Normal QRS amplitude correction
The Electrocardiography page has been corrected. The normal QRS amplitude should be ≥ 5mm in the limb leads and ≥ 10mm in the precordial leads not ≤ 5 and 10mm respectively as previously mentioned.
Dunn RJ
The Electrocardiography page has been corrected. The normal QRS amplitude should be ≥ 5mm in the limb leads and ≥ 10mm in the precordial leads not ≤ 5 and 10mm respectively as previously mentioned.
The Non thrombotic embolism page has been updated, but more importantly the error that stated that fat embolism is associated with a high mortality rate has been corrected. It is usually associated with a low mortality rate.
Print version 1 – Distal forearm fractures – page 1649 – the ‘Hutchison’ fracture of the distal radius is erroneously described as the ‘Henderson’ fracture.
The table entitled Test characteristics of ascitic fluid analysis in the Spontaneous bacterial peritonitis page has been corrected to show that a protein concentration of > 1g/dL is 100% sensitive and 65% specific for SBP (not <1g/dL as previously shown).
The paediatric dose for SVT has been changed on the Supraventricular tachycardia and Paediatric cardiac arrest pages to be consistent with current ARC guidelines and the Paediatric resuscitation chart in the manual. The adenosine doses recommended are now: initial dose 0.1 mg/kg, repeat dose 0.2 mg/kg, maximum dose 0.3 mg/kg (or 12mg)
A correction has been made to the Pancreatitis page. Grey-Turner’s sign (bluish discolouration of the flank) and Cullen’s sign (yellow blue discolouration around the umbilicus) were previously incorrectly described. (link)
The ABC score to predict the need for transfusion following trauma has been corrected. A heart rate of ≥ 120/min. contributes 1 point to the score, not a heart rate of ≥ 90 min. as previously stated. (link)
On the Deep venous thrombosis page under Management, the doses of heparin (5000Units bd) and enoxaparin (40mg/day) previously quoted on this page are for prophylaxis, and not treatment of DVT. The correct dose of enoxaparin is 1mg/kg bd (reduced in renal failure) and the correct dose of IV heparin is a loading dose of 75 – … Read more
The description of the Austin Flint murmur as that of MR on the Aortic valve disease page has been corrected. The Austin Flint murmur is a diastolic murmur of MS due to disruption of the anterior MV leaflet due to the regurgitant aortic jet. The auscultatory diagram depicts the timing of the murmur correctly.
The image on the Bones of the upper cervical spine page has been mislabelled with the names of the atlas (C1) and axis (C2) swapped by mistake. This mistake had been corrected previously but resurfaced when the old, incorrect image was used during an image upgrade. The current image is now correct. Thanks to an … Read more
In the Endocarditis page, the ‘A’ organisms in HACEK are Actinobacillus actinomycetemcomitans and Aggregatibacter aphrophilus, not Aeromonas sp. as was previously stated. Thanks to an astute subscriber for spotting this error.
The Normal ECG morphology page has been updated with an image that now demonstrates the correct ECG intervals. The previous image demonstrated inaccuracies in the start and finish of the PR, QRS, ST and QT intervals. More explicit descriptions of the relevant intervals have been added to The Normal ECG page as well.
The correct measurement units (mIU/mL) have been applied to the various pages where quantitative beta HCG levels have been used.Previously many of the values were quoted in IU/mL, or just IU. Please note that none of the values used in the manual have changed, just the units used have been corrected. Thanks to an astute … Read more
Please be aware that on page 271 of the print version, and the old Hypokalaemia page (now corrected) (Link) had a few annoying little errors. ECG changes of hypokalaemia occur when the K+ is < 2.7mmo/L, not when it is >2.7mmol/L. The ECG image was of hypokalaemia (as in the title) despite the text beneath … Read more
A low dibucaine number, not a high one, is a measure of increased suxamethonium sensitivity. The Suxamethonium page in the Resuscitation section has been corrected to reflect this
The trochlear (IV) and abducens (VI) nerves have now been correctly numbered in the Assessment of vision page in the Neurological disorders section. Previously their Roman numbering had been reversed.
The dose of naloxone as described in the Neonatal Resuscitation page ( p146 of text) in the Resuscitation section should be 0.1 microgram/kg not 0.1mg/kg as stated. The 0.1microgram/kg dose can be repeated if required.