Dunn RJ
Bob Dunn The muscle relaxant poll has now closed with about twice as many people choosing rocuronium over suxamethonium as their preferred agent. When we ran this poll in 2013 the results were almost exactly the opposite (2/3 of people preferred suxamethonium).
The Post arrest care page has been updated with information about the outcome following ROSC of patients without pupillary reflexes.
The Complications of blood transfusion page has been updated with information about how blood group O is associated with a higher risk of haemorrhage and a lower risk of thrombosis than other blood group types. Perhaps we should be considering this when deciding on therapies such as thrombolysis and treatment of low risk thrombosis?
A plain film showing a markedly displaced Dens fracture has been added to the Cervical spine fractures page.
An Xray image of a tethered pneumothorax has been added to the Assessment of pneumothorax page.
The ECG in ACS page has been updated with an ECG of de Winter pattern changes of a proximal LAD occlusion.
An ECG of RBBB and LPHB has been added to the Disorders of cardiac conduction page.
An Xray image of a supracondylar fracture has been added to the Elbow injuries page.
An Xray of a Salter Harris II distal radial fracture has been added to the Distal forearm injuries page.
The Other hypoglycaemic agents page has been updated with additional information about the adverse effects of ‘flozins’ (SGLT2 inhibitors) – especially euglycaemic ketosis.
A CXR demonstrating a pneumomediastinum following a TASAR injury has been added to the Electrical injury page.
The Arsenic page has had a few minor improvements.
The Thrombocytopenia page has been updated with some additional information about platelet counts in normal pregnancy.
The Paracetamol page has been updated and revised with particular reference to the increased risk of toxicity associated with modified release preparations.
The Digoxin page has been updated, with particular reference to the doses required when using digoxin fab fragments.
A table of the features that may help differentiate peripheral vascular embolism from thrombosis has been added to the Arterial occlusion page.
The Electrical cardioversion page has been corrected to indicate that transthoracic impedance is decreased by expiration not by inspiration as previously stated. Thanks to Simon for picking this up and letting us know.
The Burn depth assessment algorithm on the Burn wounds page has been updated to indicate that the Nikolsky sign is absent in epidermal burns and present in partial thickness burns. Previously the algorithm mistakenly indicated the opposite. Thanks to Jess for picking this up.
We have been working very hard behind the scenes to produce a new version of the online manual that will improve the experience for our subscribers so are pleased to announce ‘Version 3‘. This version has some additional features and improvements which we hope you will find useful. The most important of these are: Predictive … Read more
The Assessment of the trauma patient has had a few minor revisions, including the addition of AT to the MIST acronym.