Spinal cord injuries
The Spinal cord injuries page has been revised including some additional information about anterior spinal cord syndrome, spinal cord blood supply and enlargement of many images.
Ceftriaxone
The Penicillins and beta lactams page has been updated with some additional information about ceftriaxone.
AKI
The Acute kidney injury page has been revised and updated, including an expanded list of nephrotoxic agents and indications for a renal biopsy.
Hydrocortisone and fludrocortisone in septic shock
The Management of sepsis page has been updated with additional information about the role of hydrocortisone and fludrocortisone in the management of ICU patients with septic shock, following the publication of the following related articles: Venkatesh, B, Finfer, S, Cohen, J, et al. Adjunctive Glucocorticoid Therapy in Patients with Septic Shock. N Engl J Med … Read more
PGI and rocket launcher hip relocation technique
The Dislocations of the hip page has been updated, including the addition of information about the PGI and rocket launcher techniques.
CT with whirlpool sign of midgut volvulus
Two CT images demonstrating midgut volvulus in an adult have been added to he segment on Intestinal malrotation in the Abdominal disease in children page.
Midgut volvulus
The segment on Intestinal malrotation has been updated in the Abdominal disease in children page.
US of large gallstone
An US image of a solitary, large gallstone has been added to the the Biliary ultrasound technique page.
Hartmann’s solution preferred
Multiple pages in the Circulatory resuscitation section have been updated to indicate that Hartmann’s solution is usually the preferred initial IV resuscitation fluid.
Adrenomedullin
The Hyperadrenalism page has been updated, including details about adrenomedullin and how it contributes to hypocalcaemia and haemodynamic instability in phaechromocytoma.
Normal saline or ‘balanced’ solutions?
The Intravenous fluids page has been updated to include some additional information about the adverse effects of Normal saline. A small table comparing the 2 fluids has been added.
Medication incompatibility with Hartmann’s solution
The Intravenous fluids page has been updated to include additional information about incompatibility of various medications with Hartmann’s solution.
Update quiz April 2018
The April 2018 update quiz has just been released.
Fluoroquinones and aortic aneurysm rupture
The Sulphonamides and fluoroquinones page has been updated to include the association of their use with AAA rupture.
Reduced fetal movements
The Pregnancy page has been updated with some additional information about fetal movements.
Ventricular pause ECG
An ECG demonstrating some ventricular pauses has been added to the Bradycardias page.
Bichamber pacing ECG
An ECG of bichamber paced rhythm has been added to the Pacemakers page to replace a similar image of lower quality.
Atrial paced rhythm ECG
An ECG of atrial paced rhythm has been added to the Pacemakers page. This replaces an ECG that was labelled as showing mostly atrial pacing then some bi-chamber pacing, however only actually showed bichamber pacing.
Video quality improvement completed
We have just completed the upgrading of the quality of nearly all the videos used on the website. The new files are larger than the old ones, so will take longer to load for the first time. The best way of viewing them is usually with the player set to loop the video continuously.
Capture beat – correction
The Ventricular arrhythmias page has been updated with a correction of the explanation of a capture beat. The statement ‘occurs when an SVT conducts in a normal fashion’ has been replaced with ‘occurs when a sinus or atrial impulse conducts through the AV node in a normal fashion between wide QRS complexes because the ventricle … Read more