Dunn RJ
The Management of life threatening asthma page has had some minor updates, including the target plateau pressure in ventilation being < 30mmHg, not < 20mmHg as previously stated (thanks to Farzad for picking this up)
The Paediatric pneumonia page has been updated with some information about the epidemiology of CAP in children and links to other adult CAP related pages added.
A table summarising the treatment of PE in different situations has been added to the Management of PE page.
Some information about the approximate diagnostic yield from CTPA has been added to the Investigations in PE – imaging page.
The Assessment of pneumothorax page has been updated with some additional information about the test performance of US in traumatic PTX using single vs 4 views. Helland, G, Gaspari, R, Licciardo, S, et al. Comparison of Four Views to Single-view Ultrasound Protocols to Identify Clinically Significant Pneumothorax. Academic Emergency Medicine 2016;23(10):1170-75.
The Investigation of PE – imaging page has been updated with information about the test characteristics of CTPA in the detection of RV strain following PE
A short segment on Idiopathic pulmonary fibrosis has been added to the Pulmonary fibrosis page.
The early outpatient management of PE segment on the Management of PE page has been revised and updated.
The Acute asthma management page has been updated with some additional information about the potential advantages of dexamethasone in acute asthma.
The Infectious agents causing CAP page has been updated with additional information about Legionnaires disease.
The Pleural effusion page has been updated with additional information about the potential causes.
Some additional information about the test characteristics of CT chest for the diagnosis of CAP has been added to the Community acquired pneumonia page. Claessens, Y-E, Debray, M-P, Tubach, F, et al. Early Chest Computed Tomography Scan to Assist Diagnosis and Guide Treatment Decision for Suspected Community-acquired Pneumonia. American Journal of Respiratory and Critical Care … Read more
The Pulmonary embolism page has been updated so the investigation of patients with intermediate risk PE is now the same as those with low risk for PE.
The section on the ECG findings in PE on the Investigations in PE – non imaging page has been revised considering the information from the following article: Shopp, JD, Stewart, LK, Emmett, TW, et al. Findings From 12-lead Electrocardiography That Predict Circulatory Shock From Pulmonary Embolism: Systematic Review and Meta-analysis. Acad Emerg Med 2015;22(10):1127-37. http://www.ncbi.nlm.nih.gov/pubmed/26394330.
The table on the Pulmonary embolism page previously called Simplified Well’s score was actually just the original Well’s score. This has been corrected in the online version however not in the first 3 print runs of the print version.
The Well’s and Geneva scores, and their simplified versions, have been simplified into 2 tables – including the risk stratification cut offs for each of them. This can be found on the Pulmonary embolism page.
The Management of CAP page has been updated with information about the beneficial role of steroids in hospitalised patients with severe CAP. Siemieniuk, RAC, Meade, MO, Alonso-Coello, P, et al. Corticosteroid Therapy for Patients Hospitalized With Community-Acquired Pneumonia. A Systematic Review and Meta-analysis. Annals of Internal Medicine 2015.
The Assessment of COPD page has been updated with the new 2015 GOLD spirometric assessment of severity data. Thanks to Dan Anderson for the tipoff about the changes – thanks Dan!
The PE in special populations page has been updated with particular reference to d dimer levels during pregnancy. Some relevant references are: Greer, IA. Pregnancy Complicated by Venous Thrombosis. New England Journal of Medicine 2015;373(6):540-47. http://www.nejm.org/doi/full/10.1056/NEJMcp1407434. Kline, JA, Williams, GW, Hernandez-Nino, J. D-dimer concentrations in normal pregnancy: new diagnostic thresholds are needed. Clin Chem 2005;51(5):825-9. … Read more
The Long term management of asthma page has been updated with some information about the role of lebrikizumab.