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The Emergency Medicine Manual

Dunn RJ

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Trauma

Correction – sit patients up 30 degrees in penetrating eye trauma

03/12/2025 by Bob Dunn

The Ocular trauma page has been corrected to indicate that patients with penetrating eye trauma should be sat head up 30 degrees, not lie supine as previously indicated. Yet again thanks to Michael for letting us know about the error.

Categories Corrections Tags Eye disorders, Trauma

Correction – use absorbable sutures for fascial repair, not non absorbable ones

03/12/2025 by Bob Dunn

The Wound repair page has been corrected to indicate that absorbable sutures should be used for fascial repair, not non absorbable ones as previously stated. Thanks again to Michael for letting us know about this error.

Categories Corrections Tags Trauma

Mediastinal injuries

10/10/2025 by Bob Dunn

The Mediastinal injuries page has had a number of minor updates.

Categories Updates Tags Trauma

Pulmonary injuries

10/10/2025 by Bob Dunn

The Pulmonary injuries page has had a few minor updates.

Categories Updates Tags Trauma

Chest wall injuries

10/10/2025 by Bob Dunn

The Chest wall injuries page has had a few minor updates.

Categories Updates Tags Trauma

Repeat CTB in anticoagulated patients with head trauma

10/09/2025 by Bob Dunn

The Investigation of blunt head trauma page has been updated with additional information about the low risk of subsequent significant ICH development in anticoagulated patients following a normal CTB.

Categories Updates Tags Trauma

Treatment of rhabdomyolysis

18/08/2025 by Bob Dunn

The Crush injury page has been updated with revised recommendations for the treatment of rhabdomyolysis.

Categories Updates Tags Trauma

ECG of prolonged QTc following head trauma

13/08/2025 by Bob Dunn

The Complications of head trauma page has been updated with an ECG showing prolonged QTc following head trauma.

Categories New images Tags Trauma

Cardiovascular complications of head trauma

13/08/2025 by Bob Dunn

The Complications of head trauma page has been updated with some additional information about the cardiovascular complications.

Categories Updates Tags Trauma

Burns in obesity

13/05/2025 by Bob Dunn

A short segment on obesity in burns has been added to the Management of burns page.

Categories Updates Tags Trauma

Breathing management in trauma

13/05/2025 by Bob Dunn

A short segment on breathing management in trauma has been added to the Management of the major trauma patient page.

Categories Updates Tags Trauma

CT image series of SDH

12/03/2025 by Bob Dunn

2 CT image series of bilateral acute on chronic SDH have been added to the Subdural and extradural haemorrhage page.

Categories New images Tags Trauma

Removal of intertrochanteric sling (pelvic binder)

16/01/2025 by Bob Dunn

The Management of pelvic trauma page has been updated, including some additional information about when to remove an intertrochanteric sling.

Categories Updates Tags Trauma

Morrison’s pouch FAST image replacement

11/12/2024 by Bob Dunn

The Assessment of abdominal trauma page has been updated with a better quality image of fluid in Morrison’s pouch.

Categories New images Tags Trauma

Gunshot wounds to the spine

09/12/2024 by Bob Dunn

A new segment on Spinal injuries has been added to the Specific missile injuries page.

Categories Updates Tags Trauma

Penetrating head trauma

01/12/2024 by Bob Dunn

The Penetrating head trauma page has had some minor updates.

Categories Updates Tags Trauma

Wound management

29/11/2024 by Bob Dunn

The Wound management page has had a number of other minor updates.

Categories Updates Tags Trauma

Antibiotic wound prophylaxis

29/11/2024 by Bob Dunn

The Wound management page has been updated with additional information about the role of antibiotics in various situations.

Categories Updates Tags Trauma

Sucking chest wounds

27/11/2024 by Bob Dunn

The Penetrating thoracic trauma page has been updated with additional information about sucking chest wounds.

Categories Updates Tags Trauma

Serratus anterior plane block

27/11/2024 by Bob Dunn

A short segment about the serratus anterior plane block has been added to the Chest wall injuries page.

Categories Updates Tags Trauma
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Contributors
Associate Professor Robert Dunn

Previous contributors
Associate Professor Meredith Borland
Dr Deborah O'Brien
Dr Stuart Dilley
Dr Jennifer Brookes
Associate Professor Deborah Leach

Formula of the day

Delta ratio: = (AG – 12)/(24 - [HCO3-])

Medical wisdom

Isolation of the ‘root cause’ of an accident is not possible. The evaluations based on such reasoning as ‘root cause’ do not reflect a technical understanding of the nature of failure but rather the social, cultural need to blame specific, localized forces or events for outcomes.

The version of the Manual I use the most is

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