Dunn RJ
A new page called Relatives and Resuscitation has been created in the Assessment and Management of Resuscitation part of the Resuscitation section. This is mostly content moved from the Palliative Care page in the Clinical Skills section in recognition that resuscitation is not always futile!
A list of potential CT findings in acute appendicitis has been added to the Appendicitis page in the Abdominal Disorders section.
The latest findings from the PECARN study of abdominal trauma published in Annals of Emergency Medicine have been integrated into a revision of the Evaluation of Abdominal Trauma page in the Trauma section.
The Vertigo page has been revised and moved to the Neurological Assessment part of the Neurological Disorders section. A small section outlining the indications for neuroimaging in patients with vertigo has been added and other content revised.
Additional information regarding the prognosis of HIV infection has been added to the HIV Infection page in the Infectious Disorders section. It is interesting to note that aggresively treated HIV infection now has a better prognosis than smoking!
It has been pointed out that it is chickling peas / kesari dal (lathyrus sativus) that causes lathyrism, not chick peas as previously stated. The Drug Induced Seizures page in the Toxicology section has been updated to reflect this.
A low dibucaine number, not a high one, is a measure of increased suxamethonium sensitivity. The Suxamethonium page in the Resuscitation section has been corrected to reflect this
A short section outilining the significance of an upright T wave in V1 has been added to the ECG in acute coronary syndromes page in the Cardiovascular disorders section.
A new section on Clostridium difficile has been added to the Infectious Gastroenteritis page in the Abdominal Pain section.
The Paediatric Resuscitation page has been subdivided into a number of smaller pages to aid with navigation and reduce download traffic.
The Peripheral Venous Access page has been subdivided into a number of smaller pages to aid with navigation and reduce download traffic.
The Shock page has been subdivided into a number of smaller pages to aid with navigation and reduce download traffic.
The Atrial Fibrillation page has been subdivided into a number of smaller pages to aid with navigation and reduce download traffic.
Updates have been made to the Upper GI Haemorrhage page in the Abdominal Disorders section outlining the need to avoid early, full restoration of blood volume in most patients with upper GI bleeding and to usually only transfuse red cells when the Hb is < 70g/L.
A new section on Amniotic fluid embolism has been added to the Abnormal Labour page in the Obstetrics and Gynaecology section.
The section on Button battery ingestion in the Gastrointestinal Foreign Bodies page in the Abdominal Disorders Section has been updated to reinforce the urgency in removing oesophageal button batteries.
A small section outlining the treatment effect of epidural steroids in lower back pain has been added to the Lower Back Pain page in the Bone and Joint Disorders section.
Some additional information about the test characteristics of cardiac MRI and stress echocardiography has been added to the Other Diagnositic Modalities in ACS page in the Cardiovascular Disorders section.
A small section on avalanche related injury has been added to the High Altitude Medicine page in the Environmental Emergencies section.
Additional information regarding Rhinovirus and Adenovirus has been added to the Rhinitis page in the Head and Neck Disorders section.