History taking
The Clinical skills page has been updated with additional information about history taking.
Clinical skills
Risk management
A short segment on risk management has been added to the Patient safety page.
Health care of prisoners
The Health care of prisoners page has been updated with additional information about what is not permitted when managing a prisoner as a patient.
Family reporting of adverse incidents
The Patient safety page has been updated with information about the effects of family reporting of patient safety incidents on incident detection rates
Safety of MRI for pacemakers and ICDs
The Magnetic Resonance Imaging page has been updated with information about the safety of MRI for patients with non-MRI approved pacemakers and ICDs.
IV contrast for CT and nephropathy – more evidence of safety
The Intravenous contrast page has been updated with more evidence that IV contrast for CT in ED patients with a creatinine clearance of > 30mL/min is not associated with an increase in the rate of renal dysfunction compared to matched controls.
SIADH to SIAD
The acronym SIADH has been changed to SAID on the Hyponatraemia page and throughout the rest of the manual.
ALP in primary hyperparathyroidism – correction
The Hypercalcaemia page has been corrected so it is clear that ALP is usually increased in primary hyperparathyroidism instead of normal as previously stated. Thanks to Steven for picking this up.
Chemical restraint
The Violence page has been updated with a revision of Chemical restraint, emphasising the use of IV medications (when safe to do so) and highlighting the different concentrations of droperidol ampoules.
Personal development matrix
An image of a personal development matrix has been added to the Personal skills page. If you are having difficulties – I suggest you take a look.
Cultural awareness
A few additions regarding how to use cultural awareness as a potential starting point and the role of family in some cultures have been added to the Culture page.
CRP
The Serum proteins page has been updated with some additional information about CRP.
Complications of gadolinium
The Magnetic resonance imaging page has been updated with additional information about the adverse effects of gadolinium.
Intraosseous contrast administration
A protocol for intraosseous imaging contrast administration has been added to the Intravenous contrast page.
Contrast administration and metformin
The Intravenous contrast page has been updated with information about contrast administration and metformin.
RANZCR IV contrast guidelines
The Intravenous contrast page has been updated with the very sensible 2016 recommendations from RANZCR regarding contrast administration and risk of AKI.
Iododerma
The Intravenous contrast page has been updated with information about the rare hypersensitivity reaction called iododerma.
Echocardiography table
The table of the relative usefulness of the the various echocardiographic views on the Echocardiography page has been updated.
Suprasternal echocardiography view
The Echocardiography page has been updated with information about the suprasternal view.
Hungry bone syndrome
Hungry bone syndrome has been added to the Hypocalcaemia page as a cause of hypocalcaemia, hypophosphataemia, hypomagnesaemia and hyperkalaemia