Anticoagulation for AF
The Stroke prevention in atrial fibrillation page has been updated including some minor modifications regarding anticoagulation (and timing of) prior to cardioversion.
Femoral fractures
The Femoral fractures page has been updated including some minor changes regarding physical examination, resizing of images and fixing missing images.
Non disappearing images and figures
A number of images and figures that were not being hidden when the Hide images filter is applied (Versions 1 and 3 only) have been identified and fixed. They should now disappear whenever the appropriate filter is applied.
Muscle relaxant poll result
The muscle relaxant poll has now closed with about twice as many people choosing rocuronium over suxamethonium as their preferred agent. When we ran this poll in 2013 the results were almost exactly the opposite (2/3 of people preferred suxamethonium).
Pupillary responses post ROSC and outcome
The Post arrest care page has been updated with information about the outcome following ROSC of patients without pupillary reflexes.
Blood group O and haemorrhage
The Complications of blood transfusion page has been updated with information about how blood group O is associated with a higher risk of haemorrhage and a lower risk of thrombosis than other blood group types. Perhaps we should be considering this when deciding on therapies such as thrombolysis and treatment of low risk thrombosis?
Displaced Dens fracture image
A plain film showing a markedly displaced Dens fracture has been added to the Cervical spine fractures page.
Tethered pneumothorax CXR
An Xray image of a tethered pneumothorax has been added to the Assessment of pneumothorax page.
de Winter pattern ECG
The ECG in ACS page has been updated with an ECG of de Winter pattern changes of a proximal LAD occlusion.
RBBB and LPHB ECG
An ECG of RBBB and LPHB has been added to the Disorders of cardiac conduction page.
Supracondylar humeral fracture Xray
An Xray image of a supracondylar fracture has been added to the Elbow injuries page.
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.