Hypokalaemia symptoms and ECG changes
Some additional information regarding symptoms of hypokalaemia and ECG changes has been added to the Hypokalaemia page.
Bob Dunn
Anticoagulation in AF poll result
Comment About 63% of respondents would start some form of anti-coagulation from the ED, whilst the remainder would leave the decision to one of the patient’s treating doctors. Although the risk of stroke appears to be highest in the first week after new onset AF, it is not clear whether immediate anti-coagulation reduces this risk. … Read more
Post cardiac arrest temperature management poll
Following the recent discussion regarding the role of therapeutic hypothermia following cardiac arrest in the literature, we have opened a poll on the subject to see what you think.
Polyarteritis nodosa
The Polyarteritis nodosa page has been updated, including information regarding the five factor score used in the severity classification of vasculidites.
Stenting for renal artery stenosis
The Renovascular problems page has been updated with some new information regarding the role for stenting for renal artery stenosis.
2013 in review
The last year has been a significant one for the online version of the manual. The number of subscribers has doubled and web activity for 2013 has tripled. In the last year there were over 35,000 visits, 350,000 pages (that’s 220 entire books worth) downloaded and over 1 million hits. Currently about half a book … Read more
Litigation
Just to start the year off on a cheery note, some additional information about litigation for negligence has been added to the Medicolegal issues page.
MRA for diagnosis of intracerebral aneurysms
New accuracy figures for MRA in the detection of intracerebral aneurysms have been added to the Investigation of suspected subarachnoid haemorrhage page following the recent meta-analysis published in Stroke.
The real incidence of multi-phasic anaphylaxis
Despite being widely quoted as having an incidence of 2-30%, multi-phasic anaphylaxis that is clinically significant now appears to have an incidence of about 0.4% for cases of anaphylaxis and 0.1% for cases of allergy in ED patients. Hopefully this will reverse the trend of prolonged observation of patients with non life-threating allergic reactions. This information … Read more
Insulin management in the hospitalised Type I diabetic
A short section on the management of insulin therapy in the hospitalised patient with Type I diabetes has been added to the Insulin therapy page.
Risk stratification in ACS
The Risk stratification in ACS page has been updated and information regarding the Short low-intermediate chest (SLIC) pain pathway has been added.
NT – proBNP and syncope
Some information about the possible role of NT-proBNP in the assessment of patients with syncope has been added to the Syncope page/
Predictors of apnoea in Bronchiolitis
The relative values of various predictors for apnoea in children with bronchiolitis have been added to the Bronchiolitis page.
‘Red flags’ for back pain
Some additional information about the relative value of various ‘red flag’ features of lower back pain has been added to the Low back pain page.
Accelerated NAC regimen
Details of the accelerated NAC administration regimen for paracetamol toxicity recently published in the Lancet have been added to the Paracetamol page.
Mesenteric ischaemia
Some additional information about the role of lactate and D-dimer in the diagnosis of mesenteric ischaemia has been added to the Mesenteric ischaemia page.
Limitations of open chest cardiac massage
Some additional information about the potential limitations of open chest cardiac massage has been added to the Basic life support page.
Complications of sore throat
Some additional information about the prediction of complications from a sore throat has been added to the Sore throat page.
Myocarditis
Some minor updates have been made to the Acute myocarditis page.