Dunn RJ
The page Thrombolytic Therapy in Stroke has been substantially revised and incorporates the results from the 18 month follow up of patients in the IST3 trial published recently in Lancet Neurology. As is common with tPA stroke trials, much of the relevant data is not easily found (in the study appendix in this case). The results suggest … Read more
The journal watch pages have been updated with the following improvements: The Journal of Trauma and Resucitation have been added to the Emergency Medicine Journal page. (Link) JAMA has been added to the International Journal page (Link) The Australasian Journal of Radiology and the Australian Journal of Rural Health have been added to the Australasian … Read more
The role of clopidogrel and aspirin in stroke prevention has been udated in light of the CHANCE trial published in the NEJM yesterday.(Link)
Following an inquiry from one of our subscribers, a short segment has been added to the section on setting up a ventilator in the Ventilation page in the Resuscitation section. (Link).
Over the past few weeks approximately one hundred images have been improved. Some images have been increased in size, whilst others have had their size reduced without reducing their quality. Many others have been optimised to make it easier to see the items of interest. Increasing the quality of many of the other images will … Read more
After the results of the recent poll “Which muscle relaxant do you usually use for RSI in ED patients”, that showed suxamethonium to be much more commonly used than rocuronium (I think I was the only person who voted for it!), I thought it might be useful to have a quiz on muscle relaxants. Please … Read more
A new page called Management of Blunt Abdominal Trauma has been added to the Trauma section. (Link) Whilst the management of individual organ injuries is described in other pages, this page outlines the major issues in dealing with blunt abdominal trauma.
A new ECG demonstrating the dramatic effect that HCO3 can have in reversing Na channel toxicity has been added to the Na Channel Blocker Toxicity page. (Link)
An image of an Hadronyche spider has been added to the Spider Bite page (Link) – not for the arachnophobic!
A series of images of venomous Australian snakes have been added to the Snakes page in the Environmental section. (Link)
Please be aware that on page 271 of the print version, and the old Hypokalaemia page (now corrected) (Link) had a few annoying little errors. ECG changes of hypokalaemia occur when the K+ is < 2.7mmo/L, not when it is >2.7mmol/L. The ECG image was of hypokalaemia (as in the title) despite the text beneath … Read more
A new poll about the agent you most commonly use to control severe pain in ED patients has just been opened – cast your vote now! Feel free to comment about your choice by responding to this post. (Results)
A short section about high sensitivity troponin has been added to the Cardiac Biomarkers page. Link
A new image of SLE polyarthropathy has been added to the Systemic Lupus Erythematosus page. Link
A new image of necrotising arachnidism has been added to the Spider Bites page. Link
A new image of an infant bag and mask circuit has been added to the Neonatal resuscitation page. Link
A small section on traumatic SAH has been added to the Complications of Head Trauma page. Link
Great to see that there has been a few votes in the poll about the preferred muscle relaxant used for intubation in the ED. Suxamethonium is the clear leader but as voting has been slow we have decided to keep the poll open for another week (until June 23rd). Feel free to comment on the reasons for your … Read more
A new ECG of Junctional rhythm (link) has been added along with some relevant text (link) in the Other Arrhythmias page in the Resuscitation section.
A new ECG of Ventricular escape rhythm (link) has been added along with some relevant text (link) in the Other Arrhythmias page in the Resuscitation section.