Evidence for thrombolytic therapy in stroke
A new page called Evidence for thrombolytic therapy in stroke has been created from the content previously on the Thrombolytic therapy in stroke page.
Updates
Stroke investigation and management
The Investigation of stroke and Stroke management pages have been revised.
Thrombolysis in stroke
The Thrombolystic therapy in stroke page has had a major revision to improve clarity and conciseness. Sections addressing time based and perfusion based strategies have been added.
Target SpO2 < 96%
The Oxygen therapy page has been updated, including a clearer indication that target SpO2 in hospitalised patients should rarely be > 95%.
IABP in cardiogenic shock
The Mechanical cardiovascular support page has been updated to downplay the usefulness of IABP in cardiogenic shock.
Genetic factors and channelopathies are AF risk factors
The Assessment of atrial fibrillation or flutter page has been updated with the addition of genetic factors and channelopathies as causes for AF.
Stroke prevention in AF
The Stroke prevention in atrial fibrillation page has been significantly revised, simplified and updated, reflecting the improved understanding we have of DOACs and anti-platelet agents.
CHA2DS2VASc score is dead…..long live the CHA2DS2VA score
The Assessment of atrial fibrillation or flutter page has been updated with the removal of the CHADS2 score and replacement of the CHA2DS2VASc score with the CHA2DSVA score.
Flecainide in AF
The Atrial fibrillation arrhythmia management page has been updated with some additional information about the use of Flecainide.
AF discharge advice
A short segment about other management of new onset AF has been added to the Atrial fibrillation arrhythmia management page.
Thyroid function testing in AFib
The Assessment of atrial fibrillation or flutter page has been updated with advice that TFTs are not advised acutely with new onset AF, but are better performed once the patient has recovered from the acute episode.
OSCE topics
The OSCE topics page has been updated, including links to the physical examination sections of the manual and updating of page links.
Spurious hypotension
A new segment on spurious hypotension has been added to the Blood pressure monitoring page. You might want to check a few things before acting on a single reading.
Acute aortic syndromes management
The Thoracic aortic dissection page has been updated, including more information about the management of acute aortic ulcers.
Paracetamol toxicity
The Paracetamol page has been extensively revised and updated, including simplification and removal of some redundant content.
Pulled elbow
The Paediatric orthopaedic conditions page has been updated with additional information about pulled elbow.
Discussing appropriate treatment
The Extent of medical treatment page has been revised with a substantially updated segment on substituted decision making.
Amnestic shellfish poisoning
The Toxic marine ingestions page has been updated with a new segment on Amnestic shellfish poisoning.
Septic arthritis in children
The Paediatric orthopaedic conditions page has been updated, including some additional information about the diagnosis of septic arthritis in children.
Osteomyelitis
The Osteomyelitis page has had a number of updates and improvements.