Treatment of mouth ulcers
The Oral conditions page has been updated with additional information about the treatment of mouth ulcers.
Bob Dunn
Indications for ICU admission for traumatic intra-cranial haemorrhage
The Complications of head trauma page has been updated with indications for ICU admission for traumatic intra-cranial haemorrhage.
Meningococcal contact management
The management of meningococcal contacts has been updated on the Paediatric meningitis page.
Pancreatitis and ERCP
The Pancreatitis page has been updated with specific reference to gallstone pancreatitis and the role of ERCP.
Prognostic significance of ST depression, T inversion or transient ST elevation
The prognostic significance of ST depression, T inversion or transient ST elevation on the initial ECG has been added to The ECG in acute coronary syndromes page.
Chiliaditi’s sign mimicking free gas
Features of Chiliaditi’s sign that mimics subdiaphragmatic gas have been added to the Peptic ulcer disease page.
ITP and IPF
An example of an FBE result in a patient with ITP has been added to the Thrombocytopenia page.
Financial issues
The Financial issues page has been revised and data relating to health spending has been updated with 2011-12 data.
Hypokalaemia symptoms and ECG changes
Some additional information regarding symptoms of hypokalaemia and ECG changes has been added to the Hypokalaemia page.
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.