NEJM Journal Watch - General Medicine

Antibiotic Prophylaxis for Patients with Cirrhosis and Upper Gastrointestinal Bleeding

High-quality evidence to support this practice is lacking.

Observations from ID and Beyond: When Required Learning Modules Surprise You (In a Good Way)

Dr. Paul Sax is pleasantly surprised by a required online learning module, in HIV and ID Observations.

Contingency Management for Stimulant Use Disorder: Real-World Evidence

This approach — providing a tangible reward for reducing stimulant use — was associated with significant reduction in mortality.

Intra-Arterial Tenecteplase After Stroke Thrombectomy: More Data, More Questions

A randomized trial in China finds improved outcome with intra-arterial tenecteplase following thrombectomy, but further confirmatory trials are needed.