Dunn RJ
The Assessment of sepsis page has been updated with some additional information about the diagnostic accuracy of CRP and PCT. Enguix-Armada, A, Escobar-Conesa, R, La Torre, AG, et al. Usefulness of several biomarkers in the management of septic patients: C-reactive protein, procalcitonin, presepsin and mid-regional pro-adrenomedullin. Clin Chem Lab Med 2016;54(1):163-8.
The Procedural sedation page has been revised and estimated complication rates from ED sedation in adults have been added. Bellolio, MF, Gilani, WI, Barrionuevo, P, et al. Incidence of Adverse Events in Adults Undergoing Procedural Sedation in the Emergency Department: A Systematic Review and Meta-analysis. Academic Emergency Medicine 2016
The Assessment of sepsis page has been revised to include the Third international consensus sepsis definitions published this week in JAMA. Singer, M, Deutschman, CS, Seymour, C, et al. THe third international consensus definitions for sepsis and septic shock (sepsis-3). JAMA 2016;315(8):801-10.
A small segment on US guided subclavian vein CVC access has been added to the Central venous catheter insertion technique page.
A few additions and changes have been made to the segment on IABP on the Mechanical cardiovascular support page.
A segment on TAPSE and MAPSE has been added to the Cardiac output measurement page.
Some additional information about ICP monitoring insertion has been added to the Assessment of intracerebral pressure page.
The Other arrhythmias page has been updated with additional information about the treatment of multifocal atrial tachycardia.
The Other arrhythmias page has been updated with additional information about pathological causes of sinus tachycardia, including re-entrant sinus tachycardia.
The Introduction to cardiac arrhythmias page has been updated with some additional information about potential causes of a broad complex tachycardias.
The Supraventricular tachycardia page has been updated.
The Difficult intravenous access page has been updated with clearer guidance about when to use US guided peripheral venous access in adults. McCarthy, ML, Shokoohi, H, Boniface, KS, et al. Ultrasonography Versus Landmark for Peripheral Intravenous Cannulation: A Randomized Controlled Trial. Annals of Emergency Medicine .
The Temperature measurement page has been updated with additional information about the accuracy of peripheral temperature measurement. Niven, DJ, Gaudet, JE, Laupland, KB, et al. Accuracy of Peripheral Thermometers for Estimating Temperature. A Systematic Review and Meta-analysis. Annals of Internal Medicine 2015;163(10):768-77. http://dx.doi.org/10.7326/M15-1150.
Some additional information about the activation and outcomes of MET teams has been added to the Resuscitation teams page.
Some additional information about patient selection for ECMO has been added to the Mechanical cardiovascular support page.
Some additional information about patient selection for ECMO has been added to the Mechanical cardiovascular support page.
A small segment about preparation for criothyroidotomy and locating the cricothyroid membrane has been added to the Surgical airway techniques page.
The Resuscitation teams page has been updated with a fairly large additional section about resuscitation team leadership and actions.
Some additional information about raised ICP has been added to the Assessment of intracranial pressure page.
An image demonstrating an expiratory hold manouevre demonstrating auto PEEP has been added to the Ventilation in special circumstances page.