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Bob Dunn
IV valproate and levetiracetam
The Anti-convulsants for immediate seizure control page has been updated with information about IV valproate and levetiracetam.
Definition of epilepsy
The Seizures page has been updated with the International League Against Epilepsy’s 2014 definition of epilepsy.
Ascitic fluid protein concentrations in SBP – correction
The table entitled Test characteristics of ascitic fluid analysis in the Spontaneous bacterial peritonitis page has been corrected to show that a protein concentration of > 1g/dL is 100% sensitive and 65% specific for SBP (not <1g/dL as previously shown).
Lyme disease
The Lyme disease page has been updated with some additional information following the NEJM review article on the subject published today.
Arterial insufficiency in venous thrombosis
A segment on arterial insufficiency secondary to extensive venous thrombosis has been added to the Deep venous thrombosis page.
Lung point sign on US for PTX
A short video demonstrating the lung point sign on US for pneumothorax has been added to the Assessment of pneumothorax page. In addition, the sliding lung sign US video is now working again.
Pericardial tamponade US video
A short video of pericardial tamponade on US has been added to the Pericardial tamponade page.
Small bowel obstruction US video
A short video clip demonstrating the features of SBO on abdominal US has been added to the Bowel obstruction page.
Mitral regurgitation audio
An audio clip of moderate mitral regurgitation has been added to the Other valve lesions page.
Using the EJV to measure venous pressure
A small section on using the IJV to estimate venous pressure has been added to the Cardiovascular examination page.
Infectious gastroenteritis
The Infectious gastroenteritis page has been extensively revised including a more comprehensive section on assessment and management.
Management of missile injuries
The Missile injuries page has been updated with a small segment on the management of missile wounds.
Damage control laparotomy
The Management of the trauma patient page has been updated with a segment on damage control laparotomy.
Anti viral agents in influenza
The Influenza page has been updated to reflect the new evidence that indicates anti viral agents are less effective in the treatment of influenza than previously thought, reducing illness duration by only 14 – 17 hours and having little effect on rates of pneumonia or hospitalisation. Add these to the long list of drugs shown to be … Read more
Thrombolysis in intermediate risk PE
The Management of PE page has been updated to reflect the lack of benefit and excess of adverse effects in patients with intermediate risk PE (echocardiographic changes without hypotension) treated with thrombolysis compared to placebo which was reported in a trial just published in the NEJM.,
Investigation of anaemia
A large section on the investigation of anaemia has been added to the Anaemia page.
Bee stings
The Insect envenomation page has been updated with some additional information about bee stings.
Advanced airway techniques and chest compressions
The Basic life support page has been updated to emphasise that advanced airway techniques, when performed quickly, improve the effectiveness of chest compression. This is probably due to improved co-ordination between chest compression and ventilation.