Reducing cognitive error
The Clinical decision making page has been updated with more information about the different methods that can be used to reduce cognitive error.
Clinical skills
Drug seeking behaviour
The Drug seeking behaviour page has been revised to emphasise the role of objective findings and functional pain assessment when considering management.
ECG of left atrial enlargement
A new ECG of left atrial enlargement has been added to The ECG and abnormal cardiac chambers page.
Incomplete RBBB ECG
The Disorders of cardiac conduction page has been updated with the addition of an ECG of incomplete RBBB.
NAC and HCO3 and IV contrast
Another nail in the coffin of CIN and it’s prevention. The Intravenous contrast page has been revised with removal of NAC and HCO3 as therapies to be considered for the prevention of a probably non-existent entity! Weisbord, SD, Gallagher, M, Jneid, H, et al. Outcomes after Angiography with Sodium Bicarbonate and Acetylcysteine. New England Journal … Read more
Urinary anion gap
The Metabolic acidosis page has been updated with modifications to the section on the urinary anion gap.
Intra-atrial block
A short segment about intra-atrial heart block has been added to the Bradycardias page, including links to and from the segment on p mitrale on The ECG and abnormal cardiac chambers page, with which it very significantly overlaps
ROTEM values
The Coagulation testing page has been updated, including simplified actions to reverse coagulation deficits detected by ROTEM and normal ROTEM values.
Keeping communication simple
The Communication page has been updated with additional suggestions of short words that can easily replace short ones, as well as a few other tips on how to communicate effectively. I suggest you read this section of the book before you read anything else.
Interruptions and their management
The Communication page has been revised with some additional information about interruptions and their management.
Communication in special circumstances
The Communication page has been updated with some additional information about communication in difficult circumstances.
IV contrast allergy prophylaxis
The Intravenous contrast page has been updated with information about a 5 hour accelerated prophylaxis regimen.
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.