Disaster medicine
The Disaster medicine page has had a minor rewrite and re-organisation.
Clinical judgement in paediatric head injury
The Paediatric head trauma page has been updated to reflect that expert clinical judgement is superior to the commonly cited paediatric head injury rules.
Neonatal ventilation
The Neonatal resuscitation page has been updated, including additional information about high tidal volumes and risk of ICH in neonates.
Neonatal resuscitation
The Neonatal resuscitation page has been updated and significantly re-organised to aid clarity.
Diagnosing the cause(s) of difficult intubation
A short segment on diagnosing the cause(s) of difficult intubation has been added to the Difficult intubation page, as well as a few other minor changes.
Bag mask ventilation during induction
The Endotracheal intubation page has been updated including a modification of the recommended use of bag mask ventilation during induction in the critically ill patient. Casey, JD, Janz, DR, Russell, DW, et al. Bag-Mask Ventilation during Tracheal Intubation of Critically Ill Adults. N Engl J Med 2019 .
Cerebrovascular arterial dissection
The Cerebrovascular trauma page has been updated with more information about spontaneous dissection. A link from the Headache page has also been added.
Cerebral venous sinus thrombosis
The Cerebral venous sinus thrombosis page has been updated, including additional information about the role of D dimer in diagnosis.
SAH
The Investigation of suspected SAH page has had a significant rewrite and re-organisation.
Post partum IUD insertion – correction
The Normal labour and delivery page has been updated with a correction indicating that an IUD can be inserted at any time in the post partum period, not after 6 weeks as previously stated. Thanks Erinn for picking this up.
Pulmonary embolism flowchart
The Management of PE page has been updated with a new flowchart that corrects an error in the previous chart and simplifies things as well!
Venous vs arterial lactate
The Metabolic acidosis page has been updated with important information about the level of agreement between arterial and venous lactate. Venous and arterial values should not be used interchangeably.
Domestic violence
The Domestic violence page has had a major revision including the addition of multiple areas aimed to provide practical advise.
IV fluids and O2 in migraine
The Migraine page has been updated with some additional information about O2 and IV fluids in acute migraine treatment.
Corticosteriods for prevention of migraine recurrence
The Migraine page has been updated with short segment on the role of corticosteroids in migraine prevention following discharge.
Subarachnoid mirage
The Investigation of suspected subarachnoid haemorrhage page has been updated with information about subarachnoid mirage.
Futile care
The Extent of medical treatment page has been updated with a section on futile care.
How to break the news of death
The Bereavement section has been updated, including a revised section on how to break the news of death.
How to ask for consent
A detailed guide on how to ask for consent has been added to the Consent page.
Xray of gas in elbow joint
The Penetrating trauma to the limbs page has been updated, including the addition of Xrays demonstrating gas in the elbow joint.