Emergency medicine journal : EMJ
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In paediatric resuscitation, for a rapid and accurate estimate of children's weight, the Broselow tape can be used in children who are 46-144 cm tall. The Broselow tape has previously been found to provide the most accurate estimate of children's weight internationally, but it is not known how many fall outside the range of the tape, or whether such children can be assumed to be of adult weight, or how otherwise to estimate the weight of these children. ⋯ The Broselow tape is inappropriate for use in most children over 10 years old. Children too tall for the tape cannot be assumed to be of adult weight; to do so would imply an average overestimate of 30%. Weight estimates in older children could be based on MAC.
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Review Meta Analysis
Systemic antibiotics after incision and drainage of simple abscesses: a meta-analysis.
Over the last decade, there has been a significant increase in the number of cutaneous abscesses. While there is general agreement that abscesses should be treated with incision and drainage, it is unclear whether systemic antibiotics should be routinely prescribed. ⋯ When given in addition to incision and drainage, systemic antibiotics do not significantly improve the percentage of patients with complete resolution of their abscesses.
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A shortcut review was carried out to establish whether ultrasonography was a reliable and accurate imaging modality to detect rotator cuff tears in adult patients. Four papers were found to be relevant to the clinical question following the below-described search strategies. ⋯ It is concluded that ultrasound has a diagnostic accuracy high enough to detect full-thickness rotator cuff tears. It is, however, less accurate in detecting partial-thickness ruptures.
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Comparative Study
Comparison of chest compressions in the standing position beside a bed at knee level and the kneeling position: a non-randomised, single-blind, cross-over trial.
When rescuers perform cardiopulmonary resuscitation (CPR) from a standing position, the height at which chest compressions are carried out is raised. ⋯ The results suggest that there may be no significant differences in compression rate and depth between CPR performed on manikins placed on the floor and those placed at a rescuer's knee height.