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

Antibiotics in sepsis

The Management of sepsis page has been updated with additional information about antibiotics in sepsis.

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‘Alcoholics’ changed to ‘alcoholism’

The word ‘alcoholics’ has been changed to ‘alcoholism’ to better indicate a state at a point in time rather than a defining personal characteristic.

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IV contrast extravasation

The Intravenous contrast page has been updated with a new segment on IV contrast extravasation.

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Contraindications to IV contrast administration

The Intravenous contrast page has been updated with an expanded list of contraindications to IV contrast administration.

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Shoulder reduction techniques

The Anterior shoulder dislocation management page has been significantly revised and re-organised.

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Modified Milch method of shoulder reduction

The Anterior shoulder dislocation management page has been updated with additional information about the modified Milch technique.

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Zero shoulder position

The Anterior shoulder dislocation management page has been updated with additional information about the zero position.

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2 new ECGs added to ECG Gallery

2 new ECGs have been added to the ECG gallery, taking the total number of ECGs to 216.

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