Drugs that may increase QTc
The Ventricular arrhythmias page has been updated with additional information about drugs that may increase the QTc. QT interval and drug therapy. BMJ 2016;353
Updates
Direction fixed nystagmus
Details about direction fixed and direction changing nystagmus have been included on the Cerebellar function page.
Vertigo
The Vertigo page has been updated following the recent publication of the following article. Edlow, JA, Newman-Toker, D. Using the Physical Examination to Diagnose Patients with Acute Dizziness and Vertigo. Journal of Emergency Medicine. 2016;50(4):617-28.
Primary prevention of stroke
The Cerebrovascular disease page has been updated with additional information about the primary prevention of stroke. Steiger, N, Cifu, AS. Primary prevention of stroke. JAMA 2016;316(6):658-59.
Laryngoscopy quiz
A new quiz on your usual laryngoscopy technique has just been published
Echocardiography table
The table of the relative usefulness of the the various echocardiographic views on the Echocardiography page has been updated.
Suprasternal echocardiography view
The Echocardiography page has been updated with information about the suprasternal view.
UTI in children
The Urinary tract infection in children page has had a few minor modifications.
Breast abscess
The Breast lumps page has been updated with additional information about breast abscesses. Bagenal, J, Bodhinayake, J, Williams, KE. Acute painful breast in a non-lactating woman. BMJ 2016;353:i2646.
Upper GI haemorrhage
The Upper GI haemorrhage page has been revised and updated. Laine, L. Upper Gastrointestinal Bleeding Due to a Peptic Ulcer. N Engl J Med 2016;374(24):2367-76.
Lower GI haemorrhage
The Lower intestinal haemorrhage page has been revised and updated. Strate, LL, Gralnek, IM. ACG Clinical Guideline: Management of Patients With Acute Lower Gastrointestinal Bleeding. Am J Gastroenterol 2016;111(4):459-74.
Dislocated lunate relocation technique
The Dislocations around the wrist page has been updated with an improved description of the reduction technique for a lunate dislocation.
Shoulder dislocation management with associated fractures
The Anterior shoulder dislocation management page has been updated with guidance about management in cases with associated fractures.
IV morphine vs IV paracetamol for sciatica
The Paracetamol page has been updated with information about the superiority of IV morphine over IV paracetamol (alone) in patients with sciatica. Serinken, M, Eken, C, Gungor, F, et al. Comparison of Intravenous Morphine Versus Paracetamol in Sciatica: A Randomized Placebo Controlled Trial. Academic Emergency Medicine 2016;23(6):674-78.
Limitations of RCTs
The Analysis of the medical literature page has been updated with some additional information about the limitation of RCTs.
Silent MI
The Clinical assessment of suspected ACS page has been updated with additional information about the incidence of silent ischaemia. Incidence and Prognostic Significance of Silent Myocardial Infarction in the Atherosclerosis Risk in Communities (ARIC) Study. Circulation 2016;133(22):2141-8.
sBP target for ICH is < 180mmHg
The Stroke management page has been revised to indicate that the target sBP value for the management of primary ICH is < 180mmHg and that reductions to 110-140mmHg appear to confer no additional benefit. Qureshi, AI, Palesch, YY, Barsan, WG, et al. Intensive Blood-Pressure Lowering in Patients with Acute Cerebral Hemorrhage. N Engl J Med 2016.
Post bone marrow transplant AKI
AKI has been added as a complication to the Bone marrow transplantation page. Hingorani, S. Renal Complications of Hematopoietic-Cell Transplantation. New England Journal of Medicine 2016;374(23):2256-67.
Hungry bone syndrome
Hungry bone syndrome has been added to the Hypocalcaemia page as a cause of hypocalcaemia, hypophosphataemia, hypomagnesaemia and hyperkalaemia
Ticagrelor for stroke prevention
The Cerebrovascular disease page has been updated with information about the equivalence of ticagrelor and aspirin for the prevention of stroke. Johnston, SC, Amarenco, P, Albers, GW, et al. Ticagrelor versus Aspirin in Acute Stroke or Transient Ischemic Attack. New England Journal of Medicine;2016.