IV catheter failure and amount in vein
The Difficult IV access page has been updated with information about the amount of catheter in the vein and failure rate, following US guided access.
HOCM
The Cardiomyopathy page has been updated with a few additions to the segment on HOCM.
Differential BP in aortic dissection
The Thoracic aortic dissection page has been modified, including some additional information about differential BP and pulse deficits.
Encephalitis
The Encephalitis page has been updated, including some minor changes to its epidemiology.
Appendicitis
A number of improvements in wording and formatting on the Appendicitis page have been made.
More about MAC values
The Inhalational anaesthetic agents page has been updated with some additional information about MAC values.
Erythema multiforme, SJS/TEN
The Blistering skin rashes page has had a major overhaul in the areas of EM, SJS/TEN.
Respiratory image improvements
Multiple images in the Respiratory section have been optimised for more rapid download.
Neurology image improvements
Multiple images in the Neurology section have been optimised for more rapid download.
CT image of colonic perforation
A CT image of colonic perforation has been added to the Inflammatory bowel disease page.
CXR of thymic mass
A CXR image of a thymic mass has been added to the Mediastinal masses page.
Bristol stool chart
The Assessment of abdominal pain page has been updated with the addition of the Bristol stool chart used to describe stool type.
Serum lactate and Hartmann’s administration
The Metabolic acidosis page has been updated with some additional information about how large volumes of Hartmann’s solution may contribute to lactic acidosis. Zitek, T, Skaggs, ZD, Rahbar, A, et al. Does Intravenous Lactated Ringer’s Solution Raise Serum Lactate? J Emerg Med 2018
Lactic acidosis
The Metabolic acidosis page has been updated with some additional causes of lactic acidosis.
Enhanced peritoneal stripe sign
The US of the bowel page has been updated with additional information about the enhanced peritoneal stripe sign of pneumoperitoneum.
ECG changes of RV infarction
The ECG in ACS page has been updated with some additional information about ECG changes in RV infarction, as well as some improved formatting.
Video management
To improve the efficiency of the site, we have removed all the videos from within the text of the manual and replaced them with links to the same videos that can also be found on the videos page. This should speed page loading and reduce bandwidth when loading pages that previously had videos emebedded in … Read more
MAC of N2O – correction
The Inhalational anaesthetic agents page has been corrected so the MAC value of N2O is now shown as 102 instead of 1.02 as previously stated. Thanks to Luke for picking this up.
September 2018 update quiz
The September 2018 update quiz has just been added. As a result the total number of quiz questions on the website has just passed 2000. Do the quiz here.
Which version do you prefer poll?
Due to the challenges of updating multiple formats of the manual online, we would like to reduce the number of versions from 3 to 2. At the moment Version 2 is the most problematic, so is the version we would prefer to stop updating. So we have just opened a poll to find out which … Read more