Loculated pleural effusions

An US image demonstrating a loculated pleural effusion with pleural adhesions at the proposed drainage site has been added to the Pleural effusion page in the Respiratory disorders section.

Deep venous system appearance on US

A new image illustrating the appearance of the major deep veins in the leg when examined by US has been added to the Deep venous thrombosis page in the Haematological disorders section. As you can see it has been a thrombo-embolic kind of day today.

Ultrasound technique for AAA

A new section describing the the US technique used to detect AAA has been added to the Abdominal aortic aneurysm page in the Abdominal emergencies section.

Popliteal vein DVT ultrasound

New images demonstrating a popliteal vein DVT on compression ultrasound have been added to the Deep venous thrombosis page in the Haematological disorders section.

Pulmonary embolism images

New images demonstrating saddle embolism, RV dilation, and pulmonary infarction on CXR and CT have been added to the Investigation in PE – imaging page in the Cardiovascular disorders section.

Naloxone in neonatal resuscitation

The suggested use of naloxone in neonatal resuscitation on the Nonatal Resuscitation page in the Resuscitation section has been downgraded in light of the 2010 ILCOR guidelines.

Neonatal naloxone dosing error

The dose of naloxone as described in the Neonatal Resuscitation page ( p146 of text) in the Resuscitation section should be 0.1 microgram/kg not 0.1mg/kg as stated. The 0.1microgram/kg dose can be repeated if required.

Image pages separated

Work has now been completed in linking all the (900+) larger images to separate pages from the text pages. This will reduce unnecessary data download costs for images the user may not wish to see.

Sucking chest wound

A new short section on sucking chest wounds has been added to the Penetrating chest trauma page in the Trauma section

New updates bookmarks

From now on, links to new updates will take you directly to a bookmarked part of the page where the majority of the changes have occurred. However, please be aware that often other parts of the page are updated at the same time, so be sure to browse the entire page if you are looking for new content.

New paediatric contents menus

As the manual contains a significant amount of content directly relevant to the care of children that is found outside the Paediatrics section, we have reconfigured the Paediatric section content menus to include links to this other content. This should make finding and reviewing paediatric content throughout the manual much easier.