Cauda equina MRI
The Lower back pain page has been updated with an MRI image of cauda equina syndrome.
Cauda equina additions
The Lower back pain page has been updated with additional information about the diagnosis of cauda equina syndrome.
Cauda equina CT
The Lower back pain page has been updated with a CT image of cauda equina.
Icatibant in ACE induced angioedema
Some additional information about the efficacy of icatibant in patients with ACE induced angioedema has been added to the Angioedema page. Bas, M, Greve, J, Stelter, K, et al. A randomized trial of icatibant in ACE-inhibitor-induced angioedema. N Engl J Med 2015;372(5):418-25. http://www.ncbi.nlm.nih.gov/pubmed/25629740.
Stop using IV glucagon for oesophageal foreign bodies
The Gastrointestinal foreign bodies page has been revised to more actively discourage the use of IV glucagon, which has little evidence of effect and potential adverse effects. BET 1: use of glucagon for oesophageal food bolus impaction. Emergency Medicine Journal 2015;32(1):85-88. http://emj.bmj.com/content/32/1/85.2.abstract.
Medical expulsive therapy for calculi 5-10mm diameter
The section on medical expulsive therapy on the Renal calculi page has been revised to include the potential benefit of MET in stones 5-10mm in diameter. Furyk, JS, Chu, K, Banks, C, et al. Distal Ureteric Stones and Tamsulosin: A Double-Blind, Placebo-Controlled, Randomized, Multicenter Trial. Annals of Emergency Medicine http://dx.doi.org/10.1016/j.annemergmed.2015.06.001.
Vasopressors through peripheral IV lines
The Central venous access page has been updated with information about the relative safety of the use of vasopressors through peripheral IV lines. Brewer, JM, Puskarich, Michael A, Jones, Alan E. Can Vasopressors Safely Be Administered Through Peripheral Intravenous Catheters Compared With Central Venous Catheters? Annals of Emergency Medicine http://dx.doi.org/10.1016/j.annemergmed.2015.05.026.
US guidance for subclavian CVC insertion
The Central venous access technique page has been revised to now recommend the use of dynamic US for subclavian CVC insertion. Kim, JL, Koyfman, A. Does Ultrasonographic Guidance Reduce Failure Rates and Adverse Events for Subclavian Vein Catheterization Compared With the Landmark Technique? Annals of Emergency Medicine http://dx.doi.org/10.1016/j.annemergmed.2015.07.001.
Edoxaban and other NOAC updates
Some additional information about Edoxaban has been added to the Other anticoagulants page (although it is not licensed in Australia and does not appear to have any advantage over rivaroxaban or apixaban), as well as a variety of small changes to information about the other NOACs. A good recent open access review article on the subject … Read more
Time to reduction for shoulder dislocation
A small addition outlining the importance of minimising time to reduction for anterior shoulder dislocations has been added to the Glenohumeral joint dislocation page.
Steroids for severe CAP
The Management of CAP page has been updated with information about the beneficial role of steroids in hospitalised patients with severe CAP. Siemieniuk, RAC, Meade, MO, Alonso-Coello, P, et al. Corticosteroid Therapy for Patients Hospitalized With Community-Acquired Pneumonia. A Systematic Review and Meta-analysis. Annals of Internal Medicine 2015.
Physical examination for thoracolumbar fractures
Some details of the test characteristics of physical examination for the detection of thoracolumbar fractures have been added to the Assessment of the trauma patient page. Inaba, K, Nosanov, L, Menaker, J, et al. Prospective derivation of a clinical decision rule for thoracolumbar spine evaluation after blunt trauma: An American Association for the Surgery of … Read more
S4 and S8 drug schedules
Some information about the S4 and S8 schedules has been added to the Drug dosing and administration page.
Assessment of visual acuity in young children
The Ocular examination page has been updated with some information about the normal visual acuity in young children, following a recent BMJ article on the subject. Blaikie, AJ, Dutton, GN. How to assess eyes and vision in infants and preschool children. BMJ 2015;350:h1716.
Assessment of vision in young children
The Assessment of vision page has been updated with some additional information about the assessment of vision in young children following a recent BMJ article on the subject. Blaikie, AJ, Dutton, GN. How to assess eyes and vision in infants and preschool children. BMJ 2015;350:h1716.
Causes of peripheral ischaemia
The Peripheral ischaemia page has been updated with an extended list of potential causes.
Hepatic encephalopathy
The section on hepatic encephalopathy on the Hepatic diseases page has been expanded and updated.
hsTnT in stable IHD and type II diabetes
Some normal values of hsTnT in patients with stable IHD and type II diabetes have been added to the Non ACS causes of elevated troponin page.
Pityriasis versicolor
Some additional information and an image of pityriasis versicolour have been added to the Tinea page.
ANZ Cardiac Society hsTroponin guidelines
Some additional information about the Australian and New Zealand Cardiac Society 2011 guidelines on hsTroponin has been added to the Troponins in ACS page. 2011 addendum to the National Heart Foundation of Australia/Cardiac Society of Australia and New Zealand guidelines for the management of acute coronary syndromes (ACS) 2006. Heart, Lung and Circulation 2011;20(8):487-502.