LBBB and lateral ST depression ECG
The ECG in acute coronary syndromes page has been updated with an image of an ECG with a LBBB and lateral ST depression due to MI.
Bob Dunn
Sigmoid volvulus diagram
A diagram illustrating a sigmoid volvulus has been added to the Bowel obstruction page.
Slipped femoral epiphysis Xray
An Xray of a slipped femoral epiphysis has been added to the Paediatric orthopaedic conditions page.
Perthe’s disease Xray
An Xray of Perthe’s disease has been added to the Paediatric orthopaedic conditions page.
Prevalence of bruising in children < 6 months of age
The Non accidental injury page has been updated with information about the rarity of bruising in children < 6 months of age presenting to the ED with presentations not related to NAI (1.3% overall, 0.2% in children presenting without trauma). Pierce MC et al. The prevalence of bruising among infants in pediatric emergency departments. Ann … Read more
D dimer in pregnancy
The PE in special populations page has been updated with particular reference to d dimer levels during pregnancy. Some relevant references are: Greer, IA. Pregnancy Complicated by Venous Thrombosis. New England Journal of Medicine 2015;373(6):540-47. http://www.nejm.org/doi/full/10.1056/NEJMcp1407434. Kline, JA, Williams, GW, Hernandez-Nino, J. D-dimer concentrations in normal pregnancy: new diagnostic thresholds are needed. Clin Chem 2005;51(5):825-9. … Read more
OSCE exam poll results
Well the verdict is in – 65% of respondents think the new format ACEM OSCE exam is better than the old clinical exam format. The poll is now closed.
3 more images added to ‘Featured image’ gallery
Three more images have been added to the ‘Featured image gallery’, bring the total images in the gallery to 433.
How to customise your content
Both formats of the manual allow you to choose the content that you would like displayed. This is done by using the content filter feature, that can hide images, ACEM related information and references from the page(s) you are viewing. To filter content, select the funnel icon (blue arrow below in Format 1). This … Read more
1 hour delta hsTnT strategies in ACS
The Risk stratification of suspected ACS page has been revised and updated with particular emphasis on the role of hs troponin only and 1 hour delta hsTnT strategies in ACS.
Rate of delayed ICH in anti-coagulated patients
The rate of delayed ICH following blunt head trauma has been downwardly revised on the Management of head trauma page following a recent review on the subject. This has implications for the need for admission and repeat CT head in this group of patients. Miller J, Lieberman L, Nahab B, et al. Delayed intracranial hemorrhage … Read more
hsTnT risk stratification pathway
A hsTnT based risk stratification pathway for suspected ACS has been added to the Risk stratification of ACS page.
SPA and catheterisation in children
The Urinary tract infection in children and Urinary catheterisation pages have been updated with some additional information following the recent publication of a review article on the subject in EMA. Cheek JA, Craig SS, Seith RW, et al. Urine collection in young children. Emerg Med Australas 2015;27(4):348-50.
Glaucoma
A short page on Glaucoma has been created.Thanks to Andrew Perry for supplying the additional details.
Acute angle closure glaucoma
The Acute angle closure glaucoma page has been updated with additional details of the pathophysiology of this condition. Thanks to Andrew Perry for supplying the additional details.
ImmunoXpert
A small section on the ImmunoXpert inflammatory biomarker system that may aid in differentiating viral from bacterial infections has been added to the Serum proteins page.
Post ROSC PCI
The Post arrest care page has been updated with some additional information about the role of post ROSC PCI following the release of guidelines on the subject in the July edition of JACC.
Home treatment of DVT and PE
The Deep venous thrombosis and Management of PE pages have been updated with some additional information about the home treatment of PE.
Age adjusted d-dimer – again!
The Deep venous thrombosis page has been updated with more information about the utility of age adjusted d dimer for VTE. The use of an age adjusted cut off can safely reduce imaging by 20% in patients > 75 years of age. (link)