Myasthenia gravis
The Myasthenia gravis page has been extensively revised and updated.
SIADH to SIAD
The acronym SIADH has been changed to SAID on the Hyponatraemia page and throughout the rest of the manual.
US assisted LP
The Lumbar puncture page has been updated with some additional information about the role of US in performing LP in infants.
Competing interests and trial outcome
The Medical literature page has been updated with information about the relationship between financial competing interests of study authors and trial outcome. I think you can probably guess what the relationship is.
Other anti-coagulants
The Other anti-coagulants page has been reorganised to prioritise content relevant to the most common DOACs – as well as making a few edits along the way.
NOACs to DOACs
Given that most of the NOACs have been around a while now and are not really new or novel, we have made the executive decision to change their nomenclature to DOACs (Direct acting oral anti-coagulants) throughout the manual. The good news for NOAC nomenclature lovers is that you can still find DOACs by entering NOAC … Read more
PR interval and AFib risk
Information about the PR interval and the risk of subsequently developing atrial fibrillation has been added to the Assessment of atrial fibrillation or flutter page.
Nitrofurantoin
The Other anti-microbials page has been updated with additional information about nitrofurantoin doses and pharmacology.
ALP in primary hyperparathyroidism – correction
The Hypercalcaemia page has been corrected so it is clear that ALP is usually increased in primary hyperparathyroidism instead of normal as previously stated. Thanks to Steven for picking this up.
Endotracheal extubation – correction
The Endotracheal extubation page has been corrected so adequate ventilation is now defined by an SpO2 > 90% and HR < 140 bpm instead of an SpO2 < 90 and HR > 140bpm as previously stated. Thanks to Farzad for picking this up.
Chemical restraint
The Violence page has been updated with a revision of Chemical restraint, emphasising the use of IV medications (when safe to do so) and highlighting the different concentrations of droperidol ampoules.
Midazolam concentration
The Induction agents page has been updated highlighting the 2 different concentrations of midazolam ampoules – a potential source of drug administration error.
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.