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

LDH isoenzymes

The Liver function tests page has been updated with a new table of the different LDH isoenzymes.

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AST in myocardial ischaemia

The Other cardiac biomarkers page has been updated with additional information about the role of AST.

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LDH in myocardial ischaemia

The Other cardiac biomarkers page has been updated with additional information about the role of LDH

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Thoracic aortic dissection with STEMI/ACOMI ECG pattern

The Thoracic aortic dissection page has been updated with a new segment on aortic dissection with a STEMI/ACOMI ECG pattern.

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When the diagnosis of STEMI/ACOMI is unclear

The Reperfusion therapy in ACS page has been updated with additional information about actions that can be taken to clarify the diagnosis of STEMI/ACOMI.

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Dual mobility liner hip prosthesis Xray

An Xray image of a dislocated dual mobility liner has been added to the Dislocations of the hip page.

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Dual mobility liner prosthetic hip dislocations

The Dislocations of the hip page has been updated with additional information about dual mobility liner dislocations.

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Hip dislocation relocation techniques

The segment on hip dislocation relocation techniques has been revised and reworded on the Hip dislocation page.

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