Double-blind multicenter comparison of cyclacillin and amoxicillin for the treatment of acute otitis media: McLinn SE, Goldberg F, Kramer R, et al J Pediatr 101:617–621 Oct 1982
✍ Scribed by Steve Seifert
- Publisher
- Elsevier Science
- Year
- 1983
- Tongue
- English
- Weight
- 125 KB
- Volume
- 12
- Category
- Article
- ISSN
- 1097-6760
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✦ Synopsis
warmings were accomplished. The methods were warm air inhalation, trunk immersion, heating pads, plumbed garments, passive rewarming, body-to-body heat transfers, and combinations of inhalation/heating pads and inhalation/ plumbed garments. The parameters examined were "after drop," "recovery time" (ie, to presenting temperature after "after drop"), and rate of rewarming. Trunkal immersion was found to be the best by all parameters, while heating pads and plumbed garments were the worst. Inhalation of warmed air (O~) was found to be the next best, and because of its feasibility in the field was recommended by the authors as the treatment of choice for out-of-hospital resuscitations. Body-to-body heat exchange was discouraged in the severely hypothermic patient, although this was not addressed by the study. [Editor's note: The authors only cooled the patients to 35 C (95 F), not significant enough to differentiate rewarming parameters. Temperature below 32 C (90 F) should be utilized because this is a clinically significant level for morbidity] Kurt Zangerle, MD AORTOGRAPHY; BLUNT THORACIC TRAUMA, AORTOGRAPHY
TRA. Patients under age 65 with other positive x-ray findings and with TRA on aortography were also found on chest film to have widened mediastinum. The high correlation between widened mediastinum and TRA was not appreciated in patients over 65 years of age with TRA. Because of these data, the authors suggest that all elderly patients with blunt or decelerating chest trauma receive aortography. The presence of a heart murmur was the only clinical criterion in the study that had a statistically significant association with widening of the mediastinum after trauma, and is the best indication for performing arch aortography to diagnose TRA in patients under the age of 65 years.