Dunn RJ
The Paracetamol page has been updated with information about the utility of a 2-4 hour paracetamol level in predicting subsequent potential toxicity. Yarema, MC, Green, JP, Sivilotti, MLA, et al. Can a serum acetaminophen concentration obtained less than 4 hours post-ingestion determine which patients do not require treatment with acetylcysteine? Clinical Toxicology 2016:1-7.
The Neonatal problems page has been updated with information about normal weight changes in the neonatal period.
The segment on Tracheostomy tubes has been moved from the Anaesthetic equipment page to the Tracheostomy page.
The January 2017 update quiz has just been released.
The Diabetic patient with unstable blood sugars page has been updated with information about the value (or lack of it) in short term control of hyperglycaemia in ED patients.
The Neuromuscular blockade monitoring page has been significantly revised and updated.
A CT image of inferior rectus muscle entrapment has been added to the Zygomatico-maxillary trauma page.
An image of a scoop stretcher and some associated information has been added to the Management of the trauma patient page.
The Management of the trauma patient page has been updated with information about minimal handling.
Some information about renal transplant survival and complications has been added to the Renal transplant page following the publication of Nieto, T, Inston, N, Cockwell, P. Renal transplantation in adults. BMJ 2016;355.
The Polymyalgia rheumatica page has been updated and the statement that EMG is usually normal in polymyalgia rheumatica has been corrected. EMG is usually abnormal in up to 10% of patients with the disease.
The Drugs in pregnancy and lactation page has been updated with information about the use of immunosuppressant medications in pregnancy.
The Pregnancy page has been updated with additional information about the accuracy of beta HCG in the diagnosis of pregnancy. Related changes have been made to the Ectopic pregnancy and Abnormal vaginal bleeding pages.
The Soft tissue injuries of the ankle and foot page has been updated with additional information about the management of ankle ligament injuries following the publication of the following article. Brison, RJ, Day, AG, Pelland, L, et al. Effect of early supervised physiotherapy on recovery from acute ankle sprain: randomised controlled trial. BMJ 2016;355:i5650.
The Lyme disease page has been updated with additional information regarding the lack of evidence for it’s ability to be contracted whilst in Australia.
A few minor additions have been made to the Pancreatitis page
The Serum proteins page has been updated with some additional information about CRP.
The Other abdominal aneurysms page has been updated with additional information about splenic artery aneurysms.
A segment on Abdominal pain in the pregnant patient has been added to the Causes of abdominal pain page.
The Normal labour and delivery page has been updated with a segment on the diagnosis of labour