MMS: Error. Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians. Myths in Emergency Medicine: Still Prescribing Oseltamivir? : Emergency Medicine News. Let's start this one at the end: Oseltamivir, better known as Tamiflu to everyone else on the planet, is a dud of a drug.
There is plenty more to discuss on the subject, but these are the highlights, courtesy of a truly remarkable and headline-making Cochrane review by Tom Jefferson, MD, and colleagues: * It does not decrease hospitalizations in patients with influenza. * It does not decrease complications of influenza. * It makes patients vomit. (NNTH=22 in adults, 19 in kids.) * It messes with the mind. . * It hurts the head. . * It can kick the kidneys. For those who heard that oseltamivir decreases the incidence of “unverified pneumonia,” this “benefit” disappeared in trials where pneumonia was more rigorously defined and diagnosed. And the benefit? It turns out that the reason they were able to make those claims was that drug companies were withholding huge chunks of data from a large number of trials.
Thankfully, we no longer have to wonder about that missing data. Rethinking cellulitis. From the February ACP Hospitalist, copyright © 2017 by the American College of Physicians By Amy Karon Busy hospitalists and emergency department physicians frequently diagnose their patients with cellulitis.
But they are often mistaken, research shows. Update on Preventative Health Checklist. Abstract Objective To describe updates to the Preventive Care Checklist Form© to help family physicians stay up to date with current preventive health care recommendations.
Quality of evidence The Ovid MEDLINE database was searched using specified key words and other terms relevant to the periodic health examination. Cardiac Monitoring Is Unnecessary for Most Patients with Chest Pain in the Emergency Department. Physiotherapy of No Benefit for Ankle Sprain. Physiotherapy after a simple acute ankle sprain does not hasten functional recovery when compared with basic self-management, according to a large Canadian randomized controlled trial.
But while the 2 groups showed little clinical difference, fewer than half of all study participants reported excellent recovery 3 months after injury, suggesting the need for more effective interventions, according to the authors. The study included 503 adults with ankle sprains that were grade 1 (mechanically stable) or grade 2 (some joint laxity) who came to either of 2 hospitals’ emergency departments. Statin Use and the Risk of Parkinson's Disease: An Updated Meta-Analysis. Comparison of Sterile vs Nonsterile Gloves in Cutaneous Surgery and Common Outpatient Dental Procedures: A Systematic Review and Meta-analysis. Ondansetron, metoclorpomide, placebo for nausea in ER. Figure 1 CONSORT diagram of patient flow.
Figure 2 Box and whisker plot of enrollment (VAS1) and 30-minute (VAS2) severity ratings for each treatment group. Figure 3 Change in rating from baseline to 30 minutes for all patients in each treatment group. Figure 4 Distribution of change in severity descriptions from enrollment to 30 minutes for each treatment group. 1=“a lot less,” 2=“a little less,” 3=“the same,” 4=“a little more,” and 5=“a lot more.” Study objective. TB screening prior to long term care admission: time to choose wisely. I recently had a patient who was accepted for admission into long-term care, and I completed the usual paperwork detailing their active problem list, past history, medications, vaccinations, and last chest x-ray (for TB screening purposes).
A few days later, I received a call from the long-term care home. The patient’s chest x-ray was not done recently enough. I checked the file. It was done 110 days ago. Naproxen With Cyclobenzaprine, Oxycodone/Acetaminophen, or Placebo for Treating Acute Low Back Pain. Importance Low back pain (LBP) is responsible for more than 2.5 million visits to US emergency departments (EDs) annually.
Spontaneous Subarachnoid Hemorrhage: A Systematic Review and Meta-analysis Describing the Diagnostic Accuracy of History, Physical Examination, Ima... Vitamin D deficiency is widely overestimated, U.S. doctors warn - Health. Vitamin D pill use grew from 5 per cent of Americans in 1999 to 19 per cent in 2012.
(Lawrence Looi/EPA) Doctors are warning about vitamin D again, and it's not the "we need more" news you might expect. Instead, they say there's too much needless testing and too many people taking too many pills for a problem that few people truly have. The nutrient is crucial for strong bones and may play a role in other health conditions, though that is far less certain. Misunderstandings about the recommended amount of vitamin D have led to misinterpretation of blood tests and many people thinking they need more than they really do, some experts who helped set the levels write in Thursday's New England Journal of Medicine.
Correctly interpreted, less than 6 per cent of Americans ages 1 to 70 are deficient and only 13 per cent are in danger of not getting enough. That's concerning, "but these levels of deficiency do not constitute a pandemic," the authors write. Yet people may think there is one. Choosing Wisely®: Things we do for no reason - Feldman - 2015 - Journal of Hospital Medicine. Efficacy, Tolerability, and Dose-Dependent Effects of Opioid Analgesics for Low Back Pain: A Systematic Review and Meta-analysis. Suicide risk and absconding in psychiatric hospitals with and without open door policies: a 15 year, observational study. To view the full text, please login as a subscribed user or purchase a subscription.
Click here to view the full text on ScienceDirect. Summary Background. Characteristics and Outcomes of Patients Presenting With Hypertensive Urgency in the Office Setting. Effectiveness of N95 respirators versus surgical masks in protecting health care workers from acute respiratory infection: a systematic review and. Efficacy and safety of paracetamol for spinal pain and osteoarthritis: systematic review and meta-analysis of randomised placebo controlled trials. Gustavo C Machado, PhD student1, Chris G Maher, director1, Paulo H Ferreira, senior lecturer2, Marina B Pinheiro, PhD student2, Chung-Wei Christine Lin, associate professor1, Richard O Day, professor34, Andrew J McLachlan, professor56, Manuela L Ferreira, associate professor17Author affiliationsCorrespondence to: G C Machado email@example.comAccepted 4 February 2015 Abstract Objective To investigate the efficacy and safety of paracetamol (acetaminophen) in the management of spinal pain and osteoarthritis of the hip or knee.