Dunn RJ
Bob Dunn The Gastrointestinal foreign bodies page has been revised to more actively discourage the use of IV glucagon, which has little evidence of effect and potential adverse effects. BET 1: use of glucagon for oesophageal food bolus impaction. Emergency Medicine Journal 2015;32(1):85-88. http://emj.bmj.com/content/32/1/85.2.abstract.
The section on medical expulsive therapy on the Renal calculi page has been revised to include the potential benefit of MET in stones 5-10mm in diameter. Furyk, JS, Chu, K, Banks, C, et al. Distal Ureteric Stones and Tamsulosin: A Double-Blind, Placebo-Controlled, Randomized, Multicenter Trial. Annals of Emergency Medicine http://dx.doi.org/10.1016/j.annemergmed.2015.06.001.
The Central venous access page has been updated with information about the relative safety of the use of vasopressors through peripheral IV lines. Brewer, JM, Puskarich, Michael A, Jones, Alan E. Can Vasopressors Safely Be Administered Through Peripheral Intravenous Catheters Compared With Central Venous Catheters? Annals of Emergency Medicine http://dx.doi.org/10.1016/j.annemergmed.2015.05.026.
The Central venous access technique page has been revised to now recommend the use of dynamic US for subclavian CVC insertion. Kim, JL, Koyfman, A. Does Ultrasonographic Guidance Reduce Failure Rates and Adverse Events for Subclavian Vein Catheterization Compared With the Landmark Technique? Annals of Emergency Medicine http://dx.doi.org/10.1016/j.annemergmed.2015.07.001.
Some additional information about Edoxaban has been added to the Other anticoagulants page (although it is not licensed in Australia and does not appear to have any advantage over rivaroxaban or apixaban), as well as a variety of small changes to information about the other NOACs. A good recent open access review article on the subject … Read more
A small addition outlining the importance of minimising time to reduction for anterior shoulder dislocations has been added to the Glenohumeral joint dislocation page.
The Management of CAP page has been updated with information about the beneficial role of steroids in hospitalised patients with severe CAP. Siemieniuk, RAC, Meade, MO, Alonso-Coello, P, et al. Corticosteroid Therapy for Patients Hospitalized With Community-Acquired Pneumonia. A Systematic Review and Meta-analysis. Annals of Internal Medicine 2015.
Some details of the test characteristics of physical examination for the detection of thoracolumbar fractures have been added to the Assessment of the trauma patient page. Inaba, K, Nosanov, L, Menaker, J, et al. Prospective derivation of a clinical decision rule for thoracolumbar spine evaluation after blunt trauma: An American Association for the Surgery of … Read more
Some information about the S4 and S8 schedules has been added to the Drug dosing and administration page.
The Ocular examination page has been updated with some information about the normal visual acuity in young children, following a recent BMJ article on the subject. Blaikie, AJ, Dutton, GN. How to assess eyes and vision in infants and preschool children. BMJ 2015;350:h1716.
The Assessment of vision page has been updated with some additional information about the assessment of vision in young children following a recent BMJ article on the subject. Blaikie, AJ, Dutton, GN. How to assess eyes and vision in infants and preschool children. BMJ 2015;350:h1716.
The Peripheral ischaemia page has been updated with an extended list of potential causes.
The section on hepatic encephalopathy on the Hepatic diseases page has been expanded and updated.
Some normal values of hsTnT in patients with stable IHD and type II diabetes have been added to the Non ACS causes of elevated troponin page.
Some additional information and an image of pityriasis versicolour have been added to the Tinea page.
Some additional information about the Australian and New Zealand Cardiac Society 2011 guidelines on hsTroponin has been added to the Troponins in ACS page. 2011 addendum to the National Heart Foundation of Australia/Cardiac Society of Australia and New Zealand guidelines for the management of acute coronary syndromes (ACS) 2006. Heart, Lung and Circulation 2011;20(8):487-502.
Some additional information about hsTnT in patients with renal impairment (90% with eGFR 30-60mL/min) has been added to the Troponins in ACS page, derived from the following reference. Twerenbold, R, Wildi, K, Jaeger, C, et al. Optimal Cutoff Levels of More Sensitive Cardiac Troponin Assays for the Early Diagnosis of Myocardial Infarction in Patients With … Read more
Additional information about classifying the severity of diverticulitis has been added to the Diverticular disease page.
Some information about the usefulness of J-T interval prolongation as a marker of K channel blockade in patients with QRS prolongation has been added to the Electrocardiography and other relevant pages.
The Assessment of COPD page has been updated with the new 2015 GOLD spirometric assessment of severity data. Thanks to Dan Anderson for the tipoff about the changes – thanks Dan!