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4. Temple CL, Huchcroft SA, Temple WJ. The natural history of atic review and meta­analysis of randomized controlled trials.
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221:278–281. 13. Wilms IM, de Hoog DE, de Visser DC, et al. Appendectomy
5. Birnbaum BA, Wilson SR. Appendicitis at the millennium. versus antibiotic treatment for acute appendicitis. Cochrane
Radiology. 2000;215:337–348. Database Syst Rev. 2011;CD008359.
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pendicitis. Am Surg. 1999;65:453–455. 15. Wagner JM, McKinney WP, Carpenter JL. Does this patient
8. Shogilev DJ, Duus N, Odom SR, et al. Diagnosing appendici­ have appendicitis? JAMA. 1996;276:1589–1594.
tis: evidence­based review of the diagnostic approach in 2014.
West J Emerg Med. 2014;15:859–871.
9. Sand M, Bechara FG, Holland-Letz T, et al. Diagnostic value
of hyperbilirubinemia as a predictive factor for appendiceal Sgt Joshua Banting of the Canadian Forces, is a medical
perforation in acute appendicitis. Am J Surg. 2009;198: technician with extensive SOF experience who is currently on
193–198. the Canadian Forces Physician Assistant course.
10. D’Souza ND, D’Souza C, Grant D, et al. The value of ultra­
sonography in the diagnosis of appendicitis. Int J Surg. 2014; Major Tony Meriano is a practicing emergency physician.
13C:165–169.
11. Liu K, Fogg L. Use of antibiotics alone for treatment of un­ He has served in various capacities with the Canadian Forces
complicated acute appendicitis: a systematic review and meta­ and Reserves since 2003. Comment and suggestions can be
analysis. Surgery. 2011;150:673–683. sent to sofclinicalcorner@gmail.com.

Knowledge.

Experience.

Excellence.

The standard to validate the essential knowledge
and critical thinking of the tactical paramedic
operating in the TEMS environment.

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122 Journal of Special Operations Medicine Volume 15, Edition 1/Spring 2015