Tamulosin is in for stones 5-10mm in diameter

The Renal calculi page has been updated with more information about the efficacy of tamulosin for the passage of 5-10 mm stones. Wang, RC, Smith-Bindman, R, Whitaker, E, et al. Effect of Tamsulosin on Stone Passage for Ureteral Stones: A Systematic Review and Meta-analysis. Ann Emerg Med 2016.

NSAIDs for ureteric colic

The Renal calculi page has been updated with additional information about the efficacy of NSAIDs in renal colic, particularly IM diclofenac. Pathan, SA, Mitra, B, Straney, LD, et al. Delivering safe and effective analgesia for management of renal colic in the emergency department: a double-blind, multigroup, randomised controlled trial. The Lancet.

Medical expulsive therapy for calculi 5-10mm diameter

The section on medical expulsive therapy on the Renal calculi page has been revised to include the potential benefit of MET in stones 5-10mm in diameter. Furyk, JS, Chu, K, Banks, C, et al. Distal Ureteric Stones and Tamsulosin: A Double-Blind, Placebo-Controlled, Randomized, Multicenter Trial. Annals of Emergency Medicine http://dx.doi.org/10.1016/j.annemergmed.2015.06.001.

SPA and catheterisation in children

The Urinary tract infection in children and Urinary catheterisation pages have been updated with some additional information following the recent publication of a review article on the subject in EMA. Cheek JA, Craig SS, Seith RW, et al. Urine collection in young children. Emerg Med Australas 2015;27(4):348-50.