Dunn RJ
Please be aware that the table of contents has become unstable, and is linking to all sorts of weird places in the book. We have set up a temporary site for Version 1 of the manual which we suggest you use whilst we fix the problem. https://emergencymedicinemanual.com/Content/v6/alt/TEMM%206%20single%20volume-Responsive%20HTML5/ The temporary version is a few weeks old, … Read more
Please note there is a problem with the display of many images in both Version 1 and 2 of the manual at present. We are currently reverting back to earlier versions (i.e. 3 weeks ago) of these files until we rectify the problem – so some of the most recent updates may not be able … Read more
The Intravenous fluids page has been updated to include additional information about when NSaline is the preferred initial IV solution.
The Clinical decision making page has been updated with more information about the different methods that can be used to reduce cognitive error.
A segment on Paediatric constipation has been added to the Causes of abdominal pain page, and a link to the Paediatric abdominal conditions page added.
The Spinal cord injuries page has been updated with a short segment on spinal epidural haematoma.
The Thoracic aortic dissection page has been revised, including the addition of information about the use of measuring the left mediastinal width on a PA CXR.
The Thoracic aortic dissection page has been revised, including the addition of some LRs for a variety of clinical features.
The components of the anterior and posterior cerebral circulation have been added to the Cerebrovascular diseases page.
The Drug seeking behaviour page has been revised to emphasise the role of objective findings and functional pain assessment when considering management.
AXR and CT images demonstrating a large bowel obstruction have been added to the Bowel obstruction page.
The Chronic pain page has been revised to better emphasise the lack of efficacy in the use of opioids to manage this condition.
The Management of atrial fibrillation page has been updated to include information about the role of multi-detector CT in the diagnosis of left atrial thrombus.
The Epistaxis page has been updated with a segment on the role of topical TXA.
A colour Doppler US of carotid stenosis has been added to the Investigation of stroke page.
A segment on Placenta accreta spectrum has been added to the Post partum haemorrhage page. Silver, RM, Branch, DW. Placenta Accreta Spectrum. N Engl J Med 2018;378(16):1529-36
The Cerebral lobe function page has been updated, including additional information about transient global amnesia and MRI.
The image of the bones of the upper cervical spine on the Spinal injuries page has been updated so that C1 and C2 are now labelled correctly. Previously C1 was mis-labelled as C2 and vice versa. Thanks to Ming for spotting this.
The Post partum haemorrhage page has been updated with the correct dose of misoprostol for PPH – is is 1000 microgams PR not 1000 milligrams, as previously stated. Thanks to Jing Yan for picking this up.
The Bowel obstruction page has been updated, including the addition of US features suggestive of bowel ischaemia in SBO.