BMI and mortality
The Obesity page has been updated with information about the BMI associated with the lowest risk of all cause mortality.
Updates
BRUE – the new ALTE
The Sudden infant death syndrome page has been updated with information about BRUE (Brief resolved unexplained event), the new American Academy of Pediatrics definition replacing ALTE. Tieder JS et al. Brief resolved unexplained events (formerly apparent life-threatening events) and evaluation of lower-risk infants. Pediatrics 2016 May; 137:e20160590.
Dexamethasone in acute asthma
The Acute asthma management page has been updated with some additional information about the potential advantages of dexamethasone in acute asthma.
Management of pulmonary contusion
The Pulmonary injuries page has been updated with additional information about the management of severe pulmonary contusions.
Adjuncts to transfusion therapy
The Adjuncts to transfusion therapy page has been updated with additional information about a variety of haemostatic foams, sprays and dressings.
Trochanteric sling
The Management of pelvic trauma page has been updated with the term pelvic sling/binder being replaced with the term trochanteric sling, representing the correct position of the sling for the management of pelvic fractures.
Limitations of CT in abdominal trauma
The Assessment of abdominal trauma page has been updated with additional information about the limitations of CT of the abdomen.
Ketamine and depression
The segment on Ketamine on the Induction agents page has been revised and some additional information about the effect of ketamine on depression has been added.
ECMO
The Mechanical cardiovascular support page has been updated with some minor additions to the segment on ECMO.
Intracavity haemostatic foam
A short segment on intracavity haemostatic foam has been added to the Management of the trauma patient page.
Vascular access in trauma
The Management of the trauma patient page has been updated with a new segment on Vascular access in trauma.
Partial REBOA
A new segment on partial REBOA has been added to the Management of the trauma patient page.
Surgical repair of ankle ligament injuries
The Soft tissue injuries of the ankle and foot page has been updated with the indications for operative repair of grade 3 ligamentous injuries around the ankle.
Examination of suspected pelvic fracture
The Assessment of pelvic trauma page has been updated with revised information about the physical examination – in particular emphasising that pelvic springing should not be performed in patients suspected of unstable pelvic fractures due to the risk of causing further bleeding.
Pelvic fracture definitive management
A segment on the definitive management of pelvic fractures has been added to the Management of pelvic trauma page.
Pelvic fracture management
The Management of pelvic trauma page has been revised and updated.
Penetrating colonic injuries
Some additional information about the management of penetrating colonic injuries has been added to the Penetrating trauma to the trunk page.
Metronidazole toxicity
Additional details about the neurotoxicity of metronidazole have been added to the Anaerobic cover page.
Metformin in renal impairment
The Other hypoglycaemic agents page has been updated with more specific information about the use of metformin in patients with renal impairment.
Management of incidental ovarian cysts
The Ovarian cysts page has been updated with additional information about the management of incidentally discovered ovarian cysts based on their imaging characteristics.