Literature Review

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Brian T. -

I just wanted to make sure the community knew that the Colchicine for Acute Pericarditis NEJM paper reviewed on EM:RAP is in-fact a repeat and confirmation of previous findings (mostly). The same group ran essential the same trial, randomized but not blinded in 2005, and had essentially identical findings:
•Decreases symptoms at 72 hrs, 12 vs. 37%
•Decreases recurrence, 11 vs. 32 %
•NNT = 5

brendan c. -

Thank you for finally discussing infected stone! The next obvious question is: what do you do with these people? My current practice, that urology won't always do @ first suggestion, is fever, pyelo, anything "sick" goes to OR. The remainder (who urology says to d/c) go to observation. There are always exceptions, but this seems the safest approach. Mostly based on nothing except personal experience. BTW we run our own OBS unit.

Jerry J., M.D. -

I tried to look up the c-spine article discussed on the "Literature Review" topic #1. The article reportedly from "The Journal of Trauma" Sept 2012 with a title of : "Clinic Clearance of the c-spin in a patient with distracting injury. Is it time to dispel the myth?"
There is a discussion between our surgeons and myself about c-spine clearance. I went to the website to find the article and page number to give the surgeon. I searched old editions, Sept 2012 and found no such article! Was their a misquote in the date? The journal?
Your help would be appreciated.

Mel H. -

Here is the reference from PubMed:

J Trauma Acute Care Surg. 2012 Aug;73(2):498-502. Clinical clearance of the cervical spine in patients with distracting injuries: It is time to dispel the myth. Rose MK1, Rosal LM, Gonzalez RP, Rostas JW, Baker JA, Simmons JD, Frotan MA, Brevard SB.

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