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By Stephen Miller Director EM Simulation Dalhousie University and Div. of Medical Education. Director Skilled Clinician Program Undergraduate Medical Education. MD, FCFP(EM) MEd
Jeremy S Furyk, Kevin Chu, Colin Banks, Jaimi Greenslade, Gerben Keijzers, Ogilvie Thom, Tom Torpie, Carl Dux, Rajan Narula
STUDY OBJECTIVE: We assess the efficacy and safety of tamsulosin compared with placebo as medical expulsive therapy in patients with distal ureteric stones less than or equal to 10 mm in diameter. METHODS: This was a randomized, double-blind, placebo-controlled, multicenter trial of adult participants with calculus on computed tomography (CT). Patients were allocated to 0.4 mg of tamsulosin or placebo daily for 28 days. The primary outcomes were stone expulsion on CT at 28 days and time to stone expulsion...
January 2016: Annals of Emergency Medicine
Julie L Welch, Dylan D Cooper
No abstract text is available yet for this article.
June 2014: Annals of Emergency Medicine
Philip Kaye, Matthew Govier
Many emergency patients present with cardiac arrhythmias requiring emergency direct current countershock cardioversion (DCCV) as a part of their management. Almost all require sedation to facilitate the procedure. Propofol has been used for procedural sedation in Emergency Medicine since 1995. In 1996, in a review article in Anaesthesia, it was recommended as the drug which most closely approaches the ideal agent for DCCV. However, the existing evidence for the dosage requirements and safety of propofol in emergency DCCV is limited...
November 2014: Emergency Medicine Journal: EMJ
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