Emergency resuscitative thoracotomy
Extensive revision and additions to the Emergency Department Thoracotomy page in the Trauma section have been made following the London Trauma Conference Thoracotomy Masterclass.
Criteria for endotracheal extubation
An expanded list of criteria for endotracheal extubation in patients who are being actively treated has been added to the Endotracheal extubation page in the Resuscitation section.
High output cardiac failure
Some tips on how to differentiate high output cardiac failure from low output failure have been added to the Assessment of Cardiac Failure page in the Cardiovascular Disorders section.
Pregnancy related additions
The following topics have been added to the Pregnancy and Labour & delivery pages in the Obstetrics and Gynaecology section: Fertilisation and implantation; Endocrine changes in pregnancy; and Deciding where delivery should take place.
Cardiac arrest additions
Following the recent London Cardiac Arrest Symposium, multiple updates and additions have been made to the following areas: Sudden cardiac death, Therapeutic hypothermia in cardiac arrest, US in cardiac arrest, Mechanical chest compression devices, Role of PCI post arrest.
LP needle length in children
A table of recommended LP needle lengths has been added to the Lumbar Puncture page in the Neurological Disorders section.
Differentiating inferior STEMI from pericarditis
Additional highly sensitive and specific criteria for differentiating inferior STEMI from pericarditis and early repolarisation phenomenon have been added to the ECG in Acute Coronary Syndromes and Pericarditis pages in the Cardiovascular Disorders section.
Garden IV Subcapital NOF fracture
Xrays of a Garden IV subcapital NOF fracture have been added to the Femoral fractures page in the Bone and Joint Disorders section. These images illustrate the importance of disruption to Shenton’s line and the lateral view in making the diagnosis.
US measurement of fetal heart rate
An US image and description of how to measure fetal heart rate using US has been added to the Pregnancy page in the Obstetrics & Gynaecology section.
IVC US in hypovolaemia and when CVP is high
Two images demonstrating the US appearance of the IVC in hypovolaemia and when the CVP is elevated have been added to the Assessment of intravascular volume page in the Resuscitation section.
Nasal and mesenteric venous anatomy images added
New images of Mesenteric venous anatomy, Nasal septal anatomy and Nasal cartilage anatomy have been added to the relevant pages.
Six new images added.
New images of Penile anatomy, Regions of the pharynx, Small bowel appearance, Pulmonary artery catheterisation, Orbital muscles and Flexion/Extension injuries of the cervical spine have been added to the relevant pages.
DVT US examination sites and popliteal vein thrombosis.
Images demonstrating the sites for limited point DVT US examination and US images of a Popliteal vein thrombosis have been added to the Deep venous thrombosis page in the Haematological Disorders section.
O&G images added
New images of Labour, Placenta praevia, External female genital anatomy, Uterine anatomy and Positions of the uterus have been added to the relevant pages in the Obstetrics and Gynaecology section.
Yet another four images added
Four new images have been added to the relevant pages – Eye and lid anatomy, Epiphyseal anatomy, Compartments of the leg and Evans classification of intertrochanteric NOF fractures.
Another four images added
Another 4 images have been added to the relevant pages. These are: Anterior cardiac anatomy, Base of skull bone anatomy, Burn depth appearance and Bronchial appearance in chronic asthma.
Four more images added
Four more images have been added to the relevant pages: Afferent sensory tracts, Ascitic tap technique, IABP and Anaemia – microscopic view.
IV and Intraosseous access in children
Two additional images of paediatric IV access sites and tibial I/O access have been added to the Peripheral intravenous access and Paediatric resuscitation pages in the Resuscitation section.
Cricothyroidotomy skin incision diagram
Images demonstrating the location and technique for making a cricothyroidotomy skin incision have been added to the Surgical Airway page in the Resuscitation section.
Five new resuscitation images
Five new resuscitation images have been added to the relevant pages. They are: Infant CPR technique. Infant ventilation technique, Oropharyngeal airway insertion technique and Endotracheal intubation operator’s view.