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It's my pleasure to welcome back, Dr. Megan Landis, to EM Quick Hits for part two of our two-part

quick hit series on what ED docs need to know about HIV. All right, if you haven't listened to

part one, where we outline why we need to have HIV on our radar, how to recognize it, and how to

test for it, please go ahead and listen to that quick hit.

In this quick hit, we're going to talk about HIV post-exposure prophylaxis pep and

pre-exposure prophylaxis prep. I personally find this one pretty challenging because patients are

often understandably exceedingly anxious.

There seems to be a lot of uncertainty about the risk of HIV transmission, and I find

the patient interaction ultimately is rarely satisfying. So we need to talk about source risk for

transmissible HIV, risk of HIV transmission by type of exposure

from an HIV positive source, and risk assessment for PEP initiation. So let's start with

what is PEP and what are the benefits of giving PEP? So again, we're talking about post-exposure

...