Dunn RJ
Some additional information about hsTnT in patients with renal impairment (90% with eGFR 30-60mL/min) has been added to the Troponins in ACS page, derived from the following reference. Twerenbold, R, Wildi, K, Jaeger, C, et al. Optimal Cutoff Levels of More Sensitive Cardiac Troponin Assays for the Early Diagnosis of Myocardial Infarction in Patients With … Read more
Additional information about classifying the severity of diverticulitis has been added to the Diverticular disease page.
Some information about the usefulness of J-T interval prolongation as a marker of K channel blockade in patients with QRS prolongation has been added to the Electrocardiography and other relevant pages.
The Assessment of COPD page has been updated with the new 2015 GOLD spirometric assessment of severity data. Thanks to Dan Anderson for the tipoff about the changes – thanks Dan!
We have just added a new filter for you to choose for Version 1 called ‘Practice edition’. Applying this filter keeps all the clinically immediately relevant information, and removes all of the following from view: ACEM curriculum descriptors ACEM learning objectives References All content that is not immediately relevant to clinical practice The content considered not immediately relevant to clinical practice … Read more
The Osteomyelitis page has been updated with additional information about imaging of suspected OM, including a short segment on the role of US.
An Xray image demonstrating a Hutchison fracture of the distal radius has been added to the Distal forearm injuries page.
A CT demonstrating severe oesophageal injury following strong acid ingestion has been added to the Corrosives page.
A CXR following strong acid ingestion has been added to the Corrosives page.
An Xray image of osteomyelitis has been added to the Osteomyelitis page.
The ECG in acute coronary syndromes page has been updated with an image of an ECG with a LBBB and lateral ST depression due to MI.
A diagram illustrating a sigmoid volvulus has been added to the Bowel obstruction page.
An Xray of a slipped femoral epiphysis has been added to the Paediatric orthopaedic conditions page.
An Xray of Perthe’s disease has been added to the Paediatric orthopaedic conditions page.
The Non accidental injury page has been updated with information about the rarity of bruising in children < 6 months of age presenting to the ED with presentations not related to NAI (1.3% overall, 0.2% in children presenting without trauma). Pierce MC et al. The prevalence of bruising among infants in pediatric emergency departments. Ann … Read more
The PE in special populations page has been updated with particular reference to d dimer levels during pregnancy. Some relevant references are: Greer, IA. Pregnancy Complicated by Venous Thrombosis. New England Journal of Medicine 2015;373(6):540-47. http://www.nejm.org/doi/full/10.1056/NEJMcp1407434. Kline, JA, Williams, GW, Hernandez-Nino, J. D-dimer concentrations in normal pregnancy: new diagnostic thresholds are needed. Clin Chem 2005;51(5):825-9. … Read more
Well the verdict is in – 65% of respondents think the new format ACEM OSCE exam is better than the old clinical exam format. The poll is now closed.
Three more images have been added to the ‘Featured image gallery’, bring the total images in the gallery to 433.