Bob Dunn – Page 194 – The Emergency Medicine Manual

tPA for stroke between 3-4.5 hours

22/03/2015 by Bob Dunn

Some additional information about the role of tPA in patients selected without advanced imaging (e.g. CT perfusion, DWI MRI) between 3-4.5 hours has been added to the Thrombolytic therapy in stroke page following the BMJ article published today that does not support the evidence for the use of tPA for this time window.

VRE

22/03/2015 by Bob Dunn

A new page called Drug resistant organisms has been created from the old Drug resistant Staph Aureus page and a short section on VRE has been added to it.

Display tip – Keeping the side bar visible when enlarging the text

16/03/2015 by Bob Dunn

One of our subscribers, Farzad Jazayeri, has come up with this tip on how to enlarge the main text when using Version 1 without the side bar disappearing and the grey guide at the bottom of the page enlarging.

Hepatic ultrasound

15/03/2015 by Bob Dunn

A new page called Hepatic ultrasound has been added to the Liver disease section in Abdominal disorders.

MINOCA

15/03/2015 by Bob Dunn

The section on Myocardial ischaemia and non-obstructive coronary arteries on the Coronary artery disease page has been updated with additional information regarding prognosis and causes.

Tetanus immunisation table

15/03/2015 by Bob Dunn

A table outlining the indications for tetanus toxoid and immunoglobulin has been added to the Wound management and Tetanus pages.

Surgery for #NOH

15/03/2015 by Bob Dunn

The Shoulder and arm region injuries page has been updated with additional information regarding the operative treatment of Neck of humerus fractures.

Clavicle fracture surgery review

15/03/2015 by Bob Dunn

The Shoulder and arm region injuries page has been updated with revised information regarding surgery for clavicular fractures based on the latest Cochran review of the subject.

BNP and NT-ProBNP test characteristics for heart failure

15/03/2015 by Bob Dunn

The Assessment of heart failure page has been updated with additional information regarding the test characteristics of BNP in the diagnosis of heart failure.

Sources of food poisoning

15/03/2015 by Bob Dunn

The Infective gastroenteritis page has been updated with additional information regarding the likely sources of various food borne pathogens.

Cancer induced bone pain

15/03/2015 by Bob Dunn

The Bone tumours page has been updated with additional information regarding the treatment of cancer induced bone pain.

Aortic dissection

15/03/2015 by Bob Dunn

The Thoracic aortic dissection page has been updated, particularly to update the test characteristics of modern CTA in the diagnosis.

Sterile pyuria

15/03/2015 by Bob Dunn

The Urinalysis page has been updated with a short segment on sterile pyuria.

Anthrax

15/03/2015 by Bob Dunn

Some minor additions have been made to the Anthrax and other pages relating to potential biological warfare agents following a review on the matter recently published in the NEJM.

Paediatric IV fluid calculator

01/03/2015 by Bob Dunn

A paediatric IV fluid calculator has been added to the Web features page.

Total body weight estimator

01/03/2015 by Bob Dunn

A total body weight estimator (using height and arm circumference) has been added to the Web features page.

New content quiz March 2015

01/03/2015 by Bob Dunn

Lean body weight estimator

28/02/2015 by Bob Dunn

A lean body weight estimator has been added to the Web features page.

New poll – the new ACEM Fellowship exam SAQs

28/02/2015 by Bob Dunn

New navigation buttons

25/02/2015 by Bob Dunn

A variety of buttons have been added to the site to aid navigation for small devices and touch screens. More will be added progressively until the site is ‘touch friendly’.