Dunn RJ
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
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.
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
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
The Endocarditis page has been updated with a short segment on the limitations of echocardiography for the diagnosis of endocarditis.
The Febrile neutropenia page has been updated with a segment on the MASCC febrile neutropenia risk index.
The HIV infection page has been updated with a short segment on consent for HIV testing.
The Urogenital injuries page has been updated with additional CT images of a bladder rupture.
The Assessment of abdominal trauma page has been updated including additional information about the limitations of FAST and benefits of CT
The Shoulder and arm region injuries page has been updated with an image of a #NOH with large effusion suitable for aspiration.
The Shoulder and arm region injuries page has been updated with information about joint aspiration for pain relief in patients with #NOH.
Instructions on the use of topical antibiotic drops in the ear has been added to the Diseases of the external ear page.
The Magnetic resonance imaging page has been updated with additional information about the adverse effects of gadolinium.
A protocol for intraosseous imaging contrast administration has been added to the Intravenous contrast page.
A short segment on portal venous thrombosis has been added to the Ascites page.
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
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.
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.
An image of IO access in the humeral head has been added to the Difficult intravenous access page.
The Pericardial tamponade page has been updated with information about the US measurement of pulsus paradoxicus. Thanks to Thiru Govindan for the information.