#1: Wait…NO Rh Testing or RhIg Under 12 Weeks?
Spoon Feed —
In this new clinical practice guideline, the American College of Obstetrics and Gynecology (ACOG) recommends foregoing routine Rh screening and RhIg prophylaxis for patients undergoing abortion or experiencing pregnancy loss at less than 12 weeks gestation.
Source
Rh D Immune Globulin Administration After Abortion or Pregnancy Loss at Less Than 12 Weeks of Gestation. Obstet Gynecol. 2024 Dec 1;144(6):e140-e143. doi: 10.1097/AOG.0000000000005733. Epub 2024 Sep 10. PMID: 39255498
#2: Giving Diltiazem? Consider IV Calcium Pretreatment
Spoon Feed —
Pretreatment with IV calcium chloride reduces diltiazem-induced hypotension in patients with atrial fibrillation (AFib) with rapid ventricular response (RVR) without compromising heart rate control.
Source
Reducing diltiazem-related hypotension in atrial fibrillation: Role of pretreatment intravenous calcium. Am J Emerg Med. 2025 Feb;88:23-28. doi: 10.1016/j.ajem.2024.11.033. Epub 2024 Nov 17. PMID: 39577214
