Oxycodone and tramadol on the move
Details about oxycodone and tramadol have been moved from the Opioid agonists page in the Toxicology section and amalgamated with the existing information on the Opioids page in the Resuscitation section.
Updates
Codeine and tramadol
The Opioids page has been updated with additional information about the use of codeine and tramadol in children.
Zika virus rash
The Zika virus page has been updated with additional information about the rash found in 90% of patients with the disease.
Ketamine administration speed
The Induction agents page has been updated including additional information about the increased risk of adverse effects from ketamine when given as an IV bolus.
Procedural sedation
A variety of minor changes have been made to the Procedural sedation page.
Risk management
A short segment on risk management has been added to the Patient safety page.
Procedural sedation for cardioversion of VT
A short segment about procedural sedation has been added to the Ventricular arrhythmias page.
WCC and neutrophil/lymphocyte ratio in SAH
The Investigation of suspected subarachnoid haemorrhage page has been updated with information about the WCC and neutrophil/lymphocyte ratio in SAH.
Bleeding tooth socket
The Dental emergencies page has been updated with additional information about the management of a bleeding tooth socket following dental extraction.
Self harm prediction scores
The Suicide risk page has been updated with an increased emphasis on the importance of a global risk assessment by an experienced clinician, rather than the use of the multiple self harm prediction scores that exist.
Acute fatty liver of pregnancy
A short segment on Acute fatty liver of pregnancy has been added to the Hypertension in pregnancy page
Central cord syndrome
The Spinal cord injuries page has been updated with details about the sensory findings in central cord syndrome.
Vertebral infections
A new segment on Vertebral infections has been created in the Low back pain page. As a result, the segments on Transverse myelitis, Epidural abscess and Spinal tumours have moved from the Non traumatic spinal cord disorders page.
Discitis and epidural abscess
The information about discitis and epidural abscess on the Low back pain page has been extensively revised and updated.
Cellulitis imaging
The Cellulitis page has been updated with an expanded section on imaging and US findings.
Cellulitis disposition
The Cellulitis page has been updated with an expanded section on disposition options.
Investigations in SVT – don’t!
The segment on Supraventricular tachycardia page has been updated and the lack of utility of ‘routine’ ED investigations re-emphasised. Ashok, A, Cabalag, M, Taylor, DM. Usefulness of laboratory and radiological investigations in the management of supraventricular tachycardia. Emerg Med Australas 2017 .
Faecoliths and appendicitis
The Appendicitis page has been updated with information about the high failure rate of antibiotic therapy alone in patients with a faecolith.
External compression for pelvic inguinal injuries
The Penetrating trauma to the limbs page has been updated with information about the use of pelvic binders with associated compression devices in the temporary control of junctional haemorrhage to the inguinal region.
Pacemakers
The Pacemakers page has been revised with the contents re-ordered and information about the relative roles of transcutaneous and transvenous pacing added.