IV contrast allergy prophylaxis
The Intravenous contrast page has been updated with information about a 5 hour accelerated prophylaxis regimen.
Clinical skills
QTc
The Electrocardiography page has been updated with additional information about the QTc.
Bereavement and indigenous culture
The Bereavement page has been updated with additional information about indigenous culture and bereavement.
Indigenous health
The Aboriginal and Torres Strait Islander health page has been updated including additional information about culturally sensitive practice.
Cultural definitions
The Culture page has been updated, including additional information about cultural definitions.
Therapeutic Mg levels – correction
The Hypertension in pregnancy and Hypomagnesaemia pages have been updated with a correction of the units for the therapeutic range of Mg. This is 1.5-3.5mmol/L or 4-8mg/dL – not 4-8mmol/L as previously stated. Thanks again to Farzad for picking this up.
CRP
The Serum proteins page has been updated with some additional information about CRP.
Residential care capabilities
The Ageing page has been revised, also including a short segment about what hospital level services may be able to be provided in residential care facilities.
Clinical decision making
The Clinical decision making page has been updated, with particular emphasis on the types of clinical decisions that need to be made for each clinical encounter.
History taking
The Clinical skills page has been updated with additional information about history taking.
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.