Brendan Smiths Clinical update site

Synopsis and critique of the medical literature

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Contents

1.Archive of weekly updates
2.Ketamine - 2011 Clinical Practice Guidelines
3.Cognitive errors - case discussion of missed ectopic pregnancy
4.EMA Acute Care Series 2011 - highlights
5.EMA Acute Care Series - highlights, 2
6.AAEM 2011: Update on shock/sepsis, and avoiding diagnostic error
7.AAEM 2011: airway management; O2 in COPD; radiology
8.AHA/ACC 2011 Focussed Update of the 2007 UAP/NSTEMI Guidelines
9.Stroke thrombolysis: new Australian data, and why placebo gives better outcomes
10.Highly sensitive troponin assays - why they help.
11.Journals - LMW heparin no better in DVT proph; a 2hr chest pain rule out - not ready yet
12.Sliding scale insulin - why you should never use it, and what to use instead
13.ACLS 2010 - Bradycardia algorithm; 2 cases
14.NSW Health 2011 paediatric head injury Guidelines - evidence light
15.Cardiac arrest during anaesthesia, intralipid, myaesthenia gravis
16.Statistical methods that distort research data - augmentin for otitis media
17.2011 Update of Australian Guidelines for Acute Coronary Syndrome
18.Pulmonary embolus - 2011 ACEP Policy; problems with overdiagnosis
19.Hyperkalaemia - management review
20.Updates: January - June 2011
21.Paediatric fluid resuscitation in sepsis - the FEAST trial; paediatric appendicitis case
22.Inflammatory markers (CRP, PCT) in paediatric fever; interpretation CSF results
23.The new 2010 Australian Resusucitation Council ACLS Guidelines - it's different to the others
24.Cardiac arrest - 3 cases. Torsades; amiodarone induced; with trauma
25.RUSH - ultrasound in shock; a confusing case it helped sort out
26.Dabigatran: an new alternative to warfarin for anticoagulation in AF
27.Lab notifies about gram +ve cocci on blood culture - is it a contaminant, or should you be concerned?
28.Is CT with 6hr of symptoms onset good enough to rule out SAH?
29.Rashes in pregnancy; flawed research - the case of nesiritide
30.An important underlying cause of pneumonia in a young child
31.Fever in a patient with valve replacement, and an audio link to cardiac murmers
32.Recognition of a sick child - NSW Health 2011 updated Guidelines
33.Consulting House - an approach to unusual presentations
34.Hypercapnoea - from oxygen, and other causes
35.Journal: colloids, false -ve HCG, metronidazole , PE
36.Sedation in the elderly
37.Chest pain, ST elevation, troponin elevated - would you thrombolyse?
38.Ischaemic bowel - 2 cases
39.Some very abnormal bloods
40.Journals - panscanning in trauma; xigris withdrawn for sepsis care
41.What is causing this metabolic acidosis?
42.Highlights from 2011
43.5 cases in pictures
44.Hypertensive crisis - when to act, when to be careful, about high BP
45.Deadly poisons - mushrooms and drugs for AF
46.NSTEMI with normal angiogram - how is that so ?
47.Lies, statistics and the Hawthorne effect - why what you read is often wrong

1.Archive of weekly updates
weekly_update_135,__4_June_2009_GI_bleed.doc433.5 KB06.03.2011
weekly_update_136,__11_June_2009_ventilator_settings.doc2.3 MB06.03.2011
weekly_update_137,__18_June_2009_paed_hypertension_seizures-1-.doc824 KB06.03.2011
weekly_update_139,__2_July_2009_TIA.doc493 KB06.03.2011
weekly_update_140,__9_July_2009_swine_flu.doc1.12 MB06.03.2011
weekly_update_141,__16_July_2009_ICH.doc596.5 KB06.03.2011
weekly_update_142,__23_July_2009_imaging_for_appx_PE_in_pregn.doc142 KB06.03.2011
weekly_update_143,_30_July_2009_analgesia_sedation_ketamine.doc286.5 KB06.03.2011
weekly_update_144,_6_August_2009_soft_tiss_inf-MRSA.doc985 KB06.03.2011
weekly_update_145,_13_August_2009_neonatal_emergencies.doc204.5 KB06.03.2011
weekly_update_146,_20_August_2009_describing_fractures.doc842.5 KB06.03.2011
weekly_update_147,_27_August_2009_hypoglycaemia.doc106 KB06.03.2011
weekly_update_148,_3_September_2009_recent_lit_NINDS_revisited_tamsulosin-renal_calc.doc757.5 KB06.03.2011
weekly_update_149,_10_September_2009_neonatal_sepsis-ALTE.doc277.5 KB06.03.2011
weekly_update_150,_17_September_2009_hyper-Na_endocrine.doc670 KB06.03.2011
weekly_update_151,_24_September_2009_early_pregnancy.doc384 KB06.03.2011
weekly_update_152,_1_October_2009_resp_cases_and_CXRs.doc1.97 MB06.03.2011
weekly_update_153,_8_October_2009_early_preg2_Ca_dist.doc986 KB06.03.2011
weekly_update_154,_15_October_2009_bradycardia-pacing.doc3.61 MB06.03.2011
weekly_update_155,_22_October_2009_chest_pain-ACS-PE.doc2.04 MB06.03.2011
weekly_update_156,_29_October_2009_trauma-paed_head_CT_FAST_panscan.doc225.5 KB06.03.2011
weekly_update_157,_5_November_2009_pneumothorax_pneumonia.doc1.43 MB06.03.2011
weekly_update_158,_12_November_2009_AF-endocrine.doc1.05 MB06.03.2011
weekly_update_159,_19_November_2009_oncology.doc241.5 KB06.03.2011
weekly_update_160,_26_November_2009_STEMI_Guidelines_2009.doc119.5 KB06.03.2011
weekly_update_161,_3_December_2009_paed_gastro_2009_Guidelines.doc160 KB06.03.2011
weekly_update_162_2009_highlights.doc369.5 KB06.03.2011
weekly_update_163,_7_January_2010_seizures_paed,_status,_non_convulsive.doc524 KB06.03.2011
weekly_update_164,_14_January_2010_ACEM-ASF_Consensus_Stroke_Statement.doc302.5 KB06.03.2011
weekly_update_165,_21_January_2010_orientation-admissions_and_errors.doc1.47 MB06.03.2011
weekly_update_166,_28_January_2010_paed_fever-SBI-CRP.doc287.5 KB06.03.2011
weekly_update_167,_4_February_2010_ACEP_Policy_-_appendicitis.doc1.22 MB06.03.2011
weekly_update_168,_25_February_2010_pulm_embolus_in_pregnancy.doc409.5 KB06.03.2011
weekly_update_169,_4_March_2010_ECGs-chest_pain_with_LBBB,_paed_WCT.doc2.46 MB06.03.2011
weekly_update_170,_11_March_2010_AAEM_2010_cardiology_updates.doc650.5 KB06.03.2011
weekly_update_171,_18_March_2010_AAEM_2010_trauma-imaging_updates.doc210 KB06.03.2011
weekly_update_172,_25_March_2010_AAEM_2010_shock-sepsis-RUSH_protocol.doc2.23 MB06.03.2011
weekly_update_173,_1_April_2010_AAEM_2010_updates_in_critical_care.doc237.5 KB06.03.2011
weekly_update_174,_8_April_2010_toxicology_CCB_case.doc3.62 MB06.03.2011
weekly_update_175,_15_April_2010_haematol_crisis_analgesia.doc315.5 KB06.03.2011
weekly_update_176,_22_April_2010_unusual_neuro_emergencies.doc620.5 KB06.03.2011
weekly_update_177,_29_April_2010_The_Westmead_Study_on_paediatric_fever.doc118 KB06.03.2011
weekly_update_178,_6_May_2010_not_your_average_food_poisoning.doc631.5 KB06.03.2011
weekly_update_179,_27_May_2010_is_the_laryngoscope_obsolete_-_airway_manegement.doc1.92 MB06.03.2011
weekly_update_180,_3_June_2010_cant_miss_headache-spts_IC_hypotension.doc623.5 KB06.03.2011
weekly_update_181,_10_June_2010_abdominal_pain_in_the_elderly_-_case.doc709 KB06.03.2011
weekly_update_182,_17_June_2010_c-spine_immbolisation-imaging-outcomes.doc1.35 MB06.03.2011
weekly_update_183,_24_June_2010_seizures,_CTs_and_phenytoin.doc460 KB06.03.2011
weekly_update_184,_1_July_2010_stroke_evaluation.doc452 KB06.03.2011
weekly_update_185,_8_July_2010_sepsis.doc148 KB06.03.2011
weekly_update_186,_15_July_2010_SAH_lessons.doc598.5 KB06.03.2011
weekly_update_187,_22_July_2010_endocrine-pregnancy.doc367.5 KB06.03.2011
weekly_update_188,_29_July_2010_stab_wound-neck.doc294.5 KB06.03.2011
weekly_update_189,_5_August_2010_ECGs_PE_review.doc877.5 KB06.03.2011
weekly_update_190,_12_August_2010_cardiac_arrest-AICDs.doc2.33 MB06.03.2011
weekly_update_191,_19_August_2010_SVT-WPW-pregnancy.doc2.65 MB06.03.2011
weekly_update_192,_2_September_2010_meningococcal.doc563.5 KB06.03.2011
weekly_update_193,_9_September_2010_endocarditis.doc463.5 KB06.03.2011
weekly_update_194,_16_September_2010_stroke_lysis_to_4.5hr-SITS-ISTR_data.doc476.5 KB06.03.2011
weekly_update_195,_23_September_2010_3_cases-STEMI_mimic_pregn_nasal_tube.doc4.48 MB06.03.2011
weekly_update_196,_30_September_2010_CV_instability_with_intubation-ventilation.doc356.5 KB06.03.2011
weekly_update_197,_7_October_2010_post_arrest_cooling_2010_ICH_Guidelines.doc590.5 KB06.03.2011
weekly_update_198,_14_October_2010_paediatric_trauma-intubation-ventilation.doc571 KB06.03.2011
weekly_update_199,_21_October_2010_upper_limb_DVT_and_clotting_disorders.doc590 KB06.03.2011
weekly_update_200,_28_October_2010_new_2010_AHA_ACLS_Guidelines.doc858.5 KB06.03.2011
weekly_update_201,_4_November_2010_stroke_trials_rfVIIa,_flash_burns,_button_batteries.doc1 MB06.03.2011
weekly_update_202,_11_November_2010_droperidol_ondansetron.doc504 KB06.03.2011
weekly_update_203,_18_November_2010_ACLS_2010-tachyarrhythmia_pitfalls.doc2.23 MB06.03.2011
weekly_update_204,_25_November_2010_PALS-tachyarrythmia-paed_resusc.doc2.59 MB06.03.2011
weekly_update_205,_2_December_2010_important_differentials_in_rule_out_SAH.doc1.07 MB06.03.2011
weekly_update_206,_6_January_2011_uveitis-sarcoid.doc1.42 MB06.03.2011
weekly_update_207,_13_January_2011_paediatric_head_injury_and_CT.doc625 KB06.03.2011
weekly_update_208,_20_January_2011_AF-ACC_AHA_2011_Guideline.doc203.5 KB06.03.2011
weekly_update_209,_27_January_2011_congnitive_errors-trauma_case.doc740.5 KB06.03.2011
weekly_update_210,_3_February_2011_cardiac_arrest-SAH.doc2.58 MB06.03.2011
weekly_update_211,_10_February_2011_Journals-VBG_CO-HBO_ACS_seclusion.doc1.06 MB06.03.2011
weekly_update_212,_17_February_2011_vertigo.doc437.5 KB06.03.2011
weekly_update_2006_-_complete.pdf1.15 MB06.03.2011
weekly_update_2007_Jan-Jun.pdf1.32 MB06.03.2011
weekly_update_2007_Jul-Dec.pdf1.51 MB06.03.2011
weekly_update_2008_Jan-June.pdf1.84 MB06.03.2011
weekly_update_2008_July_-_Dec.pdf1.62 MB06.03.2011
weekly_update_2009_Apr-June.pdf764.27 KB06.03.2011
weekly_update_2009_Jan-Mar.pdf737.07 KB06.03.2011
weekly_update_2010_highlights.doc1.96 MB06.03.2011

2.Ketamine - 2011 Clinical Practice Guidelines

weekly-update-213-3-march-2011_ketamineweekly-update-213-3-march-2011_ketamine.doc


3.Cognitive errors - case discussion of missed ectopic pregnancy

weekly-update-214-10-march-2011_cognitive-error-ectopicweekly-update-214-10-march-2011_cognitive-error-ectopic.doc


4.EMA Acute Care Series 2011 - highlights

weekly-update-215-17-march-2011_ema_1weekly-update-215-17-march-2011_ema_1.doc


5.EMA Acute Care Series - highlights, 2

weekly-update-216-24-march-2011_ema_2weekly-update-216-24-march-2011_ema_2.doc


6.AAEM 2011: Update on shock/sepsis, and avoiding diagnostic error

weekly-update-217-31-march-2011_aaem2011_shock-sepsis_avoiding-errorweekly-update-217-31-march-2011_aaem2011_shock-sepsis_avoiding-error.doc


7.AAEM 2011: airway management; O2 in COPD; radiology

weekly-update-218-7-april-2011_aaem2011_airway_radiolweekly-update-218-7-april-2011_aaem2011_airway_radiol.doc


8.AHA/ACC 2011 Focussed Update of the 2007 UAP/NSTEMI Guidelines

weekly-update-219-14-april-2011_aha-acc-2011-uap-nstemi1weekly-update-219-14-april-2011_aha-acc-2011-uap-nstemi1.doc

unstable-angina-nstemi-guidelines-aha-2011unstable-angina-nstemi-guidelines-aha-2011.pdf

unstable-angina-nstemi-guidelines-aha-20071unstable-angina-nstemi-guidelines-aha-20071.pdf


9.Stroke thrombolysis: new Australian data, and why placebo gives better outcomes

weekly-update-220-21-april-2011_stroke-lysis-aust-dataweekly-update-220-21-april-2011_stroke-lysis-aust-data.doc


10.Highly sensitive troponin assays - why they help.

weekly-update-221-28-april-2011_high-sensitivity-troponin2weekly-update-221-28-april-2011_high-sensitivity-troponin2.doc

zz_troponin-high-sens_jama-orig1zz_troponin-high-sens_jama-orig1.pdf


11.Journals - LMW heparin no better in DVT proph; a 2hr chest pain rule out - not ready yet

weekly-update-222-5-may-2011_dvt-proph_2hr-cp-rule-outweekly-update-222-5-may-2011_dvt-proph_2hr-cp-rule-out.doc

zz_2hr-chest-pain-rule-out_lancet_origzz_2hr-chest-pain-rule-out_lancet_orig.pdf

zz_2hr-chest-pain-rule-out_lancet_editzz_2hr-chest-pain-rule-out_lancet_edit.pdf


12.Sliding scale insulin - why you should never use it, and what to use instead

weekly-update-223-12-may-2011_sliding-scale-insulinweekly-update-223-12-may-2011_sliding-scale-insulin.doc

diabetes_insulinprotocol_bbb_rpadiabetes_insulinprotocol_bbb_rpa.pdf


13.ACLS 2010 - Bradycardia algorithm; 2 cases

weekly-update-224-19-may-2011_acls-2010_bradycardiaweekly-update-224-19-may-2011_acls-2010_bradycardia.doc


14.NSW Health 2011 paediatric head injury Guidelines - evidence light

weekly-update-225-26-may-2011_paed-head-injury-guidelinesweekly-update-225-26-may-2011_paed-head-injury-guidelines.doc

paediatric-head-injury-2011paediatric-head-injury-2011.pdf


15.Cardiac arrest during anaesthesia, intralipid, myaesthenia gravis

weekly-update-226-2-june-2011_intralipid_neostigmine_myaesth-gravis4weekly-update-226-2-june-2011_intralipid_neostigmine_myaesth-gravis4.doc


16.Statistical methods that distort research data - augmentin for otitis media

weekly-update-227-9-june-2011_research-methods-otitisweekly-update-227-9-june-2011_research-methods-otitis.doc


17.2011 Update of Australian Guidelines for Acute Coronary Syndrome

weekly-update-228-16-june-2011_acs-aust-guidelines-2011weekly-update-228-16-june-2011_acs-aust-guidelines-2011.doc

acute-coronary-syndrome-2011-aust-guidelinesacute-coronary-syndrome-2011-aust-guidelines.pdf


18.Pulmonary embolus - 2011 ACEP Policy; problems with overdiagnosis

weekly-update-229-23-june-2011_pe-acep-policy_overdiagnweekly-update-229-23-june-2011_pe-acep-policy_overdiagn.doc

pulm-embolus_less-is-more_annem2011pulm-embolus_less-is-more_annem2011.pdf


19.Hyperkalaemia - management review

weekly-update-230-30-june-2011_hyperkalaemiaweekly-update-230-30-june-2011_hyperkalaemia.doc

hyperkalaemia_management_ccmhyperkalaemia_management_ccm.pdf


20.Updates: January - June 2011

weekly-update-2011_jan-juneweekly-update-2011_jan-june.doc


21.Paediatric fluid resuscitation in sepsis - the FEAST trial; paediatric appendicitis case

weekly-update-231-7-july-2011_paed-sepsis-fluid-resusc-appxweekly-update-231-7-july-2011_paed-sepsis-fluid-resusc-appx.doc


22.Inflammatory markers (CRP, PCT) in paediatric fever; interpretation CSF results

weekly-update-232-14-july-2011_paed-crp-pct_csf-interpweekly-update-232-14-july-2011_paed-crp-pct_csf-interp.doc

fever_diagn-markers_bmj2011reviewfever_diagn-markers_bmj2011review.pdf

fever_diagn-markers_bmj2011editfever_diagn-markers_bmj2011edit.pdf


23.The new 2010 Australian Resusucitation Council ACLS Guidelines - it's different to the others

weekly-update-233-21-july-2011_arc-2010-aclsweekly-update-233-21-july-2011_arc-2010-acls.doc

1_what-is-new1_what-is-new.pdf

12_als_protocols12_als_protocols.pdf


24.Cardiac arrest - 3 cases. Torsades; amiodarone induced; with trauma

weekly-update-234-28-july-2011_cardiac-arrest-casesweekly-update-234-28-july-2011_cardiac-arrest-cases.doc

8_adult-acls8_adult-acls.pdf


25.RUSH - ultrasound in shock; a confusing case it helped sort out

weekly-update-235-4-august-2011_rush-protocol_dissectionweekly-update-235-4-august-2011_rush-protocol_dissection.doc

ultrasound-in-resusc_rush_emclinnamer20101ultrasound-in-resusc_rush_emclinnamer20101.pdf
 

ultrasound-in-resusc_rush_aaem2011ultrasound-in-resusc_rush_aaem2011.pdf


26.Dabigatran: an new alternative to warfarin for anticoagulation in AF

weekly-update-236-11-august-2011_dabigatranweekly-update-236-11-august-2011_dabigatran.doc

dabigatran_radardabigatran_radar.pdf

z_dabigatran_rely-trialz_dabigatran_rely-trial.pdf

z_dabigatran_rely-trial_editz_dabigatran_rely-trial_edit.pdf


27.Lab notifies about gram +ve cocci on blood culture - is it a contaminant, or should you be concerned?

weekly-update-237-18-august-2011_gram-cocci_-3-cases_epid-abscessweekly-update-237-18-august-2011_gram-cocci_-3-cases_epid-abscess.doc

z_epidural-abscess_nejm-reviewz_epidural-abscess_nejm-review.pdf


28.Is CT with 6hr of symptoms onset good enough to rule out SAH?

weekly-update-238-25-august-2011_sah-ct-within-6hrweekly-update-238-25-august-2011_sah-ct-within-6hr.doc

sah_role-ct_steill-bmj2011sah_role-ct_steill-bmj2011.pdf


29.Rashes in pregnancy; flawed research - the case of nesiritide

weekly-update-239-1-september-2011_rash-pregnancy_nesiritideweekly-update-239-1-september-2011_rash-pregnancy_nesiritide.doc

z_-dermatological-disorders-in-pregnancy_williams-obstetz_-dermatological-disorders-in-pregnancy_williams-obstet.mht


30.An important underlying cause of pneumonia in a young child

weekly-update-240-8-september-2011_paed-pneumonia-fbweekly-update-240-8-september-2011_paed-pneumonia-fb.doc

5_bls_airway5_bls_airway.pdf


31.Fever in a patient with valve replacement, and an audio link to cardiac murmers

weekly-update-241-15-september-2011_endocarditis1weekly-update-241-15-september-2011_endocarditis1.doc
 

z_cardiac-murmers_nejm-audioz_cardiac-murmers_nejm-audio.pdf

z_endocarditis_nejm-reviewz_endocarditis_nejm-review.pdf


32.Recognition of a sick child - NSW Health 2011 updated Guidelines

weekly-update-242-22-september-2011_recog-sick-child_guidelines-2011weekly-update-242-22-september-2011_recog-sick-child_guidelines-2011.doc

paediatric_recognition-of-sick-child_2011paediatric_recognition-of-sick-child_2011.pdf

vital-signs_resusc-guidelinesdiscrepencies_lancetvital-signs_resusc-guidelinesdiscrepencies_lancet.pdf


33.Consulting House - an approach to unusual presentations

weekly-update-243-29-september-2011_churg-straussweekly-update-243-29-september-2011_churg-strauss.doc

error_case_bloody-diarrherror_case_bloody-diarrh.pdf
 


34.Hypercapnoea - from oxygen, and other causes

weekly-update-244-6-october-2011_hyper-co2weekly-update-244-6-october-2011_hyper-co2.doc

copd_hyper-co2-with-o2_lancet2011copd_hyper-co2-with-o2_lancet2011.pdf

copd_hyper-co2-with-o2_emedhcopd_hyper-co2-with-o2_emedh.doc


35.Journal: colloids, false -ve HCG, metronidazole , PE

weekly-update-245-13-october-2011_colloids_hcg_metronidazole_peweekly-update-245-13-october-2011_colloids_hcg_metronidazole_pe.docx

z_colloid_article-retraction_annemz_colloid_article-retraction_annem.pdf

z_aspiration-pneumonia_mjaz_aspiration-pneumonia_mja.pdf

z_pe_outpat-management_lancet-origz_pe_outpat-management_lancet-orig.pdf


36.Sedation in the elderly

weekly-update-246-20-october-2011_sedation-in-elderlyweekly-update-246-20-october-2011_sedation-in-elderly.doc

z_sedation-elderly-in-ed_imjz_sedation-elderly-in-ed_imj.pdf


37.Chest pain, ST elevation, troponin elevated - would you thrombolyse?

weekly-update-247-27-october-2011_pericarditisweekly-update-247-27-october-2011_pericarditis.doc

pericarditis-lancet-reviewpericarditis-lancet-review.pdf

pericarditis-tamponade_emrap-c3pericarditis-tamponade_emrap-c3.pdf


38.Ischaemic bowel - 2 cases

weekly-update-248-24-november2011_ischaemic-bowelweekly-update-248-24-november2011_ischaemic-bowel.doc

ischaemic-bowel_emedhischaemic-bowel_emedh.pdf


39.Some very abnormal bloods

weekly-update-249-1-december-2011_pancreatitis-lipaemicweekly-update-249-1-december-2011_pancreatitis-lipaemic.doc


40.Journals - panscanning in trauma; xigris withdrawn for sepsis care

weekly-update-250-8-december-2011_panscan-trauma_xigris-sepsisweekly-update-250-8-december-2011_panscan-trauma_xigris-sepsis.doc

z_trauma_panscan_annem2011z_trauma_panscan_annem2011.pdf

z_xigris_prowess-shock-trialz_xigris_prowess-shock-trial.pdf

z_xigris_medscapez_xigris_medscape.mht


41.What is causing this metabolic acidosis?

weekly-update-251-15-december-2011_mixed-metab-acidosisweekly-update-251-15-december-2011_mixed-metab-acidosis.doc

z_refeeding-syndr_mja-casez_refeeding-syndr_mja-case.pdf

z_metabolic-acidosis_harrisonsz_metabolic-acidosis_harrisons.pdf

refeeding_syndrome_bmj-reviewrefeeding_syndrome_bmj-review.pdf

refeeding_syndrome_rpah-protocolrefeeding_syndrome_rpah-protocol.pdf


42.Highlights from 2011

weekly-update-252-22-december-2011_highlights-for-2011weekly-update-252-22-december-2011_highlights-for-2011.doc


43.5 cases in pictures

weekly-update-253-5-january-2012_images-5-casesweekly-update-253-5-january-2012_images-5-cases.doc


44.Hypertensive crisis - when to act, when to be careful, about high BP

weekly-update-254-12-january-2012_hypertension-stroke1weekly-update-254-12-january-2012_hypertension-stroke1.doc

hypertension_rosen1hypertension_rosen1.pdf

z_labile-bp-during-cva-other_amjem1z_labile-bp-during-cva-other_amjem1.pdf


45.Deadly poisons - mushrooms and drugs for AF

weekly-update-255-19-january-2012_mushrooms_afweekly-update-255-19-january-2012_mushrooms_af.doc

z_af_dronedarone_nejmorigz_af_dronedarone_nejmorig.pdf

z_af_dronedarone_nejmeditz_af_dronedarone_nejmedit.pdf

z_af_cath-abln_nejmreviewz_af_cath-abln_nejmreview.pdf


46.NSTEMI with normal angiogram - how is that so ?

weekly-update-256-26-january-2012_nstemi-takotsuboweekly-update-256-26-january-2012_nstemi-takotsubo.doc

z_ami-normal-angio_circn2011_origz_ami-normal-angio_circn2011_orig.pdf

z_ami-normal-angio_circn2011_editz_ami-normal-angio_circn2011_edit.pdf

z_takopsubo_nejmz_takopsubo_nejm.pdf

z_takopsubo_nejm2z_takopsubo_nejm2.pdf


47.Lies, statistics and the Hawthorne effect - why what you read is often wrong

weekly-update-257-2-february-2012_statistics_hawthorneweekly-update-257-2-february-2012_statistics_hawthorne.doc

statistics_annem2012statistics_annem2012.pdf

z_reversal-of-estab-practice_jama2012z_reversal-of-estab-practice_jama2012.pdf
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