Salter Harris II distal radial fracture Xray
An Xray of a Salter Harris II distal radial fracture has been added to the Distal forearm injuries page.
‘Flozin’ toxicity
The Other hypoglycaemic agents page has been updated with additional information about the adverse effects of ‘flozins’ (SGLT2 inhibitors) – especially euglycaemic ketosis.
TASAR induced pneumomediastinum
A CXR demonstrating a pneumomediastinum following a TASAR injury has been added to the Electrical injury page.
Arsenic
The Arsenic page has had a few minor improvements.
Platelet counts in pregnancy
The Thrombocytopenia page has been updated with some additional information about platelet counts in normal pregnancy.
Modified release paracetamol
The Paracetamol page has been updated and revised with particular reference to the increased risk of toxicity associated with modified release preparations.
Digoxin fab fragments
The Digoxin page has been updated, with particular reference to the doses required when using digoxin fab fragments.
Embolism vs thrombosis
A table of the features that may help differentiate peripheral vascular embolism from thrombosis has been added to the Arterial occlusion page.
Transthoracic impedance and respiration – correction
The Electrical cardioversion page has been corrected to indicate that transthoracic impedance is decreased by expiration not by inspiration as previously stated. Thanks to Simon for picking this up and letting us know.
Nikolsky sign in burns – correction
The Burn depth assessment algorithm on the Burn wounds page has been updated to indicate that the Nikolsky sign is absent in epidermal burns and present in partial thickness burns. Previously the algorithm mistakenly indicated the opposite. Thanks to Jess for picking this up.
New – Version 3
We have been working very hard behind the scenes to produce a new version of the online manual that will improve the experience for our subscribers so are pleased to announce ‘Version 3‘. This version has some additional features and improvements which we hope you will find useful. The most important of these are: Predictive … Read more
ATMIST
The Assessment of the trauma patient has had a few minor revisions, including the addition of AT to the MIST acronym.
Takayasu arteritis
The Takayasu arteritis has had a few minor updates. Recently saw a case where the diagnosis had been elusive for the last 2 years and the patient labelled as a drug seeker. Weird stuff happens.
NAC dosing regimens
The Paracetamol page has been updated with some additional information about the growing number of NAC dosing schedules currently in use.
CT of PCA infarction
A CT image of posterior cerebral infarction following raised ICP has been added to the Assessment of intracranial pressure page.
AF reversion options – correction
The AF reversion options flowchart has been corrected to indicate that amiodarone should be given if there is IHD, structural heart disease or age > 55 years. Previously it indicated that it should not be given in these patients. Thanks to Sally for picking this up.
Toddler’s fracture
The Knee and leg fractures page has been updated with much expanded segment on Toddler’s fracture.
Pancreatitis
The Pancreatitis page has been updated, particularly in the areas of complications and therapy.
Electrical storm
A segment on ventricular ‘electrical storm’ has been added to the Ventricular arrhythmias page.
Left ventricular paced rhythm
The Pacemakers page has been updated with a new ECG demonstrating left ventricular paced rhythm.