Cervical immobilisation – or not?
The Spinal immobilisation page has been updated with information questioning the currently common practice of cervical immobilisation. (link)
Updates
Clot retrieval in stroke
The Stroke management page has been updated with a new summary of the results and implications of the many endovascular clot retrieval trials recently published.
sBP target of < 140mmHg in primary ICH
The Stroke management page has been updated to reflect the new sBP target of <140mmHg in patients with primary ICH.
hs Troponins
The Troponins in ACS page has been extensively revised to reflect new understanding of the role of hsTnT in the evaluation of chest pain.
Single ‘rule out’ hsTnT
The Troponins in ACS page has been updated with additional information about the role of a single low level hsTnT in excluding ACS in ED patients with acute chest pain.
Phases and sources of conflict
The Conflict management page has been updated with information about the phases of conflict and some additional causes of conflict between individuals have also been added.
Aneurysmal SAH epidemiology
The Subarachnoid haemorrhage page has been updated with some additional details about the epidemiology and natural history of intracerebral aneurysms following a recent guideline published on the topic. Thompson BG, Brown RD, Jr., Amin-Hanjani S, et al. Guidelines for the Management of Patients With Unruptured Intracranial Aneurysms: A Guideline for Healthcare Professionals From the American … Read more
High sensitivity troponin and CVasc risk prediction
The Troponins in ACS page has been updated with a section on hsTnT as a predictor of CVasc risk.
Encephalitis
The Encephalitis page has been extensively revised and added to following the recent publication of Australasian guidelines on the subject in the MJA.
Coeliac disease
The Suspected infective gastroenteritis page has been updated with some additional information about coeliac disease.
Lebrikizumab for asthma
The Long term management of asthma page has been updated with some information about the role of lebrikizumab.
Glucose measurement
A small segment on blood glucose measurement has been added to the Diabetes mellitus page.
hs TNT
Additional information about high sensitivity troponin has been added to the Troponins in ACS page.
Reference ranges
Additional information about reference ranges for laboratory tests has been added to the Interpretation of investigation results page.
GGT reference range
An image demonstrating the distribution of GGT values in the normal population has been added to the Liver function tests page.
ICH BP management
The Stroke management page has just been updated to reflect the recent recommendation to lower sBP to < 140mmHg in patients with ICH and no contra-indications.
Urinalysis
The Urinalysis page has been updated with additional information about the results of bedside testing.
Supplemental O2 and STEMI
The Management of acute coronary syndromes page has been updated with a more definite statement against the use of routine supplemental O2 for the treatment of ACS following publication of a recent Australian RCT on the subject.
Interpretation of investigation results
The Interpretation of investigation results page has been revised and updated in multiple different areas.
Age and gender effects on hsTNT
The Troponins in ACS page has been updated with additional information about the importance of age and gender related cut-off values when interpreting hs TNT and hs TNI values.