Dunn RJ
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During a recent talk by Andy Buck about resuscitation room management the tricky question was raised of how to manage an aggressive medical intruder to the resuscitation room who immediately wants to take control of a critical resus – then do something really stupid to the patient.
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The Risk stratification in suspected ACS page has been updated, including information about the lack of utility of exercise stress testing in low-intermediate risk patients < 40 years of age who present to the ED with chest pain.
[avatar user=”robjdunn” size=”original” align=”left” /] Just when you thought troponin couldn’t be less specific for ACS, additional non ACS causes of elevated troponin have been added to the Non ACS causes of elevated troponin. It is telling in itself that there is a whole page on this subject! So if you do troponins on patients … Read more
For those of you who want to keep up with the latest updates without having to check the site, we have included a RSS feed link on the top of the left hand column.
The Anti-convulsants for immediate seizure control page has been updated with information about IV valproate and levetiracetam.
The Seizures page has been updated with the International League Against Epilepsy’s 2014 definition of epilepsy.
The table entitled Test characteristics of ascitic fluid analysis in the Spontaneous bacterial peritonitis page has been corrected to show that a protein concentration of > 1g/dL is 100% sensitive and 65% specific for SBP (not <1g/dL as previously shown).
The Lyme disease page has been updated with some additional information following the NEJM review article on the subject published today.
A segment on arterial insufficiency secondary to extensive venous thrombosis has been added to the Deep venous thrombosis page.
A short video demonstrating the lung point sign on US for pneumothorax has been added to the Assessment of pneumothorax page. In addition, the sliding lung sign US video is now working again.
A short video of pericardial tamponade on US has been added to the Pericardial tamponade page.
A short video clip demonstrating the features of SBO on abdominal US has been added to the Bowel obstruction page.
An audio clip of moderate mitral regurgitation has been added to the Other valve lesions page.
A small section on using the IJV to estimate venous pressure has been added to the Cardiovascular examination page.
The Infectious gastroenteritis page has been extensively revised including a more comprehensive section on assessment and management.
The Missile injuries page has been updated with a small segment on the management of missile wounds.
The Management of the trauma patient page has been updated with a segment on damage control laparotomy.
The Influenza page has been updated to reflect the new evidence that indicates anti viral agents are less effective in the treatment of influenza than previously thought, reducing illness duration by only 14 – 17 hours and having little effect on rates of pneumonia or hospitalisation. Add these to the long list of drugs shown to be … Read more
The Management of PE page has been updated to reflect the lack of benefit and excess of adverse effects in patients with intermediate risk PE (echocardiographic changes without hypotension) treated with thrombolysis compared to placebo which was reported in a trial just published in the NEJM.,