Dunn RJ
New accuracy figures for MRA in the detection of intracerebral aneurysms have been added to the Investigation of suspected subarachnoid haemorrhage page following the recent meta-analysis published in Stroke.
Despite being widely quoted as having an incidence of 2-30%, multi-phasic anaphylaxis that is clinically significant now appears to have an incidence of about 0.4% for cases of anaphylaxis and 0.1% for cases of allergy in ED patients. Hopefully this will reverse the trend of prolonged observation of patients with non life-threating allergic reactions. This information … Read more
A short section on the management of insulin therapy in the hospitalised patient with Type I diabetes has been added to the Insulin therapy page.
The Risk stratification in ACS page has been updated and information regarding the Short low-intermediate chest (SLIC) pain pathway has been added.
Some information about the possible role of NT-proBNP in the assessment of patients with syncope has been added to the Syncope page/
The relative values of various predictors for apnoea in children with bronchiolitis have been added to the Bronchiolitis page.
Some additional information about the relative value of various ‘red flag’ features of lower back pain has been added to the Low back pain page.
Details of the accelerated NAC administration regimen for paracetamol toxicity recently published in the Lancet have been added to the Paracetamol page.
Some additional information about the role of lactate and D-dimer in the diagnosis of mesenteric ischaemia has been added to the Mesenteric ischaemia page.
Some additional information about the potential limitations of open chest cardiac massage has been added to the Basic life support page.
Some additional information about the prediction of complications from a sore throat has been added to the Sore throat page.
Some minor updates have been made to the Acute myocarditis page.
A new section about the control of haemorrhage in trauma, with particular reference to aortic compression, has been added to the Management of the trauma patient page.
A small section on cardiac impellers has been added to the Mechanical cardiovascular support page.
A small section on the risk of developing CHB following MI has been added to the Bradycardias page.
Some additional information about systemic vascular resistance has been added to the Determinants of cardiac failure page.
Additional information about the different types of Airtrac airway devices has been added to the Intubation equipment page.
New information about the iGEL O2 airway device has been added to the Difficult intubation page.
The Basic life support page has been updated with additional information about mechanical and open cardiac compression.
The Advanced life support page has been updated with additional information about post cardiac arrest temperature control techniques.