Bob Dunn

IV steroids in severe CAP

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The Management of CAP page has been updated with some information about the use of IV steroids in a selected population of patients with severe CAP. Bottom line is – sounds interesting, but not enough evidence currently to change practice.

Apologies for missing apostrophe pages

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Due to the server not recognising certain types of apostrophes in the names of web pages, some pages with apostrophes in their titles (e.g. Reye’s syndrome, Parkinson’s disease etc.) have been unable to be accessed using version 1 or 2. This has now been rectified as we have found a style of apostrophe that is suitable to the … Read more

Changes to Version 1

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in response to feedback, we have made a few changes to Version 1. The colour of the stripe that appears at the top, side or bottom of the screen (depending on the window size) has been changed from red to grey, to be a little less distracting. When searching, the text that used to appear below the page on which the search … Read more

EXTEND 1A Stroke trial

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The Stroke Management, Thrombolytic therapy in stroke and Investigation of stroke pages have been updated following publication of the EXTEND 1A trial in the NEJM today showing substantial benefit for endovascular intervention following tPA in patients selected by CT perfusion to be likely to have benefit.

JVP measurement

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The Cardiovascular examination page has been updated with a correction. The base from which the JVP is measured is the manubriosternal angle, not the sternal notch (although the base of the notch in a patient at 45 degrees is probably not far off).

The 6th edition print version of the Manual – now available

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The much awaited 6th print version of The Emergency Medicine Manual is now available. It contains all the content of the online version as of 18th January 2015, but does not include the online only features (Quizzes, galleries etc.). It is the most up to date textbook possible – editing to publishing time only 3 weeks, not 2 years like many texts!

Other features include

  • 3 volume soft cover
  • 1800 A4 sized pages
  • More than 750 images and 300 tables
  • 30% more content than the 5th print edition
  • More than 1000 additions
  • Recommended text for ACEM fellowship examinations
  • Content mapped to ACEM curriculum descriptors or learning objectives – ideal for ACEM trainees.

As a subscriber to the online version, you are eligible for a AUD$20 discount on the purchase of one copy of the print version.

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Hyponatraemia flowchart errors

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The Assessment of hyponatraemia flowchart on the Hyponatraemia page has the following errors: SIAD also commonly has low serum urate (not normal as on the chart); cerebral salt wasting syndrome usually has some degree of hypovolaemia (not euvolaemia as on the chart). The flowchart will be updated to correct these errors as soon as possible.