Emergency medicine journal : EMJ
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Review Meta Analysis
Towards evidence based emergency medicine: best BETs from the Manchester Royal Infirmary. Outpatient investigation of pulmonary embolism.
A short cut review was carried out to establish whether outpatient investigation of suspected pulmonary embolus is a safe strategy. A total of 198 papers were found using the reported search, of which one presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of this best paper are tabulated. A clinical bottom line is stated.
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To review, firstly, published studies comparing classic antipsychotics, benzodiazepines, and/or combination of both; and secondly, available data on the use of atypical antipsychotic medications in controlling agitation and aggressive behaviour seen in psychiatric patients in emergency. ⋯ Atypical antipsychotics such as risperidone, ziprasidone, and olanzapine with or without benzodiazepines should be considered first in the treatment of acute agitation. If these agents are not available the combination of a classic antipsychotic and a benzodiazepine would be a reasonable alternative. An oral treatment should always be offered first for building up an alliance with the patient and suggesting an internal rather than external locus of control.
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Review Meta Analysis
Towards evidence based emergency medicine: best BETs from the Manchester Royal Infirmary. Antithrombotic treatment of below knee deep venous thrombosis.
A short cut review was carried out to establish whether oral anticoagulation is necessary to prevent pulmonary embolisation in patients with below knee deep venous thrombosis. A total of 425 papers were found using the reported search, of which 11 presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these best papers are tabulated. A clinical bottom line is stated.
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Review Meta Analysis
Towards evidence based emergency medicine: best BETs from the Manchester Royal Infirmary. Buccal nitrates in left ventricular failure.
A short cut review was carried out to establish whether buccal and intravenous nitrates are equally effective at preload reduction in patients with left ventricular failure. Seven papers were found using the reported search, of which one presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of this best paper is tabulated. A clinical bottom line is stated.