Dunn RJ
The Platelet transfusion and Stroke management pages have been updated with information from the PATCH RCT published in Lancet that demonstrated an increase in disability and mortality from platelet transfusion in patients with supratentorial ICH on mostly aspirin, clopidogrel and/or dipyridamole. The exact mechanism for this is unclear. Baharoglu, MI, Cordonnier, C, Salman, RA-S, et al. … Read more
The Troponins in ACS page has been updated with some additional information about single value hsTnI to rule out ACS. The bottom line is that hsTnT is probably more sensitive than hsTnI for clinically significantly outcomes, so is currently preferred. Carlton, E, Greenslade, J, Cullen, L, et al. Evaluation of High-Sensitivity Cardiac Troponin I Levels … Read more
The Risk stratification in suspected ACS page has been updated, including information about the use of a hsTnI 1 hour rapid ACS diagnostic pathway. The proposed pathway appears to be not as useful as similar hsTnT pathways. Neumann, JT, Sörensen, NA, Schwemer, T, et al. Diagnosis of Myocardial Infarction Using a High-Sensitivity Troponin I 1-Hour … Read more
A tag cloud of the updates in the previous 4 years has been added to the bottom left column of the website front page. The number of tags has also been reduced.
The Triage page has been updated with information about the different average waiting times according to hospital type in Australia.
The Time limited ED care targets page has been revised and additional information about the association between improved NEAT admission performance and hospital mortality has been added. Sullivan, C, Staib, A, Khanna, S, et al. The National Emergency Access Target (NEAT) and the 4-hour rule: time to review the target. Med J Aust 2016;204(9):354.
The acronyms relating to ED occupancy have been added to the Emergency Department overcrowding page. Sullivan, C, Staib, A, Eley, R, et al. National Emergency Access Targets metrics of the emergency department–inpatient interface: measures of patient flow and mortality for emergency admissions to hospital. Australian Health Review 2015;39(5):533-38.
The Drugs in pregnancy and lactation page has been updated with information about the possible teratogenic effects of pregabalin.
An image of a Type B3 periprosthetic femoral fracture has been added to the Assessment of fractures and dislocations page.
A large segment on the classification and management of peri-prosthetic fractures has been added to the Assessment of fractures and dislocations page.
The Central venous catheter insertion technique page has been updated with additional information about the risk of US guided IJV catheter insertion in expert hands. Hourmozdi, JJ, Markin, A, Johnson, B, et al. Routine Chest Radiography Is Not Necessary After Ultrasound-Guided Right Internal Jugular Vein Catheterization. Critical Care Medicine 9000;Publish Ahead of Print.
The Update quiz June 2016 has just been uploaded.
The segement on Video laryngoscopy on the Intubation equipment page has been revised to better outline the advantages and disadvantages of video laryngoscopy.
Lack of empathy has been added as a risk factor for litigation on the Medicolegal issues page. Smith, DD, Kellar, J, Walters, EL, et al. Does emergency physician empathy reduce thoughts of litigation? A randomised trial. Emerg Med J 2016 .
The Management of DVT page has been updated with information about the use of oestrogens in anticoagulated patients with VTE.
Just in case you didn’t notice – we have just introduced a new layout for the front section of the website. The new layout should display better on tablets and small mobile devices and is a little more compact than the previous version. Let us know what you think.
The early outpatient management of PE segment on the Management of PE page has been revised and updated.
A CTCA image of the LAD has been added to the Other diagnostic modalities in ACS page.
A CXR demonstrating a Foramen of Bochdalek hernia has been added to the Mediastinal masses page.
A CT image of a gunshot wound to the head has been added to the Specific missile injuries page.