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The Emergency Medicine Manual

Dunn RJ

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Clinical skills

Intravenous contrast and dialysis

18/08/2020 by Bob Dunn

The Intravenous contrast page has been updated with additional information about IV contrast and patients on dialysis.

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Reference change values

09/04/2020 by Bob Dunn

Information about the significant reference change values for a variety of analytes has been added to the Interpretation of investigation results page.

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Biological variation

09/04/2020 by Bob Dunn

A new segment on biological variation has been added to the Interpretation of investigation results page.

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Barriers to communication

21/03/2020 by Bob Dunn

The Communication page has been updated, including additional information about barriers to communication.

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Medical terms that most people understand

21/03/2020 by Bob Dunn

A new page called Medical terms that most people understand has been created. It is a list of alternatives to common medical terms that can be used when speaking to patients to aid communication. It is my experience that many good clinicians let themselves down by not realising how much medical jargon they use when … Read more

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Limitations of albumin corrected calcium

05/03/2020 by Bob Dunn

The Calcium page has been updated with additional information about the limitations of albumin corrected calcium and the importance of ionised calcium to direct therapy.

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Analysis of serum vs plasma

27/02/2020 by Bob Dunn

The Specimen collection page has been updated with additional information about the differences between analysis of plasma and serum.

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Haemolysis of samples

27/02/2020 by Bob Dunn

The Interpretation of investigation results page has been updated with additional information about sample haemolysis, particularly when sample tubes are under filled.

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Patiromer

28/01/2020 by Bob Dunn

The Hyperkalaemia page has been updated to include some additional information about Patiromer – an ion exchange resin that recently became available in Australia.

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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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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 maintenance IV fluids: 4mL/kg/hr for the first 10kg + 2 mL/kg/hr for the next 10kg + 1mL/kg/hr for every kg > 20kg

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Everything you say should be true, but not everything that is true should be said - Voltaire

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