Dunn RJ
The Definition of AMI page has been corrected to indicate that ST elevation of 2.5mm or more in V 2-3 is required to be abnormal in men < 40 years of age – not in men > 40 years of age and in women as previously stated.
The Penicillins and beta lactams page has been updated to indicate that the risk of allergic cross reactivity between penicillin and meropenem is thought to be negligible.
The General dermatology page has been updated with the addition of the definitions of a comedone and naevus.
The Examination of the abdomen and GIT page has been updated, including information about the normal liver and spleen in children.
The Physiological and anatomical differences in children page has been updated, including some other descriptors of a child’s age.
The Assessment of children page has had a few updates, particularly in history taking, examination and additional information about the age of walking.
The Warfarin page has been updated with additional information about the need for close monitoring following superwarfarin ingestion and the need for ongoing, tapering vitamin K therapy.
The Other drugs of abuse page has been updated with the addition of coagulopathy as a potential adverse effect of synthetic cannabinoid ingestion due to mixture with long acting Vitamin K antagonists.
The Management of pneumothorax page has been updated to indicate that pneumothorax secondary to pleural needle puncture usually resolves with conservative treatment alone.
The Cerebellar function page has been updated with some additional information about how to test for nystagmus.
The Vertigo page has been updated, including some additional information about the HINTs examination.
The Meningitis page has been revised, with mostly wording changes to improve clarity.
The ECG in ACS page has been updated, including additional information about the diagnostic yield from repeat ECGs.
The Clinical assessment of ACS page has had a number of minor improvements, including a better description of the role of clinical assessment.
The Thoracic aortic dissection page has been updated, including additional information about the prognosis of aortic dissection.
The Definition of AMI page has been updated with the 2018 definition of MI – importantly including new ECG criteria for STEMI that differ according to the leads used, age and gender of the patient.
The Risk stratification in ACS page has been updated, including a short segment outlining the issues with using risk scores in association with hsTn.
The Syncope page has had a few minor changes, including a statement that PE is an uncommon cause of syncope in ED patients.
Aminocaproic acid has been removed from a variety of parts of the book as it is no longer available in Australia or New Zealand. Thanks to Stephanie for the suggestion.
The Assessment of pneumothorax page has been updated to indicate that the BTS guidelines recommend measurement of the separation of the lung from the chest wall at the level of the hilum on CXR.