p waves
The Normal ECG page has been updated with a short segment on p waves. After 30 years we have only just realised this was missing!
Copyright and access of AI tools to the manual
Please be reminded that unauthorised reproduction of The Emergency Medicine Manual in any form, including transformation into summaries, audio or animation, is not permitted,It is also not permitted to copy content from the manual into any machine learning tool or allow any machine learning tool to access the content of the manual. Any subscriber in … Read more
Stellate ganglion block
The Ventricular arrhythmias page has been updated with additional information about stellate ganglion block.
Lignocaine and outcomes from in hospital cardiac arrest
The Cardiac arrest in special circumstances page has been updated with additional information about the possible superiority of lignocaine in this situation and outcomes.
Investigations in PEA/asystole
The Advanced life support page has been updated with additional information about investigations in PEA/asystole.
PEA/asystole and occult VF
The Advanced life support page has been updated with additional information about occult VF.
Occult VF
The Ventricular arrhythmias page has been updated with additional information about occult VF.
Management of PE
The Management of PE page has been updated with some other minor updates.
Thrombolytic management of PE
The Management of PE page has been updated, including additional information about thrombolytic management.
Circulatory management of PE
The Management of PE page has been updated, including increased emphasis on the importance of reducing the degree of pulmonary arterial obstruction in shocked patients and the lack of expected results from other measures – and don’t use metaraminol!
Constrained liner prostheses
The Hip dislocation page has been updated with some additional information about constrained liner prosthesis management.
Large bowel obstruction page created
A new page called Large bowel obstruction has been created from the contents of the Bowel obstruction page.
Bowel obstruction
The Bowel obstruction page has had a number of other updates.
US in small bowel obstruction
The Bowel obstruction page has been updated with additional information about US in bowel obstruction.
CT in small bowel obstruction
The Bowel obstruction page has been updated with additional information about CT in bowel obstruction.
Methods of haemorrhage control
A new page called Methods of haemorrhage control has been created from the contents of the Management of the major trauma patient page to improve the length of the page.
Management of the major trauma patient
The Management of the major trauma patient page has had a number of other updates.
Management of the major trauma patient in exsanguinating haemorrhage
The Management of the major trauma patient page has been updated to emphasise the priority of haemorrhage control over definitive airway management.
Automated Simpsons method for cardiac output measurement
The Cardiac output measurement page has been updated with information about the automated Simpsons method for measuring cardiac output by echocardiography.
Contra-indications to metaraminol
The Inotropes and vasopressors page has been updated with a short (but very important, and quite frankly I can’t believe this was not already covered!) segment on contraindications to metaraminol. Anaesthetists use it a lot because their patients much more commonly have a neurogenic component to their shock than ED patients.