Cardiac arrest in pregnancy

Additional information regarding the management of cardiac arrest in pregnancy has been added to the Advanced Life Support page in the Resuscitation section. Also a link from there to the Post Mortem Caesarean Section part of the Trauma in Pregnancy page in the Obstetrics section has been added.

BLS / ACLS / Defibrillation

A variety of additional information about the process of BLS / ACLS and Defibrillation have been added to the Life Support and Cardiac Arrythmias sections of the Resuscitation chapter.

Investigation of blunt head trauma

This page in the Trauma section has been revised to include a better description of the populations to which each of the CT head decision rules apply and their strengths and weaknesses. A more detailed description of the New Orleans rule has been added.

Pleural effusion / haemothorax

Some additional tips on how to differentiate a pleural effusion/haemothorax from other pulmonary pathology or overlying soft tissue have been added to the Pleural effusion page in the Respiratory section. Additional links between the Thoracic trauma page (containing haemothorax and pneumothorax) in the Trauma section and the Pleural effusion and Penumothorax pages in the Respiratory … Read more

Pericarditis

Updates including how to differentiate pericarditis from Rheumatic fever have been added .

Otitis externa

The assessment and management of Otitis externa in the Head and Neck Disorders section has been updated.

3 new ECGs

New ECGs showing atrial flutter with a LBBB and pseudo (or possibly true RV) AIVR have been added. Some additions have been made to the section on AIVR and atrial flutter in the Other Arrhythmias section of the Resuscitation chapter

DVT

An anatomical classification of lower limb DVT has been added.

Biliary disease

Updated info regarding formation of gallstones and diagnostic accuracy of US following recently published review.

p wave dispersion in AFib

New section outlining the association between p wave dispersion and the progression to chronic Afib in the Atrial fibrillation section.

Delta gap

A new section and table relating to the use of the Delta gap in metabolic acidosis has been added to the Metabolic acidosis section.

Developmental milestones

A more detailed table of developmental milestones for children has been added as a new page link from “Developmental milestones” in the Assessment of Children section.