Dunn RJ
Updates from the newly released (it’s not even 2013 yet!) 2013 AHA STEMI management guidelines have been added to the Management of Acute Coronary Syndromes and Reperfusion Therapy pages in the Cardiovascular Disorders section.
The Antimicrobial page in the Infectious Diseases section has been divided into a number of smaller pages to make it easier to locate relevant content for each drug class.
A short section on th technique of hybrid resuscitation of hypovolaemia has been added to the Treatment of Hypovolaemia page in the Resuscitation section.
Sections describing the use of arterial tourniquets and pseudo coagulation powders in the managment of severe limb trauma have been added to the Management of fractures and dislocations page in the Bone and Joint Disorders section
Updates have been made to the Blast injury part of the Mechanisms of Injury page in the Trauma section.
Some new information has been added to the Pelvic Trauma page in the Trauma section regarding pelvic binding and angiography in the management of pelvic fractures.
The Respiratory disease subsection in the Respiratory disorders section has been reorganised to break the topic down to more easily managed pages. New pages on Bronchitis, Pneumonia scoring systems and Pneumonia management have been created.
The Diabetic emergencies subsection in the Endocrinology section has been reorganised to break down the topic to more easily managed pages. New pages on Insulin therapy, Oral hypoglycaemic agents and The diabetic with unstable sugars have been created.
An image of the correct site to perform an episiotomy has been adde to the Labour and Delivery page in the Obstetric and Gynaecology section. An image of the cross sectional anatomy of the penis and of paraphimosis have been added to the Other urogential problems page in the Genitourinary problems section.
The following new images have been added to the relevant pages: Vessels of the head and neck, Muscles of the head and neck, Sites of endometriosis, Male urinary catheterisation, Female urinary catheterisation, Muscles of the arm and forearm, Testicular anatomy, Stomach anatomy, Effects of adrenaline, Diabetic retinopathy, Types of colon carcinomas and ECG lead positioning.
Extensive revision and additions to the Emergency Department Thoracotomy page in the Trauma section have been made following the London Trauma Conference Thoracotomy Masterclass.
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.
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.
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.
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.
A table of recommended LP needle lengths has been added to the Lumbar Puncture page in the Neurological Disorders section.
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.
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.
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.
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.