Subacromial impingement
The Soft tissue injuries of the shoulder region page has been updated, including information about the lack of efficacy for surgical intervention.
Bob Dunn
Patient transport
A number of minor modifications to the Prehospital care section regarding patient transport have been made.
Insulinoma
The Hypoglycaemia page has been updated with particular emphasis on how to differentiate the causes and insulinoma.
Sclerotherapy for venous ulcers
The Leg ulcers page has been updated with some information about the role of venous sclerotherapy in the treatment of venous ulcers.
Proximal tibiofibular joint dislocation
The Dislocations around the knee page has been updated with information about proximal tibiofibular joint dislocation.
Psychosis
The Psychosis page has been extensively revised, re-organised and updated.
Update quiz August 2018
The Update quiz August 2018 has just been released.
FBE in leukaemia
The Leukaemia page has been updated with some additional information about the FBE in leukaemia.
Metamyelocytes in peripheral blood
The Blood film page has had a minor revision, including information about when metamyelocytes might be seen in peripheral blood.
July 2018 update quiz
The July 2018 update quiz has just been published.
TB isolation precautions
The Tuberculosis page has been updated with additional information about the infection control measures required.
Electrical alternans
The Pericardial tamponade page has been updated with a new ECG demonstrating electrical alternans.
Transaminases
The Liver function tests page has been revised, particularly in relation to abnormalities of the transaminases.
iOS users – we need your help
If your are an iOS user – we need your help. With the release of Version 3 of the online manual and upgrades to Version 1, we would really like to know how they are going on all the various iOS devices out there. We have had some positive feedback from a few users (especially about … Read more
Clinical uselessness of most blood gas calculations
Various pages relating to blood gas analysis have been updated to indicate the almost complete clinical uselessness of most of the calculations performed on blood gases. Many of the calculations produce highly inaccurate results and do not alter management (e.g. if someone has incomplete respiratory compensation for their metabolic acidosis, what do you do – … Read more
Faecal blood testing
The Upper gastrointestinal haemorrhage page has been updated to reflect the lack of utility of this test in the diagnosis of significant GI haemorrhage in the ED.
Haldane effect and CO2 retention in COPD
The Management of COPD page has been updated with the addition of the Haldane effect as a cause for CO2 retention in COPD and the removal of reduction of hypoxic drive of ventilation. Thanks to Farzad for the suggestion.
Anticoagulation for AF
The Stroke prevention in atrial fibrillation page has been updated including some minor modifications regarding anticoagulation (and timing of) prior to cardioversion.
Femoral fractures
The Femoral fractures page has been updated including some minor changes regarding physical examination, resizing of images and fixing missing images.
Non disappearing images and figures
A number of images and figures that were not being hidden when the Hide images filter is applied (Versions 1 and 3 only) have been identified and fixed. They should now disappear whenever the appropriate filter is applied.