Updates

Biopatch

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A small section describing the Biopatch antibacterial disc has been added to the Central Venous Access page in the Resuscitation section.

Haemophilia update

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Some updates have been added to the Disorders of Clotting page in the Haematological Disorders section, with revised factor replacement guidelines.

Scalp lacerations

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A new section on the management of scalp lacerations has been added to the Management of head trauma page in the Trauma section.

AHA 2013 STEMI Guidelines

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Updates from the newly released (it’s not even 2013 yet!) 2013 AHA STEMI management guidelines have been added to the Management of Acute Coronary Syndromes and Reperfusion Therapy pages in the Cardiovascular Disorders section.

Hybrid resuscitation

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A short section on th technique of hybrid resuscitation of hypovolaemia has been added to the Treatment of Hypovolaemia page in the Resuscitation section.

Management of severe limb injuries

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Sections describing the use of arterial tourniquets and pseudo coagulation powders in the managment of severe limb trauma have been added to the Management of fractures and dislocations page in the Bone and Joint Disorders section

Blast injury

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Updates have been made to the Blast injury part of the Mechanisms of Injury page in the Trauma section.

Pelvic trauma management update

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Some new information has been added to the Pelvic Trauma page in the Trauma section regarding pelvic binding and angiography in the management of pelvic fractures.

Emergency resuscitative thoracotomy

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Extensive revision and additions to the Emergency Department Thoracotomy page in the Trauma section have been made following the London Trauma Conference Thoracotomy Masterclass.

Criteria for endotracheal extubation

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An expanded list of criteria for endotracheal extubation in patients who are being actively treated has been added to the Endotracheal extubation page in the Resuscitation section.

High output cardiac failure

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Some tips on how to differentiate high output cardiac failure from low output failure have been added to the Assessment of Cardiac Failure page in the Cardiovascular Disorders section.

Pregnancy related additions

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The following topics have been added to the Pregnancy and Labour & delivery pages in the Obstetrics and Gynaecology section: Fertilisation and implantation; Endocrine changes in pregnancy; and Deciding where delivery should take place.

Cardiac arrest additions

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Following the recent London Cardiac Arrest Symposium, multiple updates and additions have been made to the following areas:  Sudden cardiac death, Therapeutic hypothermia in cardiac arrest, US in cardiac arrest, Mechanical chest compression devices, Role of PCI post arrest.

Differentiating inferior STEMI from pericarditis

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Additional highly sensitive and specific criteria for differentiating inferior STEMI from pericarditis and early repolarisation phenomenon have been added to the ECG in Acute Coronary Syndromes and Pericarditis pages in the Cardiovascular Disorders section.

Paediatric airway obstruction

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Some updates have been made in the Bag Mask Ventilation page (that also covers clearing the airway) in the Resuscitation section to better reflect current recommendations.

Shortness of breath

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A new page summarising the main causes of shortness of breath has been added to the Respiratory Diseases chapter in the Respiratory Disorders section.

Ultrasound technique for AAA

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A new section describing the the US technique used to detect AAA has been added to the Abdominal aortic aneurysm page in the Abdominal emergencies section.