CJEM Articles: Mel E. Herbert

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Myth: Intravenous amiodarone is safe in patients with atrial fibrillation and Wolff-Parkinson-White syndrome in the emergency department
July 2005 Vol: 7 No: 4
Authors: Marius A. Tijunelis, Mel E. Herbert

Wolff-Parkinson-White (WPW) syndrome with atrial fibrillation (AF) is a potentially life-threatening problem requiring rapid conversion to sinus rhythm. The most recent American Heart Association guidelines for the treatment of patients with WPW, published in conjunction with the 2000 Advanced Cardiac Life Support (ACLS) guidelines, suggests that intravenous amiodarone is a first-line therapy for AF-WPW; however the evidence suggests this is a potentially dangerous myth.
Medical myth: Bimanual pelvic examination is a reliable decision aid in the investigation of acute abdominal pain or vaginal bleeding
March 2003 Vol: 5 No: 2
Authors: Mel E. Herbert, Todd Brown

La confiance en l'exactitude de l'examen pelvien est soutenue dans de nombreux manuels de médecine, mais une revue de la littérature ne corrobore pas l'exactitude ou la reproductibilité de cet examen. Le présent article dénoncera ce mythe selon lequel le «test» de l'examen pelvien est utile pour écarter les maladies graves.

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