Management of sepsis without SvO2 or CVP measurement
The Management of sepsis page has been updated in light of recent evidence that suggests the frequent measurement of SvO2 or CVP does not appear to alter outcome in severe sepsis.
EDACS accelerated diagnostic protocol for suspected ACS
The Risk stratification in suspected ACS page has been updated with details of the very important Emergency Department assessment of chest pain score and associated accelerated diagnostic pathway recently published in EMA.
Haemolytic anaemia FBE
An FBE of a patient with haemolytic anaemia has been added to the Normochromic anaemia page, despite the patient having macrocytosis (thus elegantly demonstrating the limitations of the cell size classification system for anaemia!).
Fe deficiency anaemia FBE
An FBE of a patient with iron deficiency anaemia has been added to the Microcytic anaemia page.
Erythrocytosis FBE example
An FBE of a patient with erythrocytosis has been added to the Myeloproliferative disorders page.
Erythrocytosis
The Myeloproliferative disorders page has been updated with new information about Erythrocytosis (formerly known as Polycythaemia rubra vera) following a recent BMJ review.
Benign positional vertigo
The Assessment and management of vertigo page has been updated following the NEJM review article just published on benign positional vertigo. It now includes great sounding treatments such as the ‘barbeque rotation’ and ‘Gufoni’s manoeuvre’.
Ramelteon and delirium
A small segment on the possible role of the melatonin agonist, ramelteon in the prevention of delirium in the elderly has been added to the Altered mental state page.
CSF spectrophotometry for SAH
The Investigation of suspected subarachnoid haemorrhage page has been updated following the publication of a systematic review of the subject in Annals of Emergency Medicine this week.
Bitumen burns
The Chemical burns page has been updated with additional information about the management of bitumen (tar) burns.
Modified Wells score
The Deep venous thrombosis page has been updated with the latest risk estimates for the different possible Modified Wells scores published in the BMJ. The original Wells score has been removed as is no longer considered useful.
Lymphopenia
The White blood cells page has been updated with additional information about lymphopenia and it’s causes.
600th quiz question added
With the addition of the Blood gas quiz Part 1, there are now more than 600 questions in the quiz bank, with at least 15 questions being added to it each month.
Termination of pregnancy
The Termination of pregnancy page has been updated following a recent BMJ review of the subject.
Quiz page reorganisation
The quiz pages have been reorganised to create more direct links to the quizzes to speed up page loading and navigation. There are now 550 quiz questions available with more being added every month.
Serotonin toxicity
The Serotonin toxicity page has been updated following the most recent BMJ article on the subject and now includes more explicit explanation of the Hunter diagnostic criteria.