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The Emergency Medicine Manual

Dunn RJ

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Clinical skills

Patient safety

21/01/2020 by Bob Dunn

The Patient safety page has been updated with improved conciseness and additional information about why comparisons between health care and aviation may be inappropriate.

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Clinical decision making

08/01/2020 by Bob Dunn

The Clinical decision making page has had a number of minor updates of wording.

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Chromogenic factor X levels

02/01/2020 by Bob Dunn

The Coagulation testing page has been updated with information about chromogenic factor X assays.

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Limitations of POC INR measurement

02/01/2020 by Bob Dunn

The Coagulation testing page has been updated with additional information about the limitations of POC INR testing.

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Lactate and alkalosis

05/12/2019 by Bob Dunn

The Metabolic acidosis page has been updated to better emphasise that lactate can be elevated due to alkalosis alone.

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ECG of severe hyperkalaemia

15/11/2019 by Bob Dunn

The Ion effects on the ECG page has been updated with an ECG of severe hyperkalaemia.

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Potassium reference range

08/10/2019 by Bob Dunn

The Potassium page has been updated with the Australian reference range of 3.5-5.2 mmol/L.

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Urea reference ranges

08/10/2019 by Bob Dunn

The Urea and creatinine page has been updated with a table of normal reference ranges for the Australian population.

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Lactate

24/09/2019 by Bob Dunn

The Metabolic acidosis page has been updated with additional information about lactate.

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Hypoparathyroidism

24/07/2019 by Bob Dunn

The Hypocalcaemia page has had some minor updates, mostly relating to the causes of hypoparathyroidism.

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MRI safety

27/06/2019 by Bob Dunn

The Magnetic resonance imaging page has been significantly revised, particularly regarding MRI safety.

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Accuracy of POC gases and lab values

09/04/2019 by Bob Dunn

The Specimen collection page has been updated, including the addition of a segment on the accuracy of POC blood gas measurement compared to formal laboratory measurement.

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Venous vs arterial lactate

28/02/2019 by Bob Dunn

The Metabolic acidosis page has been updated with important information about the level of agreement between arterial and venous lactate. Venous and arterial values should not be used interchangeably.

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Domestic violence

28/02/2019 by Bob Dunn

The Domestic violence page has had a major revision including the addition of multiple areas aimed to provide practical advise.

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Futile care

26/02/2019 by Bob Dunn

The Extent of medical treatment page has been updated with a section on futile care.

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How to break the news of death

26/02/2019 by Bob Dunn

The Bereavement section has been updated, including a revised section on how to break the news of death.

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How to ask for consent

26/02/2019 by Bob Dunn

A detailed guide on how to ask for consent has been added to the Consent page.

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Communication

12/02/2019 by Bob Dunn

The Communication page has been updated, including additional information about overcoming barriers to communication. If you only ever read one page of the manual, read this one.

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Approach to medical imaging

23/01/2019 by Bob Dunn

The General approach to medical imaging page has been updated with mostly changes to improve wording and clarity.

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Iodinated contrast allergy

23/01/2019 by Bob Dunn

The Intravenous contrast page has been updated with some additional information about factors that do not increase the risk of contrast allergy.

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Contributors
Associate Professor Robert Dunn

Previous contributors
Associate Professor Meredith Borland
Dr Deborah O'Brien
Dr Stuart Dilley
Dr Jennifer Brookes
Associate Professor Deborah Leach

Formula of the day

Paediatric adenosine - 50 µg/kg first dose, 100 µg/kg second dose, 250 µg/kg third dose (max 12 mg)

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Joint reduction techniques that don't go clunk are better than ones that do.

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US should change clinical care in the ED only when it is performed by someone

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