Vancomycin dosing and administration
The MRSA cover page has been updated with new dosing and administration information for vancomycin. The previous dosage recommendations were too low.
Ideal vs total body weight drug dosing
The Airway management in obesity page has been updated with additional information about drugs that should be dosed based on ideal body weight or total body weight. Links to this information have been added to the Obesity and Paediatric cardiac arrest pages.
Base of skull fracture
The Complications of head trauma page has been updated with additional information about base of skull fractures and the low incidence of complications if no other injury is found on cranial CT.
New content quiz November 2016
The New content quiz November 2016 has just been released.
Broselow tape
A segment on the Broselow tape system has been added to the Paediatric cardiac arrest page.
Paediatric weight calculation
The segment on paediatric weight calculation on the Paediatric cardiac arrest page has had a major revision with multiple additional methods of weight estimation added.
Decompressive craniectomy following trauma
The Prevention of secondary brain injury page has been updated with information about the outcomes from decompressive craniectomy following head trauma. Hutchinson, PJ, Kolias, AG, Timofeev, IS, et al. Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension. N Engl J Med 2016.
Stroke mimics
The Stroke page has been updated with a revision of the segment on stroke mimics.
Seizures following spontaneous ICH
The Spontaneous intracerebral haemorrhage page has been updated with a segment on seizures following ICH. The page name has also been changed to Spontaneous intracerebral haemorrhage from its previous title of Intracerebral haemorrhage to differentiate it from traumatic ICH. Please be aware that links to this page from our quizzes may be broken as a … Read more
Predictors of IV fluid responsiveness
The Assessment of hypovolaemia page has been updated with a variety of changes indicating the likelihood of fluid responsiveness following the publication of the following article: Bentzer, P, Griesdale, DE, Boyd, J, et al. Will This Hemodynamically Unstable Patient Respond to a Bolus of Intravenous Fluids? JAMA 2016;316(12):1298-309.
Time to clot retrieval for stroke
The Stroke management page has been updated following the new evidence suggesting that clot retrieval (in appropriately selected cases) may improve outcome if it can be commenced within 7 hours 18 minutes. Saver, JL, Goyal, M, van der Lugt, A, et al. Time to Treatment With Endovascular Thrombectomy and Outcomes From Ischemic Stroke: A Meta-analysis. JAMA … Read more
Nausea and vomiting in pregnancy
The Hyperemesis gravidarum page has been updated with some additional information about the incidence of nausea and vomiting in pregnancy and the association with reduced pregnancy loss. Hinkle, SN, Mumford, SL, Grantz, KL, et al. Association of Nausea and Vomiting During Pregnancy With Pregnancy Loss: A Secondary Analysis of a Randomized Clinical Trial. JAMA Intern … Read more
Limitations of echocardiography for endocarditis diagnosis
The Endocarditis page has been updated with a short segment on the limitations of echocardiography for the diagnosis of endocarditis.
MASCC febrile neutropenia risk index
The Febrile neutropenia page has been updated with a segment on the MASCC febrile neutropenia risk index.
Consent and HIV testing
The HIV infection page has been updated with a short segment on consent for HIV testing.
Bladder rupture images
The Urogenital injuries page has been updated with additional CT images of a bladder rupture.
Fluid seen on FAST is not always blood
The Assessment of abdominal trauma page has been updated including additional information about the limitations of FAST and benefits of CT
#NOH with large effusion image
The Shoulder and arm region injuries page has been updated with an image of a #NOH with large effusion suitable for aspiration.
Shoulder joint aspiration following #NOH
The Shoulder and arm region injuries page has been updated with information about joint aspiration for pain relief in patients with #NOH.
Topical otic drop instillation instructions
Instructions on the use of topical antibiotic drops in the ear has been added to the Diseases of the external ear page.