This large RCT found tamsulosin was of no benefit for kidney stone passage at 28 days, regardless of size or location.
I recently read an article entitled The Mid-Career Demon. Finding myself in mid-career, and with such a provocative title, my curiosity was piqued. The concept of acedia, the “mid-career demon,” intrigued me. I had felt this way too. Here is how I am making it through mid-career.
Internal Medicine interns and residents were either exposed to standard duty-hour policies of the 2011 Accreditation Council for Graduate Medical Education (ACGME) or flexible policies that did not specify limits on shift length or mandatory time off between shifts. Read more to see what they found.
There were no statistically significant differences in pressure-bag flow rates for 1L of NS through all three ports of a standard triple-lumen catheter (TLC) compared to a 16 gauge peripheral venous catheter (PVC) or a 6Fr sheath introducer. On gravity-flow, it was not statistically different from a 16 gauge PVC. But 14ga PVC and 8.5Fr sheath rates were superior in both instances.