Thoracic US in bronchiolitis
The Bronchiolitis page has been updated to include that multiple B lines may be found on thoracic US.
Bob Dunn
Anticoagulation in AF and ESRF
The Cerebrovascular disease page has been updated with revised information about anticoagulation for patients with AF and end stage renal failure. Dahal, K, Kunwar, S, Rijal, J, et al. Stroke, Major Bleeding, and Mortality Outcomes in Warfarin Users With Atrial Fibrillation and Chronic Kidney Disease: A Meta-Analysis of Observational Studies. Chest 2016;149(4):951-59.
Aspirin for TIA
The Cerebrovascular disease page has been updated with revised information about the effectiveness of aspirin for stroke prevention in patients with TIA.
MRI for appendicitis
The Appendicitis page has been updated with new test characteristics of MRI. Petkovska, I, Martin, DR, Covington, MF, et al. Accuracy of Unenhanced MR Imaging in the Detection of Acute Appendicitis: Single-Institution Clinical Performance Review. Radiology 2016;279(2):451-60.
Seizures and driving
The segment on seizures and driving restrictions on the Management of isolated seizures page has been updated with reference to the Austroads: Assessing fitness to drive publication.
Buprenorphine
Some additional information about buprenorphine has been added to the Opioid antagonists & partial antagonists page.
Tolerance, dependence and addiction
The Illicit drug use page has been revised including a better description of the differences between drug tolerance, dependence and addiction.
Management of withdrawal in patients on MATOD
Additional information about the management of opioid withdrawal in patients on medication assisted treatment for opioid dependence (MATOD) has been added to the Opioid antagonists & partial antagonists page.
New journal scans pages
Two new journal scan pages have been created that contain the latest abstracts from all the journals most relevant to Emergency Medicine. One is called Emergency Medicine Journals and the other General Journals. Each has a series of tabs across the top of the page – click on the relevant tab to see the latest … Read more
Anatomy, orthopaedics and flowchart galleries upgraded
The anatomy, orthopaedic and flowchart galleries have just been updated to a more contemporary format with many additional images added. All the galleries can now be accessed through the drop down menu on the front page of the website.
Improved menu structure
The Menu displayed on the header bar on each page of the front part of the website has been improved to enable better navigation of the web features. Because of the improved menu system we have removed the links to the different web features from the text on the top of the front page.
ECG and CXR gallery upgrades
The ECG and CXR galleries have just been upgraded to enable display of larger images and scalability of images according to screen size.
6 new images added to the galleries
6 new images have been added to the CXR, ECG and Image of the day galleries.
Half strength apple juice for ORT
The Paediatric gastroenteritis page has been updated with information about the efficacy of half strength apple juice for ORT in children with only mild dehydration. Freedman, SB, Willan, AR, Boutis, K, et al. Effect of dilute apple juice and preferred fluids vs electrolyte maintenance solution on treatment failure among children with mild gastroenteritis: A randomized … Read more
Low dose tPA for stroke
Some information about low dose (0.6mg/kg) IV tPA for the treatment of stroke has been added to the Thrombolytic therapy in stroke page. Anderson, CS, Robinson, T, Lindley, RI, et al. Low-Dose versus Standard-Dose Intravenous Alteplase in Acute Ischemic Stroke. N Engl J Med 2016.
ACEM position on thrombolysis in stroke
Information regarding the position on ACEM on tPA for the treatment of stroke has been updated on the Thrombolytic therapy in stroke page.
Below knee DVT complication rates
The Management of DVT page has been updated with the rates of complications revised downwards from those previously quoted. Horner, D, Hogg, K, Body, R. Should we be looking for and treating isolated calf vein thrombosis? Emergency Medicine Journal 2016;33(6):431-37.
Don’t transfuse platelets to patients with ICH on antiplatelet agents
The Platelet transfusion and Stroke management pages have been updated with information from the PATCH RCT published in Lancet that demonstrated an increase in disability and mortality from platelet transfusion in patients with supratentorial ICH on mostly aspirin, clopidogrel and/or dipyridamole. The exact mechanism for this is unclear. Baharoglu, MI, Cordonnier, C, Salman, RA-S, et al. … Read more
Single value hsTnI rule out strategy
The Troponins in ACS page has been updated with some additional information about single value hsTnI to rule out ACS. The bottom line is that hsTnT is probably more sensitive than hsTnI for clinically significantly outcomes, so is currently preferred. Carlton, E, Greenslade, J, Cullen, L, et al. Evaluation of High-Sensitivity Cardiac Troponin I Levels … Read more
hsTnI 1 hour rule out strategy
The Risk stratification in suspected ACS page has been updated, including information about the use of a hsTnI 1 hour rapid ACS diagnostic pathway. The proposed pathway appears to be not as useful as similar hsTnT pathways. Neumann, JT, Sörensen, NA, Schwemer, T, et al. Diagnosis of Myocardial Infarction Using a High-Sensitivity Troponin I 1-Hour … Read more