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An extrication device can be used to transfer between surfaces, such as from the ED trolley to the CT table, but a scoop with head blocks is just as good
Topiramate additionally requires precaution in women of childbearing potential as topiramate is associated with oral clefts if used during early pregnancy

22,23 Historically, varicocele has been thought to cause infertility by reducing oxygenation and increasing oxidative stress in the testicular environment, but more recent evidence also implicates inflammatory and immune mechanisms

Much simpler than topical applications
