Opioids in ACS
The Management of acute coronary syndromes page has been updated with an expanded segment on the role (or lack of) of opioids in managing ACS.
Updates
Faecal blood testing
The Upper GI haemorrhage page has been updated and the segment on faecal blood testing revised.
Adrenal insufficiency
The Adrenal insufficiency page has been updated with some additional information about diagnostic features.
Benzodiazepine dependence
The Illicit drugs page has been updated to include a segment on Benzodiazepine dependence. Soyka, M. Treatment of Benzodiazepine Dependence. NEJM 2017;376(12):1147-57
Emergency surgery volume and mortality
The Trauma systems page has been updated including information about the inverse relationship between hospital emergency surgery volume and mortality.
IJ diameter and fluid responsiveness
The Assessment of intravascular volume page has been updated and a short segment on IJ diameter and fluid responsiveness has been added.
Mangled extremity score
The Management of the severely injured limb has been revised and the capacity of the MES to predict the need for amputation revised in light of advances in treatment.
Health care of prisoners
The Health care of prisoners page has been updated with additional information about what is not permitted when managing a prisoner as a patient.
Cl. Difficile in ED patients
The Infectious agents causing gastroenteritis page has been updated with information about Cl. Difficile in ED patients.
Yield of blood cultures in 3-36 month old infants
The Febrile child page has been updated with additional information about the extremely low yield of blood cultures in otherwise healthy 3-36 month old infants and the most common pathogens identified in the post Streptococcal vaccination era.
Family reporting of adverse incidents
The Patient safety page has been updated with information about the effects of family reporting of patient safety incidents on incident detection rates
Long term therapy of borderline personality disorder
The Classification of mental illness page has been updated with information about the long term treatment of borderline personality disorder.
Cholecystectomy and colonic carcinoma
The Carcinoma of the colon page has been updated and cholecystectomy added as a risk factor for development.
Management of life threatening asthma
The Management of life threatening asthma page has had some minor updates, including the target plateau pressure in ventilation being < 30mmHg, not < 20mmHg as previously stated (thanks to Farzad for picking this up)
Irritable bowel syndrome
The Irritable bowel syndrome page has been revised and updated.
Investigation of the febrile neonate
The Febrile child page has been updated with information about the investigation and management of selected cases of older neonates with fever.
Cardiac monitoring in suspected ACS
The Management of suspected acute coronary syndromes page has been updated with additional information about indications for cardiac monitoring in the ED.
Paediatric CAP
The Paediatric pneumonia page has been updated with some information about the epidemiology of CAP in children and links to other adult CAP related pages added.
Safety of MRI for pacemakers and ICDs
The Magnetic Resonance Imaging page has been updated with information about the safety of MRI for patients with non-MRI approved pacemakers and ICDs.
Risk of long term opioid use following an ED visit for pain
The Opioids page has been updated with information about the very small risk of long term opioid use following an ED visit for pain.