Philadelphia collar application
A segment on application of a Philadelphia collar and a picture of a collar has been added to the Spinal immobilisation page.
Bob Dunn
Achalasia
The Dysphagia page has been updated with some additional information about achalasia of the oesophagus.
Gynaecomastia – correction
The definition of gynaecomastia on the Examination of the abdomen and GIT page has been corrected. Previously it stated that > 2 mm of breast tissue was abnormal in a male, whereas the correct value is > 2 cm.
Gynaecomastia
The Breast lumps page has been updated with a segment on gynaecomastia
Post arrest ECG
The Post arrest care page has been updated with a short segment on what should be looked for on a post arrest ECG.
Wernickes
The Ethanol page has been updated with some additional information about Wernicke’s encephalopathy.
Madelung deformity
The Distal forearm injuries page has been updated with a new segment called Other causes of pain around the wrist and a segment on Madelung deformity.
Phimosis
The Paraphimosis and phimosis page has been updated with some additional information about phimosis.
Red man syndrome
The MRSA cover page has been updated with information about Red man syndrome following vancomycin administration.
Vancomycin dosing and administration
The MRSA cover page has been updated with new dosing and administration information for vancomycin. The previous dosage recommendations were too low.
Ideal vs total body weight drug dosing
The Airway management in obesity page has been updated with additional information about drugs that should be dosed based on ideal body weight or total body weight. Links to this information have been added to the Obesity and Paediatric cardiac arrest pages.
Base of skull fracture
The Complications of head trauma page has been updated with additional information about base of skull fractures and the low incidence of complications if no other injury is found on cranial CT.
New content quiz November 2016
The New content quiz November 2016 has just been released.
Broselow tape
A segment on the Broselow tape system has been added to the Paediatric cardiac arrest page.
Paediatric weight calculation
The segment on paediatric weight calculation on the Paediatric cardiac arrest page has had a major revision with multiple additional methods of weight estimation added.
Decompressive craniectomy following trauma
The Prevention of secondary brain injury page has been updated with information about the outcomes from decompressive craniectomy following head trauma. Hutchinson, PJ, Kolias, AG, Timofeev, IS, et al. Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension. N Engl J Med 2016.
Stroke mimics
The Stroke page has been updated with a revision of the segment on stroke mimics.
Seizures following spontaneous ICH
The Spontaneous intracerebral haemorrhage page has been updated with a segment on seizures following ICH. The page name has also been changed to Spontaneous intracerebral haemorrhage from its previous title of Intracerebral haemorrhage to differentiate it from traumatic ICH. Please be aware that links to this page from our quizzes may be broken as a … Read more
Predictors of IV fluid responsiveness
The Assessment of hypovolaemia page has been updated with a variety of changes indicating the likelihood of fluid responsiveness following the publication of the following article: Bentzer, P, Griesdale, DE, Boyd, J, et al. Will This Hemodynamically Unstable Patient Respond to a Bolus of Intravenous Fluids? JAMA 2016;316(12):1298-309.
Time to clot retrieval for stroke
The Stroke management page has been updated following the new evidence suggesting that clot retrieval (in appropriately selected cases) may improve outcome if it can be commenced within 7 hours 18 minutes. Saver, JL, Goyal, M, van der Lugt, A, et al. Time to Treatment With Endovascular Thrombectomy and Outcomes From Ischemic Stroke: A Meta-analysis. JAMA … Read more