Bob Dunn

Peripheral neuropathy

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The Peripheral neuropathy page has been revised and updated following the recent JAMA article: Callaghan, BC, Price, RS, Feldman, EL. Distal Symmetric Polyneuropathy: A Review. JAMA 2015;314(20):2172-81.

Difficult IV access

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The Difficult intravenous access page has been updated with clearer guidance about when to use US guided peripheral venous access in adults. McCarthy, ML, Shokoohi, H, Boniface, KS, et al. Ultrasonography Versus Landmark for Peripheral Intravenous Cannulation: A Randomized Controlled Trial. Annals of Emergency Medicine .

Update quiz January 2016

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The January 2016 update quiz is now available. It has been put together using new software. This enables a much better display on smart phones as well as a wider variety of question types to be used. Please forgive some of the formatting of the quiz as there are some tricks with the software we … Read more

Hepatitis C

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The Infectious hepatitis page has been revised with some updating of the investigation and management of Hepatitis C. An interesting Australian Prescriber article on Hep C can be found at http://www.australianprescriber.com/magazine/38/6/191/7

Investigation of blunt head trauma

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The Investigation of blunt head trauma page has been updated with additional information regarding the predictive ability of clinical findings and decision rules following the publication of the following article Easter, JS, Haukoos, JS, Meehan, WP, et al. Will neuroimaging reveal a severe intracranial injury in this adult with minor head trauma?: The rational clinical … Read more

Peripheral temperature measurement

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The Temperature measurement page has been updated with additional information about the accuracy of peripheral temperature measurement. Niven, DJ, Gaudet, JE, Laupland, KB, et al. Accuracy of Peripheral Thermometers for Estimating Temperature. A Systematic Review and Meta-analysis. Annals of Internal Medicine 2015;163(10):768-77. http://dx.doi.org/10.7326/M15-1150.

US in suspected pregnancy

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A short segment on US in suspected pregnancy has been added to the Pregnancy page. Of particular note is the suggestion that using a high frequency linear probe may detect significantly more IUPs than a curvilinear transabdominal probe. Tabbut, M, Harper, D, Gramer, D, et al. High-frequency linear transducer improves detection of an intrauterine pregnancy … Read more

Adnexanet

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Some additional information about the dosing and efficacy of adnexanet in the reversal of anti-coagulation by NOACs has been added to the Reversal of anti-coagulation page.

Clinical assessment of suspected ACS

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The Clinical assessment of ACS page has been updated with revised information regarding LRs for ACS from the following article. Fanaroff, AC, Rymer, JA, Goldstein, SA, et al. Does This Patient With Chest Pain Have Acute Coronary Syndrome?: The Rational Clinical Examination Systematic Review. JAMA 2015;314(18):1955-65. http://www.ncbi.nlm.nih.gov/pubmed/26547467.