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

Paediatric head injury

The Paediatric head injury page has been revised and updated.

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Rapid MRI for paediatric head trauma

The Investigation of head trauma page has been updated with additional information about MRI.

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Risk factors for overcorrection in hyponatraemia

The Hyponatraemia page has been updated with additional information about overcorrection.

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Dystonias

The Other movement disorders page has been updated with additional information about acute dystonias.

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Sphenopalatine ganglion block

The Migraine page has been updated with an expanded segment on the sphenopalatine ganglion block.

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Anticoagulation and lumbar puncture

The Lumbar puncture page has been updated with additional information about anticoagulation and LP..

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Lumbar puncture contra-indications

The segment on contra-indications on the Lumbar puncture page has been revised and updated.

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Aortic dissection mortality

The Thoracic aortic dissection page has been updated with more contemporary (lower) mortality data than previously cited.

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