Imaging features of raised intracranial pressure
A new page called Imaging Features of Raised Intracranial Pressure has been added to the Resuscitation section. (Link)
Sites of brain herniation
A new image demonstrating the sites of cranial herniation has been added to the Resuscitation section (Link)
CT appearance and Hounsfield Units
The Computerised Tomography page has been updated with additional information about the appearances of different tissues and their Hounsfield Units. (Link)
Epidemiological study outcomes
Do you know your YLLs from your YLDs and your DALYs? If not, you better check out the updated Outcome Measures page that now contains all of their definitions. (Link)
CT in penetrating abdominal trauma
The Penetrating Trauma to the Trunk page has been updated with additional information regarding the role of CT in abdominal stab wounds. (Link)
Delayed cord clamping
The Labour and Delivery page has been updated with information regarding the potential benefits of delayed cord clamping following delivery. (Link)
Statin adverse effects
The relative risk of adverse effects from statins has been updated in the Cardiovascular Risk reduction page. (Link)
Beta-HCG units correction
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
Risk factors for secondary ICH following ischaemic stroke
The Intracerebral Haemorrhage page has been updated with information regarding the risk factors for secondary ICH following ischaemic stroke. (Link)
Anticoagulant therapy and tPA for stroke
The Thrombolytic Therapy for Stroke page has been updated with recommendations for the administration of tPA in patients taking antiplatelet and anti-coagulant agents. (Link)
Thrombolysis in stroke – IST3 results
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
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
Clopidogrel and aspirin for stroke prevention
The role of clopidogrel and aspirin in stroke prevention has been udated in light of the CHANCE trial published in the NEJM yesterday.(Link)
Setting up a ventilator
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
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
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
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.
Na channel toxicity reversal with HCO3
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)
Hadronyche spider image
An image of an Hadronyche spider has been added to the Spider Bite page (Link) – not for the arachnophobic!
Snake images added
A series of images of venomous Australian snakes have been added to the Snakes page in the Environmental section. (Link)