Beta-HCG units correction

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The correct measurement units (mIU/mL) have been applied to the various pages where quantitative beta HCG levels have been used.Previously many of the values were quoted in IU/mL, or just IU. Please note that none of the values used in the manual have changed, just the units used have been corrected. Thanks to an astute … Read more

Thrombolysis in stroke – IST3 results

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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

Journal watch pages updates

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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

Setting up a ventilator

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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).

Image upgrades

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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

Take the muscle relaxant quiz

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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

Management of blunt abdominal trauma

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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.

Hypokalaemia corrections

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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