Quantity of phenibut in dietary supplements before and after FDA warnings.

Introduction: Phenibut is used to treat anxiety, insomnia, alcohol withdrawal and other conditions in Russia. The drug, however, has abuse potential and may cause lethargy, delirium, psychosis and coma. In the United States (US), the US Food and Drug Administration (FDA) has never approved the use of phenibut as a prescription medication, but the drug is available over-the-counter in dietary supplements.

Expanding the use of topical anesthesia in wound management: sequential layered application of topical lidocaine with epinephrine.

Unlabelled: Topical anesthesia eliminates the need for injection of anesthetic. Most studies on the use of topical anesthesia were done on children, using 3 active ingredients (lidocaine, epinephrine, tetracaine, or tetracaine, adrenaline, cocaine) for relatively small wounds of the face and scalp.

Objectives: To demonstrate that topical anesthesia is effective and safe in adults of all ages and for larger wounds, using a preparation with 2 active ingredients, topical lidocaine and epinephrine (TLE).

New needle cricothyroidotomy setup.

We propose a simple and flexible connection setup for needle cricothyroidotomy. Needle cricothyroidotomy is a life-saving procedure. It is technically easy to perform, but it cannot provide adequate ventilation for a long period of time.