Rapid influenza testing
The Influenza page has just been updated with more recent information about the accuracy of rapid influenza testing.
PCC and DOAC reversal
The Reversal of anti-coagulation page has been updated, including more information about the role of PCC in reversal of DOACs
2000th update!
We have just posted the 2000th update to the manual since September 2012 – averaging about 500 updates each year (with many more minor changes). This helps to illustrate how medicine is always changing and why it is important to keep as up to date as possible – a text book published 2 years ago … Read more
Arthrocentesis and anticoagulation
The Arthrocentesis page has been updated with information about patients who are also anti-coagulated.
Spontaneous cerebellar haemorrhage
The Spontaneous intracranial haemorrhage page has been updated with additional information regarding surgical intervention for posterior fossa haemorrhages.
Glaucoma and IOP
The Glaucoma page has been updated, including information about the lack of sensitivity of elevated IOP in the diagnosis.
Iridodonesis in Marfan syndrome
The Marfan syndrome page has been updated with some additional information about iridodonesis.
Physostigmine in anticholinergic delirium
The Anti-muscarinic agents page has been updated with additional information about the effectiveness of physostigmine.
Diagnostic variability in COPD
The Assessment of COPD page has been updated with information about the diagnostic variability in patients initially diagnosed with COPD.
IV contrast allergy prophylaxis
The Intravenous contrast page has been updated with information about a 5 hour accelerated prophylaxis regimen.
Premature delivery survival rates
The Premature labour page has been updated with additional information about infant survival rates and rates of disability.
Fluoroquinones and ICP
The Sulphonamides and quinolones and Idiopathic intracranial hypertension pages have been updated with fluoroquinones added as a risk factor for increased ICP.
BNP in heart failure monitoring
The Assessment of heart failure page has been updated with the information that BNP outpatient monitoring does not appear to be superior to clinical monitoring in high risk patients.
Lateral medullary infarction – correction
The Stroke syndromes page has been updated with a significant correction. The features of lateral medullary infarction have been corrected and it has been correctly named as Wallenberg syndrome. Parts of it were confused with the Inferior medial pontine syndrome, which has now also been correctly described.
Neck pain and degenerative disease
The Neck pain page has been extensively revised and updated, with particular emphasis on the degenerative causes.
Sudden death and seizures
The Management of isolated seizures page has been updated with information about sudden death following seizures.
Advanced cardiac life support
The Advanced cardiac life support page has been updated with some improved formatting.
NAC in ACS
The Management of acute coronary syndromes page has been updated with some additional information about NAC and the removal of the section on non-thrombolytic therapy in MI.
Pressure immobilisation technique
A few minor changes have been made to the First aid measures page regarding PIT
Effects of stress on decision making
The Anxiety disorders page has been updated with information about how anxiety and stress is associated with a reduced tendency to leave unrewarding environments.