Stroke in children and young adults
A section on stroke in children and young adults has been added to the Stroke page in the Neurology section.
Acid base disorders
Additions have been made to the pages Acid Base Disorders, Blood Gas Analysis in the Clinical Skills section and the Arterial Access page in the Resuscitation section.
Paediatric head trauma
The Paediatric Head Trauma page in the Trauma section has been substantially revised, including the addition of the CHALICE paediatric head injury rules.
Cardiac arrest in pregnancy
Additional information regarding the management of cardiac arrest in pregnancy has been added to the Advanced Life Support page in the Resuscitation section. Also a link from there to the Post Mortem Caesarean Section part of the Trauma in Pregnancy page in the Obstetrics section has been added.
BLS / ACLS / Defibrillation
A variety of additional information about the process of BLS / ACLS and Defibrillation have been added to the Life Support and Cardiac Arrythmias sections of the Resuscitation chapter.
Investigation of blunt head trauma
This page in the Trauma section has been revised to include a better description of the populations to which each of the CT head decision rules apply and their strengths and weaknesses. A more detailed description of the New Orleans rule has been added.
Greater tuberosity of the humerus fractures.
A new section with Xray images on greater tuberosity fractures has been added to the page Injuries around the shoulder joint in the Bone and joint disorders section.
Pleural effusion / haemothorax
Some additional tips on how to differentiate a pleural effusion/haemothorax from other pulmonary pathology or overlying soft tissue have been added to the Pleural effusion page in the Respiratory section. Additional links between the Thoracic trauma page (containing haemothorax and pneumothorax) in the Trauma section and the Pleural effusion and Penumothorax pages in the Respiratory … Read more
Pericarditis
Updates including how to differentiate pericarditis from Rheumatic fever have been added .
US guided peripheral venous cannulation
Some additional tips have been added to the Difficult IV Access page in the Resuscitation section.
Otitis externa
The assessment and management of Otitis externa in the Head and Neck Disorders section has been updated.
CXR gallery update
18 new CXRs have been added to the CXR Gallery page.
Macroscopic haematuria
A new page called Macroscopic Haematuria has been added to the Urogenital disorders section.
Progesterone in early pregnancy
The role of a single progesterone level in determining pregancy viability in the first trimester has been added to the Miscarriage page in the Obstetrics & Gynaecology section, following the recent publication of a meta-analysis in the BMJ.
Fragmented QRS
An ECG demonstrating fragmented QRS has been added to the ECG in Acute Coronary Syndromes page in the Cardiovascular diseases section.
Subtle Anterior STEMI
A new ECG demonstrating an early anterior STEMI with an explanation as to how to differentiate this from ERP has been added.
Westermark’s sign
New images demonstrating Westermark’s sign for PE have been added.
3 new ECGs
New ECGs showing atrial flutter with a LBBB and pseudo (or possibly true RV) AIVR have been added. Some additions have been made to the section on AIVR and atrial flutter in the Other Arrhythmias section of the Resuscitation chapter
Cunningham’s shoulder relocation technique
A more detailed explanation of Cunningham’s shoulder relocation technique has been added to the Glenohumeral joint dislocation page in the Bone and Joint Disorders section.
Atrial fibrillation
A variety of updates to the Atrial fibrillation page in the Resuscitation section have been made.