Rivaroxaban blood levels
The Other anticoagulants page has been updated with information about expected therapeutic rivaroxaban levels.
BP control in stroke
The Stroke management page has been updated to include recommended agents to control BP in stroke.
Missed stroke
The Stroke page has been updated with a short segment on missed stroke.
Evidence for thrombolytic therapy in stroke
A new page called Evidence for thrombolytic therapy in stroke has been created from the content previously on the Thrombolytic therapy in stroke page.
Stroke investigation and management
The Investigation of stroke and Stroke management pages have been revised.
Thrombolysis in stroke
The Thrombolystic therapy in stroke page has had a major revision to improve clarity and conciseness. Sections addressing time based and perfusion based strategies have been added.
Target SpO2 < 96%
The Oxygen therapy page has been updated, including a clearer indication that target SpO2 in hospitalised patients should rarely be > 95%.
IABP in cardiogenic shock
The Mechanical cardiovascular support page has been updated to downplay the usefulness of IABP in cardiogenic shock.
6th print edition is out of print
The 6th print edition was released in February 2015, based on content that is now 4 years old. In the meantime there have been more than 1500 significant revisions made to the online version, but the print edition has not changed. This means that the 6th print edition is now not as up to date … Read more
Anticoagulation quiz
A quiz on Anticoagulation has just been released. This is a 15 question quiz that covers all the areas of anticoagulation relevant to ED practice, including DOACs. The questions are drawn from a much larger bank of questions, so the quiz is different each time you take it. If you want to see what you … Read more
Genetic factors and channelopathies are AF risk factors
The Assessment of atrial fibrillation or flutter page has been updated with the addition of genetic factors and channelopathies as causes for AF.
Stroke prevention in AF
The Stroke prevention in atrial fibrillation page has been significantly revised, simplified and updated, reflecting the improved understanding we have of DOACs and anti-platelet agents.
CHA2DS2VASc score is dead…..long live the CHA2DS2VA score
The Assessment of atrial fibrillation or flutter page has been updated with the removal of the CHADS2 score and replacement of the CHA2DS2VASc score with the CHA2DSVA score.
Flecainide in AF
The Atrial fibrillation arrhythmia management page has been updated with some additional information about the use of Flecainide.
AF discharge advice
A short segment about other management of new onset AF has been added to the Atrial fibrillation arrhythmia management page.
Thyroid function testing in AFib
The Assessment of atrial fibrillation or flutter page has been updated with advice that TFTs are not advised acutely with new onset AF, but are better performed once the patient has recovered from the acute episode.
OSCE topics
The OSCE topics page has been updated, including links to the physical examination sections of the manual and updating of page links.
Spurious hypotension
A new segment on spurious hypotension has been added to the Blood pressure monitoring page. You might want to check a few things before acting on a single reading.
Acute aortic syndromes management
The Thoracic aortic dissection page has been updated, including more information about the management of acute aortic ulcers.
Peri-aortic haematoma images
2 images of a peri-aortic haematoma due to an aortic ulcer have been added to the Thoracic aortic dissection page.