Fire extinguishers
Some additional information about fire extinguishers (and a few other bits and pieces) has been added to the Emergency Department response to disasters page.
Bob Dunn
Team actions
The Resuscitation teams page has been updated with a fairly large additional section about resuscitation team leadership and actions.
CT in CAP
Some additional information about the test characteristics of CT chest for the diagnosis of CAP has been added to the Community acquired pneumonia page. Claessens, Y-E, Debray, M-P, Tubach, F, et al. Early Chest Computed Tomography Scan to Assist Diagnosis and Guide Treatment Decision for Suspected Community-acquired Pneumonia. American Journal of Respiratory and Critical Care … Read more
Head injury
Some minor changes have been made to the Head trauma page
Raised ICP
Some additional information about raised ICP has been added to the Assessment of intracranial pressure page.
Dengue fever
The Dengue fever page has been updated and revised following publication of the following article. Kularatne, SA. Dengue fever. BMJ 2015;351:h4661. http://www.ncbi.nlm.nih.gov/pubmed/26374064.
Bell’s palsy
The Assessment of facial weakness page has been updated with additional information about Bell’s palsy.
Expiratory hold manouevre image of auto PEEP
An image demonstrating an expiratory hold manouevre demonstrating auto PEEP has been added to the Ventilation in special circumstances page.
Gas flow trace of gas trapping
An image demonstrating a gas flow trace demonstrating gas trapping has been added to the Ventilation in special circumstances page.
NIV and ventilation in special circumstances
A variety of small revisions have been made to the Non invasive ventilation and Ventilation in special circumstances pages.
Airway pressure release ventilation
A short segment about airway pressure release ventilation has been added to the Ventilation page.
Anaesthetic risk in pregnancy
A short segment on the increased anaesthetic risk in pregnancy has been added to the Anaesthetic risk page.
Process vs outcome measures
A short segment comparing the relative strengths and weaknesses of process and outcome measures has been added to the Clinical indicators page.
Patiromer
A short segment on patiromer, the K-Ca exchange resin newly approved in the USA has been added to the Hyperkalaemia page.
Hyperkalaemia
The Hyperkalaemia page has been updated with some additional causes following the recent BMJ article: McDonald, TJ, Oram, RA, Vaidya, B. Investigating hyperkalaemia in adults. BMJ 2015;351 http://www.bmj.com/bmj/351/bmj.h4762.full.pdf.
Achilles tendon rupture
The segment on Achilles tendon rupture on the Soft tissue injuries of the ankle and foot page has been updated following the recent BMJ article: Singh, D. Acute Achilles tendon rupture. BMJ 2015;351 http://www.bmj.com/bmj/351/bmj.h4722.full.pdf.
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.
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.