1 hour delta hsTnT strategies in ACS
The Risk stratification of suspected ACS page has been revised and updated with particular emphasis on the role of hs troponin only and 1 hour delta hsTnT strategies in ACS.
Rate of delayed ICH in anti-coagulated patients
The rate of delayed ICH following blunt head trauma has been downwardly revised on the Management of head trauma page following a recent review on the subject. This has implications for the need for admission and repeat CT head in this group of patients. Miller J, Lieberman L, Nahab B, et al. Delayed intracranial hemorrhage … Read more
hsTnT risk stratification pathway
A hsTnT based risk stratification pathway for suspected ACS has been added to the Risk stratification of ACS page.
SPA and catheterisation in children
The Urinary tract infection in children and Urinary catheterisation pages have been updated with some additional information following the recent publication of a review article on the subject in EMA. Cheek JA, Craig SS, Seith RW, et al. Urine collection in young children. Emerg Med Australas 2015;27(4):348-50.
Glaucoma
A short page on Glaucoma has been created.Thanks to Andrew Perry for supplying the additional details.
Acute angle closure glaucoma
The Acute angle closure glaucoma page has been updated with additional details of the pathophysiology of this condition. Thanks to Andrew Perry for supplying the additional details.
ImmunoXpert
A small section on the ImmunoXpert inflammatory biomarker system that may aid in differentiating viral from bacterial infections has been added to the Serum proteins page.
Post ROSC PCI
The Post arrest care page has been updated with some additional information about the role of post ROSC PCI following the release of guidelines on the subject in the July edition of JACC.
Home treatment of DVT and PE
The Deep venous thrombosis and Management of PE pages have been updated with some additional information about the home treatment of PE.
Age adjusted d-dimer – again!
The Deep venous thrombosis page has been updated with more information about the utility of age adjusted d dimer for VTE. The use of an age adjusted cut off can safely reduce imaging by 20% in patients > 75 years of age. (link)
Cervical immobilisation – or not?
The Spinal immobilisation page has been updated with information questioning the currently common practice of cervical immobilisation. (link)
Clot retrieval in stroke
The Stroke management page has been updated with a new summary of the results and implications of the many endovascular clot retrieval trials recently published.
sBP target of < 140mmHg in primary ICH
The Stroke management page has been updated to reflect the new sBP target of <140mmHg in patients with primary ICH.
hs Troponins
The Troponins in ACS page has been extensively revised to reflect new understanding of the role of hsTnT in the evaluation of chest pain.
Single ‘rule out’ hsTnT
The Troponins in ACS page has been updated with additional information about the role of a single low level hsTnT in excluding ACS in ED patients with acute chest pain.
Phases and sources of conflict
The Conflict management page has been updated with information about the phases of conflict and some additional causes of conflict between individuals have also been added.
Aneurysmal SAH epidemiology
The Subarachnoid haemorrhage page has been updated with some additional details about the epidemiology and natural history of intracerebral aneurysms following a recent guideline published on the topic. Thompson BG, Brown RD, Jr., Amin-Hanjani S, et al. Guidelines for the Management of Patients With Unruptured Intracranial Aneurysms: A Guideline for Healthcare Professionals From the American … Read more
Retinal detachment image
An image of a retinal detachment has been added to the Acute visual loss page.
Pterygium image
An image of a Pterygium has been added to The Red eye page.
Subconjunctival haemorrhage image
An image of a subconjunctival haemorrhage has been added to The Red eye page.