Dunn RJ
The Assessment of abdominal trauma page has been updated with some additional information about the role of the FAST scan.
The Management of fractures and dislocations page has been updated with additional information about haemorrhage control from an extremity.
The Secondary headaches page has been updated with additional information about the treatment of trigeminal neuralgia, especially neurosurgical techniques of treatment.
The Aging page has been updated with a section outlining the key tasks in the assessment of the elderly.
The Medical literature page has been updated with information about how stopping trials early due to a positive treatment effect usually overestimates the treatment effect.
The Thrombolytic therapy in stroke page has been updated with the removal of lacunar stroke from the list of stroke types unlikely to benefit from tPA following the publication of an IST-3 subgroup analysis.
Some additional information about the role of tPA in patients selected without advanced imaging (e.g. CT perfusion, DWI MRI) between 3-4.5 hours has been added to the Thrombolytic therapy in stroke page following the BMJ article published today that does not support the evidence for the use of tPA for this time window.
A new page called Drug resistant organisms has been created from the old Drug resistant Staph Aureus page and a short section on VRE has been added to it.
One of our subscribers, Farzad Jazayeri, has come up with this tip on how to enlarge the main text when using Version 1 without the side bar disappearing and the grey guide at the bottom of the page enlarging.
A new page called Hepatic ultrasound has been added to the Liver disease section in Abdominal disorders.
The section on Myocardial ischaemia and non-obstructive coronary arteries on the Coronary artery disease page has been updated with additional information regarding prognosis and causes.
A table outlining the indications for tetanus toxoid and immunoglobulin has been added to the Wound management and Tetanus pages.
The Shoulder and arm region injuries page has been updated with additional information regarding the operative treatment of Neck of humerus fractures.
The Shoulder and arm region injuries page has been updated with revised information regarding surgery for clavicular fractures based on the latest Cochran review of the subject.
The Assessment of heart failure page has been updated with additional information regarding the test characteristics of BNP in the diagnosis of heart failure.
The Infective gastroenteritis page has been updated with additional information regarding the likely sources of various food borne pathogens.
The Bone tumours page has been updated with additional information regarding the treatment of cancer induced bone pain.
The Thoracic aortic dissection page has been updated, particularly to update the test characteristics of modern CTA in the diagnosis.
The Urinalysis page has been updated with a short segment on sterile pyuria.
Some minor additions have been made to the Anthrax and other pages relating to potential biological warfare agents following a review on the matter recently published in the NEJM.