Emergency medicine journal : EMJ
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A short cut review was carried out to establish whether hydrotherapy is beneficial in rehabilitation after rotator cuff repair. 27 papers were found using the reported searches, 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 that best paper are tabulated. It is concluded that while there may be some short term benefit to passive range of movement, further research is needed.
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A short cut review was carried out to establish whether non-sedating antihistamines reduced symptom severity or duration in the common cold. 156 papers were found using the reported searches, of which 4 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. It is concluded that there is no good evidence for the use of non-sedating antihistamines in the common cold.
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Tag rugby is a non-contact, seven-a-side, team sport in which each player wears specially designed shorts with velcro 'tags' attached to them. While tag rugby is a relatively new sport it has grown rapidly in popularity. As a result of its increasing popularity an increased frequency of attendances at plastic surgery clinics was observed and it was decided a review of all hand injuries associated with this new sport was required. ⋯ All of the hand injuries were sustained while 'tackling' during regular play, the hand injuries sustained were all treated using well-described methods and all the patients are recovering well. While the risk of a severe, life-threatening injury is unlikely while playing tag rugby, there is a real risk of sustaining a potentially debilitating hand injury.
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On 12 May 2008, the Wenchuan earthquake, registering 8 on the Richter scale, hit the Sichuan province, China. Management of the rescue efforts and characteristics of casualties were studied. ⋯ The Wenchuan medical rescue effort presented several problems. The experience is reflected in these points: (1) establish an effective command and communication centre to ensure that medical rescue resources are deployed in time; (2) treat the wounded within the first 7 days; (3) prepare healthcare resources for both surgical and general medicine services; (4) establish contingency rescue plans with a coordinated effort; (5) insist on the principles of triage and adopt flexible evacuation and transfer methods.
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To assess the ability of mean platelet volume (MPV) to detect acute coronary syndromes (ACS) in Chinese patients within 4 h of chest pain onset. ⋯ MPV is significantly associated with ACS in patients with acute chest pain and is an early and independent predictor.