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

Temperature measurement page changed to Body temperature page

The name of the Temperature measurement page has been changed to the Body temperature page.

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Normal body temperature

The Body temperature page has been updated with a segment on normal body temperature. Spoiler alert – it is not 37C when taken by a tympanic infrared thermometer…

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LVOT VTi and fluid responsiveness

The Assessment of intravascular volume page has been updated with a short segment on LVOT VTi and fluid responsiveness.

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Antibiotic administration in sepsis

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

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Concomitant viral infections and bacterial sepsis

The Assessment of sepsis page has been updated with information about the frequency of concomitant viral infections in sepsis.

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Cardiac dysfunction in sepsis

The Assessment of sepsis page has been updated with additional information about cardiac dysfunction in sepsis.

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Management of sepsis

The Management of sepsis page has had a number of other updates and formatting improvements.

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Sources of fluid loss in sepsis

The Management of sepsis page has been updated with a short segment on the sources of fluid loss in sepsis.

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