South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
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Airway management of the maxillofacial gunshot injury constitutes a critical decision and an area that requires review in the context of civilian injuries. Most of our knowledge is extrapolated from military experience, which constitutes a different trauma patient group. This paper reports a retrospective survey of airway status in relation to maxillofacial gunshot injuries. The objective is to correlate clinical findings with treatment decisions. ⋯ An abnormal airway was significantly more likely after a high-velocity injury, and when the tongue, floor of mouth, midline or bilateral facial skeletal bones were involved.
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Letter Randomized Controlled Trial Clinical Trial
Premedication from a patient perspective--morphine, midazolam, hydroxyzine and placebo compared.
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Practice Guideline Guideline
Management of community-acquired pneumonia in adults.
To revise the existing South African community-acquired pneumonia guideline in the light of the following factors: Increased incidence of HIV infection in South Africa Emerging antibiotic resistance Introduction of new antibiotics International trends based on evidence published since the previous guideline. The main aim of the guideline is to recommend an initial choice of antibiotics in patients with community-acquired pneumonia encompassing the following subgroups: (i) adults without co-morbid illness; (ii) the elderly and/or those with associated co-morbid illness, including patients with concomitant human immunodeficiency virus (HIV) infection; and (iii) patients with severe pneumonia. ⋯ The guideline was updated by a working group of the South African Thoracic Society, which included members of the Antibiotic Surveillance Forum of South Africa. Reference was made to the recently updated international guidelines from the UK, Canada and the USA.