FBE in leukaemia
The Leukaemia page has been updated with some additional information about the FBE in leukaemia.
Updates
Metamyelocytes in peripheral blood
The Blood film page has had a minor revision, including information about when metamyelocytes might be seen in peripheral blood.
TB isolation precautions
The Tuberculosis page has been updated with additional information about the infection control measures required.
Transaminases
The Liver function tests page has been revised, particularly in relation to abnormalities of the transaminases.
Clinical uselessness of most blood gas calculations
Various pages relating to blood gas analysis have been updated to indicate the almost complete clinical uselessness of most of the calculations performed on blood gases. Many of the calculations produce highly inaccurate results and do not alter management (e.g. if someone has incomplete respiratory compensation for their metabolic acidosis, what do you do – … Read more
Faecal blood testing
The Upper gastrointestinal haemorrhage page has been updated to reflect the lack of utility of this test in the diagnosis of significant GI haemorrhage in the ED.
Haldane effect and CO2 retention in COPD
The Management of COPD page has been updated with the addition of the Haldane effect as a cause for CO2 retention in COPD and the removal of reduction of hypoxic drive of ventilation. Thanks to Farzad for the suggestion.
Anticoagulation for AF
The Stroke prevention in atrial fibrillation page has been updated including some minor modifications regarding anticoagulation (and timing of) prior to cardioversion.
Femoral fractures
The Femoral fractures page has been updated including some minor changes regarding physical examination, resizing of images and fixing missing images.
Pupillary responses post ROSC and outcome
The Post arrest care page has been updated with information about the outcome following ROSC of patients without pupillary reflexes.
Blood group O and haemorrhage
The Complications of blood transfusion page has been updated with information about how blood group O is associated with a higher risk of haemorrhage and a lower risk of thrombosis than other blood group types. Perhaps we should be considering this when deciding on therapies such as thrombolysis and treatment of low risk thrombosis?
‘Flozin’ toxicity
The Other hypoglycaemic agents page has been updated with additional information about the adverse effects of ‘flozins’ (SGLT2 inhibitors) – especially euglycaemic ketosis.
TASAR induced pneumomediastinum
A CXR demonstrating a pneumomediastinum following a TASAR injury has been added to the Electrical injury page.
Arsenic
The Arsenic page has had a few minor improvements.
Platelet counts in pregnancy
The Thrombocytopenia page has been updated with some additional information about platelet counts in normal pregnancy.
Modified release paracetamol
The Paracetamol page has been updated and revised with particular reference to the increased risk of toxicity associated with modified release preparations.
Digoxin fab fragments
The Digoxin page has been updated, with particular reference to the doses required when using digoxin fab fragments.
Embolism vs thrombosis
A table of the features that may help differentiate peripheral vascular embolism from thrombosis has been added to the Arterial occlusion page.
New – Version 3
We have been working very hard behind the scenes to produce a new version of the online manual that will improve the experience for our subscribers so are pleased to announce ‘Version 3‘. This version has some additional features and improvements which we hope you will find useful. The most important of these are: Predictive … Read more
ATMIST
The Assessment of the trauma patient has had a few minor revisions, including the addition of AT to the MIST acronym.