24/5/26 Diphtheria alert 

There is currently an outbreak of Diphtheria in parts of the Northern Territory, Western Australia and South Australia. Please be alert for cases of oropharyngeal and cutaneous Diphtheria in patients who have been to these regions, particularly Indigenous patients.

Important copyright and AI information

Please be reminded that unauthorised reproduction of the Manual in any form, including creation of summaries, audio or animation, or copying content into any machine learning tool is not permitted. Breaches of this agreement will result in immediate, and permanent, termination of access and legal action for breach of copyright.

Dedication
This manual is dedicated to the memory of Dr Edward William Brentnall FACEM, MBE, OAM, KStJ 05/08/1929-01/10/2024. Ed was a guiding light for generations of emergency physicians who sheltered, mentored and inspired many of us. See the full dedication here.

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Latest updates

Biliary cirrhosis

The Hepatic diseases page has been updated with additional information about biliary cirrhosis.

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Sclerosing cholangitis

The Hepatic diseases page has been updated with additional information about sclerosing cholangitis.

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Clinical practice guidelines

The Clinical practice guidelines page has been updated to better emphasise the growing trend to making recommendations when the evidence to support them is lacking, and the reasonably common failure to appropriately evaluate sources used to support recommendations.

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Hyperkalaemia treatment

The Hyperkalaemia page has been updated with emphasis of the poor quality evidence suggesting lack of efficacy of various therapies.

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Gastric volvulus images

The Gastrointestinal causes of chest pain page has been updated 2 images of the types of gastric volvulus.

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Gastric volvulus

The Gastrointestinal causes of chest pain page has been updated with additional information about gastric volvulus.

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Gastrointestinal causes of chest pain

The Oesophageal causes of chest pain has been renamed Gastrointestinal causes of chest pain. Bookmarks and links to the original page will no longer work.

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Causes of chest pain

The Evaluation of chest pain page has been updated with some additional causes of chest pain.

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