Hysterical coma
The Coma and altered mental state page has been updated with additional information about the assessment and management of patients with functional coma.
AF assessment
The Assessment of atrial fibrillation or flutter page has been updated with a number of minor improvements.
AF management
A series of improvements and additions have been made to the Atrial fibrillation/flutter arrhythmia management page. One recommendation of note is that metoprolol is considered as the first line rate control agent, if IV diltiazem is not available (as in Australia).
Spontaneous reversion of AF
A segment about the role of observation in patients with rapid AF has been added to the Atrial fibrillation/flutter arrhythmia management page.
Personal development matrix
An image of a personal development matrix has been added to the Personal skills page. If you are having difficulties – I suggest you take a look.
Antibiotic duration in OM in children < 2 years of age
The Ear diseases page has been updated with a recommendation for 10 days of antibiotic therapy in children < 2 years of age. Hoberman, A, Paradise, JL, Rockette, HE, et al. Shortened Antimicrobial Treatment for Acute Otitis Media in Young Children. New England Journal of Medicine 2016;375(25):2446-56.
Taipan envenomation
Some additional information about Taipan envenomation has been added to the Snakes page. Johnston, CI, Ryan, NM, O’Leary, MA, et al. Australian taipan (Oxyuranus spp.) envenoming: clinical effects and potential benefits of early antivenom therapy – Australian Snakebite Project (ASP-25). Clinical Toxicology 2016:1-8.
Bag mask pre-oxygenation
The Anaesthetic equipment and Endotracheal intubation pages have been updated with revised sections on pre-oxygenation.
ECG predictors of subsequent AFib
A short segment on ECG predictors of subsequently developing atrial fibrillation has been added to the Assessment of atrial fibrillation or flutter page.
Wegener’s granulomatosis images
A CXR and CT demonstrating pulmonary granulomas have been added to the Wegener’s granulomatosis page.
Sagittal sinus thrombosis CTV image
A CTV image of a Sagittal sinus thrombosis has been added to the Cerebral venous sinus thrombosis page.
February 2017 update quiz
The February 2017 update quiz has just been added to the Quizzes section
Lumbar epidural abscess image
An MRI image of a lumbar epidural abscess has been added to the Non traumatic spinal cord disorders page.
Eye anatomy – correction
The Ocular examination page has been corrected so the anterior and posterior chambers of the eye are properly described. Thanks to Francis for pointing this out.
Hypotension and head trauma
The Management of head trauma page has been updated adding extra emphasis on the importance of avoiding hypotension in patients with severe head trauma.
Cultural awareness
A few additions regarding how to use cultural awareness as a potential starting point and the role of family in some cultures have been added to the Culture page.
Quality definitions
Some definitions have been added to the Quality improvement page.
Paediatric head trauma
The Paediatic head trauma page has been updated with a few additional bits of information about the differences between adults and children.
Rotterdam CT head score
The Head injury prognosis page has been updated with details of the Rotterdam CT head score.
Head injury outcome prediction instruments
The Head injury prognosis page has been updated with details of some prognostic instruments.