QT nomogram
A small segment on the QT nomogram (and an image) has been added to the Electrocardiography page.
Bob Dunn
Infantile haemangiomas
The Neonatal skin disorders page has been updated with information about Infantile haemangiomas.
Dextromethorphan/quinidine for agitated dementia
The Altered mental state page has been updated with information about the use of dextromethorphan/quinidine for behavioural control. Cummings, JL, Lyketsos, CG, Peskind, ER, et al. Effect of Dextromethorphan-Quinidine on Agitation in Patients With Alzheimer Disease Dementia: A Randomized Clinical Trial. JAMA 2015;314(12):1242-54. http://www.ncbi.nlm.nih.gov/pubmed/26393847.
2015 ILCOR guidelines
The Basic life support and Advanced cardiac life support pages have been updated to incorporate the 2015 ILCOR guidelines. Neumar, RW, Shuster, M, Callaway, CW, et al. Part 1: Executive Summary: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015;132(18 suppl 2):S315-S67. http://circ.ahajournals.org/content/132/18_suppl_2/S315.short.
Shoulder dystocia – HELPERR
The section on shoulder dystocia on the Abnormal presentations page has been updated with the HELPERR abbreviation.
30 new images added to Featured image gallery
30 new images have just been added to the Featured image gallery that appears on the front page of the website.
Xray of necrotising fasciitis
An Xray of necrotising fasciitis has been added to the Gas gangrene and necrotising fasciitis page.
Marjolin’s ulcer
Some additional detail about malignant transformation of an ulcer (Marjolin’s ulcer) has been added to the Leg ulcers page.
Lignocaine viscous dosing
Some additional information about the correct dosing of lignocaine viscous has been added to the Oral conditions page.
Rivaroxaban and apixaban dosing
The Other anticoagulants page has been updated with additional information on rivaroxaban and apixaban dosing.
Fundoscopic examination
The Ocular examination page has been updated with additional information about fundoscopic examination.
ECMO
A short segment on ECMO has been added to the Mechanical cardiovascular support page.
Contrast injection
A short segment on contrast injection has been added to the Intravenous contrast page.
D dimer in aortic dissection
The Thoracic aortic dissection page has been updated with revised information about the utility of D dimer in the diagnosis. Asha, SE, Miers, JW. A Systematic Review and Meta-analysis of D-dimer as a Rule-out Test for Suspected Acute Aortic Dissection. Annals of Emergency Medicine;66(4):368-78. http://dx.doi.org/10.1016/j.annemergmed.2015.02.013.
PCR/ESI-MS
The Nucleic acid amplification techniques page has been updated with additional information about the utility of polymerase chain reaction followed by electrospray ionization- mass spectrometry (PCR/ESI-MS) in the diagnosis of infection. Vincent, JL, Brealey, D, Libert, N, et al. Rapid Diagnosis of Infection in the Critically Ill, a Multicenter Study of Molecular Detection in Bloodstream … Read more
Repeat US features of failed pregnancy
The Miscarriage page has been updated with information regarding the features of repeat US that are highly predictive of failed pregnancy. Preisler, J, Kopeika, J, Ismail, L, et al. Defining safe criteria to diagnose miscarriage: prospective observational multicentre study. BMJ 2015;351 http://www.bmj.com/bmj/351/bmj.h4579.full.pdf.
Well’s score table – correction
The table on the Pulmonary embolism page previously called Simplified Well’s score was actually just the original Well’s score. This has been corrected in the online version however not in the first 3 print runs of the print version.
Well’s and Geneva scores tables
The Well’s and Geneva scores, and their simplified versions, have been simplified into 2 tables – including the risk stratification cut offs for each of them. This can be found on the Pulmonary embolism page.
LOTRADIOP, SOCRATES and taking a pain history
Details of how to take a detailed history of pain, using the LOTRADIOP or SOCRATES approach, have been added to the Clinical skills page.