Europe: In the fall of 2013 Sweden asked the European medicines agency(EMA) to review the data in the article cited in this segment. Work started in january 2014.

The conclusion was presented this summer and can be read here: http://www.ema.europa.eu/ema/index.jsp?curl=pages/news_and_events/news/2014/07/news_detail_002145.jsp&mid=WC0b01ac058004d5c1

EMA has concidered several studies and the proposed limitation in prescribing or over-the counter distribution to women over a certain bodyweight(cutoff in europe at 75-80 kg)is not longer warranted.

AKamata -

The MOST effective form of emergency contraception (EC) is the copper IUD. Does not wane in efficacy w/ time or wgt. If an ED has a close relationship w/ Gyn and can have patient f/u in a clinic same day or next day, placing an IUD is quite efficacious and gives the benefit of long term birth control. Patients should be counseled on ALL forms of EC to make the best decision for herself.

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Episode 155 Full episode audio for MD edition 275:00 min - 131 MB - M4AEM:RAP 2014 août Résumé en Francais Français 65:33 min - 60 MB - MP3EM:RAP 2014 August Aussie Edition Australian 73:57 min - 102 MB - MP3EM:RAP 2014 August Canadian Edition Canadian 30:52 min - 43 MB - MP3EM:RAP 2014 Augusto Resumen Español Español 83:27 min - 77 MB - MP3EM:RAP 2014 August MP3 359 MB - ZIPEM:RAP 2014 August - Summary 1 MB - PDFEM:RAP 2014 August Board Review Questions 379 KB - PDFEM:RAP 2014 August Board Review Answers 421 KB - PDF

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