Porcine aortic valve

A new CXR image of a porcine aortic valve has been added to the Prosthetic Valves page in the Cardiovascular Disorders section.

TAVI CXR

CXR images of a Transcatheter Aortic Valve Insertion (TAVI) have been added to the Prosthetic Heart Valves page in the Cardiovascular Disorders section.

Approach to blood gas analysis

A new page entitled The Approach to Blood Gas Analysis has been added to the Clinical Skills section. This page explains the role and limitations of blood gas analysis.

CSF rhinorrhoea

The Complications of Head Injury page in the Trauma section has been revised to better explain the assessment of CSF rhinorrhoea.

Talar neck fracture

An Xray of a talar neck fracture has been added to the Injuries around the Ankle and Foot Injuries page in the Bone and Joint Disorders section.

Dislocated elbow

Xrays of a dislocated elbow have been added to the Elbow and Forearm Injuries page in the Bone and Joint Disorder section.

Inappropriate ED attendances

A short section regarding the limitations of describing an ED attendance as “inappropriate” has been added to the Triage page in the Management section.

Vestibulo-ocular reflex

A short section better describing the vestibulo-ocular reflex has been added to the Assessment and Management of Vertigo page in the Neurological disorders section.

US in shoulder dislocation

A small section on the role of US in glenohumeral dislocations has been added to the Glenohumeral Dislocations page in the Bone and Joint Disorders section.

Azithromycin and prolonged QTc

Various sections have been updated following the recent FDA warning regarding the risk of prolonged QTc with azithromycin, despite the weak association and very low risk of harm.

Patient relatives and resuscitation

A new page called Relatives and Resuscitation has been created in the Assessment and Management of Resuscitation part of the Resuscitation section. This is mostly content moved from the Palliative Care page in the Clinical Skills section in recognition that resuscitation is not always futile!

Abdominal imaging in paediatric trauma

The latest findings from the PECARN study of abdominal trauma published in Annals of Emergency Medicine have been integrated into a revision of the Evaluation of Abdominal Trauma page in the Trauma section.

Assessment and management of vertigo

The Vertigo page has been revised and moved to the Neurological Assessment part of the Neurological Disorders section. A small section outlining the indications for neuroimaging in patients with vertigo has been added and other content revised.

HIV prognosis

Additional information regarding the prognosis of HIV infection has been added to the HIV Infection page in the Infectious Disorders section. It is interesting to note that aggresively treated HIV infection now has a better prognosis than smoking!