Monitoring in cerebral injury
A new page entitled Monitoring in cerebral injury has been added to the Cerebral resuscitation section.
Resuscitation
Neuromuscular blockade monitoring
The Neuromuscular blockade monitoring page has been significantly revised and updated.
Transcutaneous pacing
The Pacemakers page has been revised with the section on transcutaneous pacing being substantially expanded.
Duration of AF and stroke risk
The Stroke prevention in Atrial fibrillation/flutter page has been updated with some additional information about the duration of AF thought to confer increased stroke risk.
Post intubation gastric decompression
The Post intubation care page has been modified to increase the importance of early gastric decompression following intubation in ED patients.
Intubation first pass success rate
The Endotracheal intubation page has been updated with information about the first pass success rate in ED patients.
Canadian syncope risk score
Details of the Canadian syncope risk score have been added to the Syncope page following the publication of the article: Thiruganasambandamoorthy, V, Kwong, K, Wells, GA, et al. Development of the Canadian Syncope Risk Score to predict serious adverse events after emergency department assessment of syncope. CMAJ 2016;188(12):E289-98.
Post arrest ECG
The Post arrest care page has been updated with a short segment on what should be looked for on a post arrest ECG.
Ideal vs total body weight drug dosing
The Airway management in obesity page has been updated with additional information about drugs that should be dosed based on ideal body weight or total body weight. Links to this information have been added to the Obesity and Paediatric cardiac arrest pages.
Broselow tape
A segment on the Broselow tape system has been added to the Paediatric cardiac arrest page.
Paediatric weight calculation
The segment on paediatric weight calculation on the Paediatric cardiac arrest page has had a major revision with multiple additional methods of weight estimation added.
Decompressive craniectomy following trauma
The Prevention of secondary brain injury page has been updated with information about the outcomes from decompressive craniectomy following head trauma. Hutchinson, PJ, Kolias, AG, Timofeev, IS, et al. Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension. N Engl J Med 2016.
Predictors of IV fluid responsiveness
The Assessment of hypovolaemia page has been updated with a variety of changes indicating the likelihood of fluid responsiveness following the publication of the following article: Bentzer, P, Griesdale, DE, Boyd, J, et al. Will This Hemodynamically Unstable Patient Respond to a Bolus of Intravenous Fluids? JAMA 2016;316(12):1298-309.
Criteria for cessation of CPR in asystole
The Advanced cardiac life support page has been updated with additional criteria for the cessation of CPR in non-shockable rhythms. Jabre, P, Bougouin, W, Dumas, F, et al. Early Identification of Patients With Out-of-Hospital Cardiac Arrest With No Chance of Survival and Consideration for Organ Donation. Annals of Internal Medicine 2016.
Humeral head IO access image
An image of IO access in the humeral head has been added to the Difficult intravenous access page.
US measuremenat of pulsus paradoxicus
The Pericardial tamponade page has been updated with information about the US measurement of pulsus paradoxicus. Thanks to Thiru Govindan for the information.
Inadvertent arterial puncture
The Central venous access page has been updated with information about management of inadvertent arterial puncture.
ICH and out of hospital cardiac arrest
The Post arrest care page has been updated with additional information about ICH and the role of CT in survivors who make it to hospital.
Preoperative testing and anaesthetic risk
The Anaesthetic risk page has been updated with additional information about pre-operative testing and risk of miscarriage related to surgery.
Irregular pulse in AFib
Just in case you were wondering, an irregularly irregular pulse has an LR+ of 25 for AFib.