Faecoliths and appendicitis
The Appendicitis page has been updated with information about the high failure rate of antibiotic therapy alone in patients with a faecolith.
Bob Dunn
External compression for pelvic inguinal injuries
The Penetrating trauma to the limbs page has been updated with information about the use of pelvic binders with associated compression devices in the temporary control of junctional haemorrhage to the inguinal region.
Pacemakers
The Pacemakers page has been revised with the contents re-ordered and information about the relative roles of transcutaneous and transvenous pacing added.
Opioids in ACS
The Management of acute coronary syndromes page has been updated with an expanded segment on the role (or lack of) of opioids in managing ACS.
Faecal blood testing
The Upper GI haemorrhage page has been updated and the segment on faecal blood testing revised.
Adrenal insufficiency
The Adrenal insufficiency page has been updated with some additional information about diagnostic features.
Benzodiazepine dependence
The Illicit drugs page has been updated to include a segment on Benzodiazepine dependence. Soyka, M. Treatment of Benzodiazepine Dependence. NEJM 2017;376(12):1147-57
Emergency surgery volume and mortality
The Trauma systems page has been updated including information about the inverse relationship between hospital emergency surgery volume and mortality.
IJ diameter and fluid responsiveness
The Assessment of intravascular volume page has been updated and a short segment on IJ diameter and fluid responsiveness has been added.
Mangled extremity score
The Management of the severely injured limb has been revised and the capacity of the MES to predict the need for amputation revised in light of advances in treatment.
Health care of prisoners
The Health care of prisoners page has been updated with additional information about what is not permitted when managing a prisoner as a patient.
Cl. Difficile in ED patients
The Infectious agents causing gastroenteritis page has been updated with information about Cl. Difficile in ED patients.
Yield of blood cultures in 3-36 month old infants
The Febrile child page has been updated with additional information about the extremely low yield of blood cultures in otherwise healthy 3-36 month old infants and the most common pathogens identified in the post Streptococcal vaccination era.
Family reporting of adverse incidents
The Patient safety page has been updated with information about the effects of family reporting of patient safety incidents on incident detection rates
Long term therapy of borderline personality disorder
The Classification of mental illness page has been updated with information about the long term treatment of borderline personality disorder.
Cholecystectomy and colonic carcinoma
The Carcinoma of the colon page has been updated and cholecystectomy added as a risk factor for development.
Management of life threatening asthma
The Management of life threatening asthma page has had some minor updates, including the target plateau pressure in ventilation being < 30mmHg, not < 20mmHg as previously stated (thanks to Farzad for picking this up)
Magnesium links
A series of links to the segment on IV magnesium therapy in the Hypomagnesaemia page have been added to the Management of life threatening asthma, Hypertension in pregnancy and Ventricular arrhythmias pages.
Irritable bowel syndrome
The Irritable bowel syndrome page has been revised and updated.
April 2017 update quiz
The New content quiz April 2017 has just been published.