Obesity paradox and stroke . . . and other stories

BMJ 2017; 358 doi: https://doi.org/10.1136/bmj.j3143 (Published 05 July 2017) Cite this as: BMJ 2017;358:j3143

Firearms and US children

Nearly 1300 children die and 5790 are treated for gunshot wounds each year in the USA, according to an article that claims to provide the most comprehensive overview yet (Paediatrics doi: 10.1542/peds.2016-3486). This makes firearm related deaths the third leading cause of death overall among US children aged 1 to 17 years. There is also evidence that 4.2% of American children under 17 witness a shooting every year. But not even the best American presidents have seemed able to overcome the gun lobby.

Early diuretics for acute heart failure

Furosemide for acute heart failure is often cited as an example of a treatment universally adopted without a randomised trial, since no-one would withhold it. Nonetheless, in real …

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