Investigate intermediate risk for PE as low risk
The Pulmonary embolism page has been updated so the investigation of patients with intermediate risk PE is now the same as those with low risk for PE.
Bob Dunn
Cervical epidural haematoma images
3 CT and MRI images of a cervical epidural haematoma have been added to the Spinal cord injury page.
Bakri balloon for PPH
The Post partum haemorrhage page has been updated with information about the Bakri balloon.
ECG findings in PE
The section on the ECG findings in PE on the Investigations in PE – non imaging page has been revised considering the information from the following article: Shopp, JD, Stewart, LK, Emmett, TW, et al. Findings From 12-lead Electrocardiography That Predict Circulatory Shock From Pulmonary Embolism: Systematic Review and Meta-analysis. Acad Emerg Med 2015;22(10):1127-37. http://www.ncbi.nlm.nih.gov/pubmed/26394330.
QT nomogram
A small segment on the QT nomogram (and an image) has been added to the Electrocardiography page.
Infantile haemangiomas
The Neonatal skin disorders page has been updated with information about Infantile haemangiomas.
Dextromethorphan/quinidine for agitated dementia
The Altered mental state page has been updated with information about the use of dextromethorphan/quinidine for behavioural control. Cummings, JL, Lyketsos, CG, Peskind, ER, et al. Effect of Dextromethorphan-Quinidine on Agitation in Patients With Alzheimer Disease Dementia: A Randomized Clinical Trial. JAMA 2015;314(12):1242-54. http://www.ncbi.nlm.nih.gov/pubmed/26393847.
2015 ILCOR guidelines
The Basic life support and Advanced cardiac life support pages have been updated to incorporate the 2015 ILCOR guidelines. Neumar, RW, Shuster, M, Callaway, CW, et al. Part 1: Executive Summary: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015;132(18 suppl 2):S315-S67. http://circ.ahajournals.org/content/132/18_suppl_2/S315.short.
Shoulder dystocia – HELPERR
The section on shoulder dystocia on the Abnormal presentations page has been updated with the HELPERR abbreviation.
30 new images added to Featured image gallery
30 new images have just been added to the Featured image gallery that appears on the front page of the website.
Xray of necrotising fasciitis
An Xray of necrotising fasciitis has been added to the Gas gangrene and necrotising fasciitis page.
Marjolin’s ulcer
Some additional detail about malignant transformation of an ulcer (Marjolin’s ulcer) has been added to the Leg ulcers page.
Lignocaine viscous dosing
Some additional information about the correct dosing of lignocaine viscous has been added to the Oral conditions page.
Rivaroxaban and apixaban dosing
The Other anticoagulants page has been updated with additional information on rivaroxaban and apixaban dosing.
Fundoscopic examination
The Ocular examination page has been updated with additional information about fundoscopic examination.
ECMO
A short segment on ECMO has been added to the Mechanical cardiovascular support page.
Contrast injection
A short segment on contrast injection has been added to the Intravenous contrast page.
D dimer in aortic dissection
The Thoracic aortic dissection page has been updated with revised information about the utility of D dimer in the diagnosis. Asha, SE, Miers, JW. A Systematic Review and Meta-analysis of D-dimer as a Rule-out Test for Suspected Acute Aortic Dissection. Annals of Emergency Medicine;66(4):368-78. http://dx.doi.org/10.1016/j.annemergmed.2015.02.013.
PCR/ESI-MS
The Nucleic acid amplification techniques page has been updated with additional information about the utility of polymerase chain reaction followed by electrospray ionization- mass spectrometry (PCR/ESI-MS) in the diagnosis of infection. Vincent, JL, Brealey, D, Libert, N, et al. Rapid Diagnosis of Infection in the Critically Ill, a Multicenter Study of Molecular Detection in Bloodstream … Read more