IN Fentanyl dose
The Paediatric dose and equipment calculator has been updated and the initial IN fentanyl dose corrected from 2mg/kg to 1.5microg/kg. Thanks to Andreas for picking this error up.
Amsler’s chart
A short segment on the use of Amsler’s charts for the detection of macular degeneration has been added to the Ocular examination page.
Diplopia
The Abnormal eye movements page has been updated to include a section specifically on diplopia assessment and causes.
Inferolateral MI ECG
A new ECG demonstrating a subacute inferolateral MI due to a circumflex artery lesion has been added to the ECG in acute coronary syndromes page.
Calciphylaxis
The Chronic kidney disease page has been updated with some details on calciphylaxis.
Limitations of propensity scores
The Experimental design page has been updated with additional information about the considerable limitations of propensity matching in clinical studies. These studies should not be considered as a substitute for a properly conducted prospective trial, and results from them should only be considered as associations, not as implying causality. The increasing prevalence of these types … Read more
Tamulosin in ureteric colic
The Ureteric calculi page has been updated, including more definite information regarding the role of tamulosin in ureteric colic.
Febrile neutropenia
The Febrile neutropenia page has been updated with a variety of minor improvements, including the selective ordering of a CXR.
Early repolarisation phenomenon ECG
Another ECG of ERP has been added to the ECGs in acute coronary syndromes page.
PEFR and asthma action plans
The Assessment of asthma page has been updated with some additional information about the use of PEFR measurement as part of an asthma management plan.
Update quiz June 2018
The June 2018 update quiz has just been released, taking the total number of MCQs available on the website past the 1900 mark.
Website issues resolved
The issues with the failure to display images and instability of the table of contents of the manual have been resolved by temporarily reverting to an earlier version of the files. This means that updates made in the past 3 weeks will not be able to be seen until a definitive solution to the problem … Read more
Table of contents problems – please use alternative Version 1
Please be aware that the table of contents has become unstable, and is linking to all sorts of weird places in the book. We have set up a temporary site for Version 1 of the manual which we suggest you use whilst we fix the problem. https://emergencymedicinemanual.com/Content/v6/alt/TEMM%206%20single%20volume-Responsive%20HTML5/ The temporary version is a few weeks old, … Read more
Image display problems
Please note there is a problem with the display of many images in both Version 1 and 2 of the manual at present. We are currently reverting back to earlier versions (i.e. 3 weeks ago) of these files until we rectify the problem – so some of the most recent updates may not be able … Read more
When NSaline is preferable
The Intravenous fluids page has been updated to include additional information about when NSaline is the preferred initial IV solution.
Reducing cognitive error
The Clinical decision making page has been updated with more information about the different methods that can be used to reduce cognitive error.
Paediatric constipation
A segment on Paediatric constipation has been added to the Causes of abdominal pain page, and a link to the Paediatric abdominal conditions page added.
Spinal epidural haematoma
The Spinal cord injuries page has been updated with a short segment on spinal epidural haematoma.
CXR in aortic dissection
The Thoracic aortic dissection page has been revised, including the addition of information about the use of measuring the left mediastinal width on a PA CXR.
Aortic dissection LRs
The Thoracic aortic dissection page has been revised, including the addition of some LRs for a variety of clinical features.