Discitis and epidural abscess
The information about discitis and epidural abscess on the Low back pain page has been extensively revised and updated.
Cellulitis imaging
The Cellulitis page has been updated with an expanded section on imaging and US findings.
Cellulitis disposition
The Cellulitis page has been updated with an expanded section on disposition options.
Investigations in SVT – don’t!
The segment on Supraventricular tachycardia page has been updated and the lack of utility of ‘routine’ ED investigations re-emphasised. Ashok, A, Cabalag, M, Taylor, DM. Usefulness of laboratory and radiological investigations in the management of supraventricular tachycardia. Emerg Med Australas 2017 .
ABC transfusion score – correction
The Treatment of hypovolaemia page has been updated with a correction to Table 10: ABC Score massive transfusion predictors following trauma. The heart rate parameter has been corrected from HR > 90 bpm to HR >120 bpm
Faecoliths and appendicitis
The Appendicitis page has been updated with information about the high failure rate of antibiotic therapy alone in patients with a faecolith.
External compression for pelvic inguinal injuries
The Penetrating trauma to the limbs page has been updated with information about the use of pelvic binders with associated compression devices in the temporary control of junctional haemorrhage to the inguinal region.
Pacemakers
The Pacemakers page has been revised with the contents re-ordered and information about the relative roles of transcutaneous and transvenous pacing added.
Opioids in ACS
The Management of acute coronary syndromes page has been updated with an expanded segment on the role (or lack of) of opioids in managing ACS.
Faecal blood testing
The Upper GI haemorrhage page has been updated and the segment on faecal blood testing revised.
Adrenal insufficiency
The Adrenal insufficiency page has been updated with some additional information about diagnostic features.
Benzodiazepine dependence
The Illicit drugs page has been updated to include a segment on Benzodiazepine dependence. Soyka, M. Treatment of Benzodiazepine Dependence. NEJM 2017;376(12):1147-57
Emergency surgery volume and mortality
The Trauma systems page has been updated including information about the inverse relationship between hospital emergency surgery volume and mortality.
IJ diameter and fluid responsiveness
The Assessment of intravascular volume page has been updated and a short segment on IJ diameter and fluid responsiveness has been added.
Mangled extremity score
The Management of the severely injured limb has been revised and the capacity of the MES to predict the need for amputation revised in light of advances in treatment.
Health care of prisoners
The Health care of prisoners page has been updated with additional information about what is not permitted when managing a prisoner as a patient.
Cl. Difficile in ED patients
The Infectious agents causing gastroenteritis page has been updated with information about Cl. Difficile in ED patients.
Yield of blood cultures in 3-36 month old infants
The Febrile child page has been updated with additional information about the extremely low yield of blood cultures in otherwise healthy 3-36 month old infants and the most common pathogens identified in the post Streptococcal vaccination era.
Family reporting of adverse incidents
The Patient safety page has been updated with information about the effects of family reporting of patient safety incidents on incident detection rates
Long term therapy of borderline personality disorder
The Classification of mental illness page has been updated with information about the long term treatment of borderline personality disorder.