SAH
The Investigation of suspected SAH page has had a significant rewrite and re-organisation.
Post partum IUD insertion – correction
The Normal labour and delivery page has been updated with a correction indicating that an IUD can be inserted at any time in the post partum period, not after 6 weeks as previously stated. Thanks Erinn for picking this up.
Pulmonary embolism flowchart
The Management of PE page has been updated with a new flowchart that corrects an error in the previous chart and simplifies things as well!
Venous vs arterial lactate
The Metabolic acidosis page has been updated with important information about the level of agreement between arterial and venous lactate. Venous and arterial values should not be used interchangeably.
Domestic violence
The Domestic violence page has had a major revision including the addition of multiple areas aimed to provide practical advise.
IV fluids and O2 in migraine
The Migraine page has been updated with some additional information about O2 and IV fluids in acute migraine treatment.
Corticosteriods for prevention of migraine recurrence
The Migraine page has been updated with short segment on the role of corticosteroids in migraine prevention following discharge.
Subarachnoid mirage
The Investigation of suspected subarachnoid haemorrhage page has been updated with information about subarachnoid mirage.
Futile care
The Extent of medical treatment page has been updated with a section on futile care.
How to break the news of death
The Bereavement section has been updated, including a revised section on how to break the news of death.
How to ask for consent
A detailed guide on how to ask for consent has been added to the Consent page.
Xray of gas in elbow joint
The Penetrating trauma to the limbs page has been updated, including the addition of Xrays demonstrating gas in the elbow joint.
CTA of cardiac penetration
The Penetrating thoracic trauma page has been updated, including a CT image of biventricular penetration.
Penetrating eye injuries
The Ocular trauma page has been updated with additional information about penetrating eye injuries.
Syncope
The Syncope page has been updated, including additional information about assessment and the lack of utility of serum troponin in unselected cases.
US features of vitreous detachment
The Acute visual loss page has been updated, including additional information about the US features of vitreous detachment
US features of retinal detachment
The Acute visual loss page has been updated, including additional information about the US features of retinal detachment.
Keratitis
The Red eye page has been updated with additional information about the management of keratitis.
Ocular antibiotics
The Ophthalmic medications and treatments page had been updated with additional information about antibiotic use in eye emergencies.
Communication
The Communication page has been updated, including additional information about overcoming barriers to communication. If you only ever read one page of the manual, read this one.