Diving medicine update
The Diving Medicine page in the Environmental Disorders section has been extensively revised and updated.
Talar neck fracture
An Xray of a talar neck fracture has been added to the Injuries around the Ankle and Foot Injuries page in the Bone and Joint Disorders section.
Dislocated elbow
Xrays of a dislocated elbow have been added to the Elbow and Forearm Injuries page in the Bone and Joint Disorder section.
Posterior shoulder dislocation
Xrays of a posterior glenohumeral joint dislocation have been added to the Glenohumeral Joint Dislocation page in the Bone and Joint Disorders section.
Thrombophilia update
A variety of small updates have been made to the Thrombophilia page in the Haematological Disorders section.
Health care of prisoners
A new page entitled Health care of Prisoners has been added to the Clinical Skills section.
Inappropriate ED attendances
A short section regarding the limitations of describing an ED attendance as “inappropriate” has been added to the Triage page in the Management section.
Vestibulo-ocular reflex
A short section better describing the vestibulo-ocular reflex has been added to the Assessment and Management of Vertigo page in the Neurological disorders section.
US in shoulder dislocation
A small section on the role of US in glenohumeral dislocations has been added to the Glenohumeral Dislocations page in the Bone and Joint Disorders section.
Azithromycin and prolonged QTc
Various sections have been updated following the recent FDA warning regarding the risk of prolonged QTc with azithromycin, despite the weak association and very low risk of harm.
Patient relatives and resuscitation
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!
CT findings in appendicitis
A list of potential CT findings in acute appendicitis has been added to the Appendicitis page in the Abdominal Disorders section.
Abdominal imaging in paediatric trauma
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.
Assessment and management of vertigo
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.
HIV prognosis
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!
Chickling peas cause lathyrism, not chick peas!
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.
Dibucaine number
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
Upright T wave in V1
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.
Clostridium difficile
A new section on Clostridium difficile has been added to the Infectious Gastroenteritis page in the Abdominal Pain section.
Paediatric resuscitation restructure
The Paediatric Resuscitation page has been subdivided into a number of smaller pages to aid with navigation and reduce download traffic.