Complications of gadolinium
The Magnetic resonance imaging page has been updated with additional information about the adverse effects of gadolinium.
Intraosseous contrast administration
A protocol for intraosseous imaging contrast administration has been added to the Intravenous contrast page.
Portal venous thrombosis
A short segment on portal venous thrombosis has been added to the Ascites page.
CTA for suspected lower GI bleeding
Some additional information about the superiority of CTA over radiolabelled RBCs for the detection of the site of bleeding in lower GI haemorrhage has been added to the Lower intestinal haemorrhage page. Feuerstein, JD, Ketwaroo, G, Tewani, SK, et al. Localizing Acute Lower Gastrointestinal Hemorrhage: CT Angiography Versus Tagged RBC Scintigraphy. AJR Am J Roentgenol … Read more
Tamulosin is in for stones 5-10mm in diameter
The Renal calculi page has been updated with more information about the efficacy of tamulosin for the passage of 5-10 mm stones. Wang, RC, Smith-Bindman, R, Whitaker, E, et al. Effect of Tamsulosin on Stone Passage for Ureteral Stones: A Systematic Review and Meta-analysis. Ann Emerg Med 2016.
Criteria for cessation of CPR in asystole
The Advanced cardiac life support page has been updated with additional criteria for the cessation of CPR in non-shockable rhythms. Jabre, P, Bougouin, W, Dumas, F, et al. Early Identification of Patients With Out-of-Hospital Cardiac Arrest With No Chance of Survival and Consideration for Organ Donation. Annals of Internal Medicine 2016.
Humeral head IO access image
An image of IO access in the humeral head has been added to the Difficult intravenous access page.
US measuremenat of pulsus paradoxicus
The Pericardial tamponade page has been updated with information about the US measurement of pulsus paradoxicus. Thanks to Thiru Govindan for the information.
Inadvertent arterial puncture
The Central venous access page has been updated with information about management of inadvertent arterial puncture.
Pitting oedema
The Oedema page has been updated, including more information about the severity of pitting oedema.
Imaging of elbow injuries
The Elbow injuries page has been updated with additional information about imaging options (including US) for elbow injuries.
Random update Fellowship quiz
A new Random Fellowship quiz has been added to the quiz bank. This is a 15 point MCQ quiz of ACEM Fellowship standard of questions from update quizzes created over the last 18 months. The quiz selects different questions from the 140 questions in the bank so it will be different each time you take … Read more
October update quiz
The October update quiz has just been published here.
ICH and out of hospital cardiac arrest
The Post arrest care page has been updated with additional information about ICH and the role of CT in survivors who make it to hospital.
Assessment of JVP
The Cardiovascular examination page has been updated with additional information about the clinical assessment of the JVP.
Inferior MI ECG changes and culprit artery
The ECG in acute coronary syndromes page has been updated with new information regarding ECG changes associated with different culprit artery lesions in inferior infarction.
Chest wall tenderness in acute pericarditis
The Pericarditis page has been updated with information about the frequency of chest wall tenderness in pericarditis.
Anterior hip dislocation reduction technique
The Dislocations of the hip page has been updated with the technique for anterior dislocation reduction.
Captain Morgan technique
The Dislocations of the hip page has been updated including a description of the Captain Morgan relocation technique.
Elbow dislocation
Some additional information about the management and complications of elbow dislocation has been added to the Elbow injuries page.