Dunn RJ
We have just introduced a new support system for subscribers having any difficulty with the website. You can now generate a support ticket and track all correspondence related to that issue from within the website. The support area can be found by clicking on the ‘Support’ tab in the members section (My details) of the … Read more
The Syncope page has been revised, particularly the segment on orthostatic hypotension and laboratory investigations.
The Syncope page has been updated to include a small section on near syncope.
The Treatment of hypovolaemia and Clotting factor replacement pages have been updated with information about the use of AB and A group pre-thawed plasma.
35 new images have been loaded into the Image of the day library.
The Thyroid page has been updated with an US image of a benign thyroid nodule.
The Bacterial cultures page has been updated including information about Shapiro’s rule for taking blood cultures.
The Extradural and subdural haematoma page has been revised including information about the prevalence of antithrombotic use in SDH.
The Assessment of sepsis page has been updated with additional information about the prevalence and outcome of body temperature in sepsis.
The Intravenous contrast page has been updated with more evidence that IV contrast for CT in ED patients with a creatinine clearance of > 30mL/min is not associated with an increase in the rate of renal dysfunction compared to matched controls.
The Other oncological emergencies page has been updated with a short mention of the cognitive effects of chemotherapy.
A small segment on drug induced amnesia has been added to the Cerebral lobe function page.
A segment on Coronary artery dissection has been added to the Coronary artery disease page.
The Pancreatitis page has been corrected to indicate that the pancreatic duct enters the second part of the duodenum, not the third part as previously stated. Thanks to Lev for picking this up.
The potential risk of lignocaine with adrenaline has been downplayed on the Local anaesthesia page.
The Wound management page has been updated with a segment on pain minimisation techniques for local anaesthesia injection.
Even wondered when the last time a particular section of the manual was last updated? Well now you will soon be able to tell because we have started adding the ‘Last modified’ date at the end of each page. This is the latest date and time any part of the page was updated. However when … Read more
The Advanced cardiac life support and Ventricular arrhythmias pages have been updated with a clarification that precordial thumb is indicated in pulseless monitored VT (rather than all witnessed arrests), and that adrenaline is given after each 2 cycles of CPR (instead of a variety of conflicting recommendations in different parts of the text). Thanks to … Read more
The maximum safe dose of plain lignocaine (lidocaine) has been corrected from 5mg/kg to 3mg/kg on the Local anaesthesia page. Amide anaesthetics have also now been correctly described as weak bases instead of weak acids. Thanks to Joe for picking these errors up.
The Procedural sedation page has been revised with additional information about intranasal/inhalational procedural sedation in the ED