Allan B. Wolfson
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View article: Antibiotics for otitis media with effusion in children
Antibiotics for otitis media with effusion in children Open
Otitis media with effusion (OME), one of the most common diseases in early childhood, is a self-limited illness1 with an estimated recurrence rate of 50% within 24 months.2 OME is characterized by an accumulation of fluid in the middle ear…
View article: Antibiotics for culture‐positive asymptomatic bacteriuria in pregnant women can prevent pyelonephritis
Antibiotics for culture‐positive asymptomatic bacteriuria in pregnant women can prevent pyelonephritis Open
1 in 7 were helped (pyelonephritis prevented) 1 in 9 were helped (preterm birth prevented) 1 in 20 were helped (low birthweight prevented) 15% lower risk of pyelonephritis 11% lower risk of preterm birth 5% lower risk of neonates with low …
View article: Analgesic and Opioid Use for Patients Discharged from the Emergency Department with Ureteral Stones
Analgesic and Opioid Use for Patients Discharged from the Emergency Department with Ureteral Stones Open
Objective: The aim of this study was to describe and characterize the analgesic and opioid use for patients discharged from the emergency department (ED) with renal colic due to ureteral stone. Methods: This is a secondary analysis of a mu…
View article: Liberal Versus Restrictive Hemoglobin Levels as Thresholds for Blood Transfusions
Liberal Versus Restrictive Hemoglobin Levels as Thresholds for Blood Transfusions Open
No one was helped (no difference in mortality rate between the two strategies) 1 in 3 were helped (transfusion avoided with a restrictive strategy) No one was helped (no difference in mortality rate between the two strategies) 36% lower ri…
View article: Harwood-Nuss' Clinical Practice of Emergency Medicine
Harwood-Nuss' Clinical Practice of Emergency Medicine Open
SECTION I: RESUSCITATION SECTION II: HIGH-RISK CHIEF COMPLAINTS SECTION III: EYE EMERGENCIES SECTION IV: ENT AND DENTAL EMERGENCIES SECTION V: PULMONARY EMERGENCIES SECTION VI: CARDIOVASCULAR EMERGENCIES SECTION VII: VASCULAR EMERGENCIES S…
View article: Systemic Corticosteroids for Acute Exacerbations of Chronic Obstructive Pulmonary Diseases
Systemic Corticosteroids for Acute Exacerbations of Chronic Obstructive Pulmonary Diseases Open
Chronic obstructive pulmonary disease (COPD), currently the fourth leading cause of death worldwide, is characterized by respiratory symptoms and airflow limitation often caused by long-term exposure to noxious particles or gases, most com…
View article: Noninvasive Positive Pressure Ventilation for Cardiogenic Pulmonary Edema
Noninvasive Positive Pressure Ventilation for Cardiogenic Pulmonary Edema Open
1 in 17 were helped (deaths prevented) 1 in 13 were helped (endotracheal intubations prevented) 5.9% lower risk of death 7.7% lower rate of endotracheal intubations Acute cardiogenic pulmonary edema (ACPE) has traditionally been treated ph…
View article: Ketamine Versus Opioids for Acute Pain in the Emergency Department
Ketamine Versus Opioids for Acute Pain in the Emergency Department Open
No one was harmed (no serious or life-threatening adverse events) 1 in 9 were harmed (experienced neuropsychological adverse events) No one was harmed (no serious or life-threatening adverse events) 11% higher risk of neuropsychological ad…
View article: Proton Pump Inhibitors for Stress Ulcer Prophylaxis in Critically Ill Patients
Proton Pump Inhibitors for Stress Ulcer Prophylaxis in Critically Ill Patients Open
1 in 63 were helped (clinically important gastrointestinal bleeding was prevented) when compared to placebo No one was helped (no death was prevented) when compared to placebo 1.6% lower risk of clinically important gastrointestinal bleedi…
View article: Topical Antibiotics for Clinical and Microbiologic Cure of Bacterial Conjunctivitis
Topical Antibiotics for Clinical and Microbiologic Cure of Bacterial Conjunctivitis Open
Acute bacterial conjunctivitis is an infective condition frequently resulting in mucopurulent ocular discharge, bulbar and palpebral injection, and discomfort. It may be difficult to differentiate between viral and bacterial conjunctivitis…
View article: Corticosteroids for Preventing Postherpetic Neuralgia After Herpes Zoster Infection
Corticosteroids for Preventing Postherpetic Neuralgia After Herpes Zoster Infection Open
Postherpetic neuralgia (PHN) is a painful condition of persistent chronic pain following acute reactivation of varicella zoster virus. The review defines PHN as persisting or recurring pain at the site of shingles at least 1 month after th…
View article: Antiviral Medications for the Prevention of Postherpetic Neuralgia After Herpes Zoster Infection
Antiviral Medications for the Prevention of Postherpetic Neuralgia After Herpes Zoster Infection Open
Postherpetic neuralgia (PHN) is a condition of persistent, refractory pain in an area previously affected by an acute herpes zoster infection. Age remains an important risk factor for the development of PHN, with 40% of patients older than…
View article: Effect of Tamsulosin on Passage of Symptomatic Ureteral Stones
Effect of Tamsulosin on Passage of Symptomatic Ureteral Stones Open
ClinicalTrials.gov Identifier: NCT00382265.
View article: Implementation of a Novel Conference Series on Clinical Practice Variations Provides an Opportunity for Constructive Discussion of Faculty Practice Patterns: <i>Do as We Say? … or Do as We Do?</i>
Implementation of a Novel Conference Series on Clinical Practice Variations Provides an Opportunity for Constructive Discussion of Faculty Practice Patterns: <i>Do as We Say? … or Do as We Do?</i> Open
Background Although evidence‐based medicine ( EBM ) is routinely used to guide management in the emergency department, there is still considerable variation in clinical practice. Trainees may not fully appreciate the reasons for these clin…