Southern medical journal
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Southern medical journal · Apr 2008
Urologic injuries sustained after free falls from hunting tree stands.
Hunting is a popular recreational pastime in the United States. Injuries sustained from falls out of tree stands remain a significant cause of morbidity among hunters, often resulting in significant urological injury. The purpose of this study is to identify the type and pattern of urologic injuries sustained after free falls from hunting tree stands. ⋯ Accidental falls from hunting tree stands can cause significant urologic morbidity. Fall-arrest system/full body harness use and increased hunter public education and awareness can reduce tree stand falls. Trauma teams need to be aware of the potential for urologic injury, and need to evaluate and treat hunters involved in tree stand accidents accordingly.
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Southern medical journal · Apr 2008
Randomized Controlled TrialSedation for upper endoscopy: comparison of midazolam versus fentanyl plus midazolam.
The benefit of using one or two drugs for conscious sedation in upper endoscopy remains unproven. This study evaluates the adequacy of conscious sedation during upper endoscopy using midazolam alone compared with midazolam plus fentanyl. ⋯ In diagnostic upper endoscopy, an adequate level of sedation can be obtained safely either by midazolam or midazolam plus fentanyl. From an endoscopist's perspective, the combination is significantly better.