Resuscitation

The Advanced life support page has been updated with additional information about lignocaine being a reasonable (and possibly superior to amiodarone) first antiarrhythmic choice in shockable rhythms.

A short segment about post ROSC inotropes has been added to the Post arrest care page.

The Ventricular arrhythmias page has been updated with additional information about stellate ganglion block.

The Cardiac arrest in special circumstances page has been updated with additional information about the possible superiority of lignocaine in this situation and outcomes.

The Advanced life support page has been updated with additional information about investigations in PEA/asystole.

The Advanced life support page has been updated with additional information about occult VF.

The Ventricular arrhythmias page has been updated with additional information about occult VF.

The Cardiac output measurement page has been updated with information about the automated Simpsons method for measuring cardiac output by echocardiography.

The Inotropes and vasopressors page has been updated with a short (but very important, and quite frankly I can’t believe this was not already covered!) segment on contraindications to metaraminol. Anaesthetists use it a lot because their patients much more commonly have a neurogenic component to their shock than ED patients.

The Management of sepsis page has had a few minor updates.

The Assessment of sepsis page had had a number of other updates.

The Assessment of sepsis page had been updated with a new segment on echocardiography in sepsis.

The Intravenous fluids page has been updated with some information about the role (not much, if any in the ED) of HCO3 in metabolic acidosis and kidney injury.

The Supraventricular tachycardia page has been updated with additional information about the relative benefits and limitations of adenosine and verapamil.

The Regional anaesthesia page has been updated with a new segment on US guided haematoma block.

A new segment on conduction defects and risk of progression to CHB has been added to the Syncope page.

A new segment on conduction defects and risk of progression to CHB has been added to the Bradycardias page.

A few other minor updates have been made to the SVT page.

A few updates have been made to the treatment of SVT on the SVT page.