High SAAG (low protein) ascites and SBP risk – correction
The Spontaneous bacterial peritonitis page has been corrected to state that SBP is rare in patients with SAAG < 11g/L, not >11g/L as previously stated. Thanks to Simon for picking this up.
Bob Dunn
ASPECTs score and thrombolysis – correction
The Thrombolytic therapy in stroke page has been corrected to reflect that thrombolytic therapy is indicated with an ASPECTS score of 8 or more, not 7 or more as previously stated. Thanks to Ker for picking this up.
Gout crystals have -ve birefringence – correction
The treatment algorithm on the Gout and pseudogout page has been corrected to show that gout crystals are negatively birefringent, not positively birefringent as previously shown. Thanks to Ming for picking this up.
CT of aorto-bronchial fistula
A CT image of a thoracic aneurysm causing an aorto-bronchial fistula has been added to the Haemoptysis page.
Effects of isolation precautions
The Infection control page has been revised, including the addition of a short segment on the impact of isolation precautions.
Massive haemoptysis
The Haemoptysis page has been extensively revised and updated, with particular reference to the management of massive haemoptysis.
Tension pneumocranium CT
A CT image of tension pneumocranium has been added to the Complications of head trauma page.
Pneumocranium
A new segment on Pneumocranium has been added to the Complications of head trauma page.
High TB prevalence countries
The Tuberculosis page has been updated with additional information about countries with the highest prevalence of TB.
Low volume blood tubes
Some additional information about low volume blood tubes in adults has been added to the Specimen collection page.
Website optimisation
Some additional tweaking of the website has occurred to optimise download speeds.
Prioritisation and decision making domain assessment criteria
The Clinical decision making page has been updated to include the ACEM prioritisation and decision making domain assessment criteria used in the clinical exam. The behaviours described make for good decision making in clinical practice.
Teaching ACEM domain assessment criteria
The Medical education page has been updated to include the ACEM scholarship and teaching domain assessment criteria used in the clinical exam. The behaviours described make for good teaching in practice.
Communication ACEM assessment criteria
The Communication page has been updated to include the ACEM communication domain assessment criteria used in the clinical exam. The behaviours described make for good communication in clinical practice.
ACEM Teamwork assessment criteria
The Teamwork page has been updated to include the ACEM teamwork and collaboration domain assessment criteria used in the clinical exam. The behaviours described make for good teamwork in clinical practice.
Allopurinol in acute gout
The Gout and pseudogout page has been updated with information indicating that initiation of allopurinol during an acute attack is probably safe, contrary to what many have thought.
Subacromial impingement
The Soft tissue injuries of the shoulder region page has been updated, including information about the lack of efficacy for surgical intervention.
Patient transport
A number of minor modifications to the Prehospital care section regarding patient transport have been made.
Insulinoma
The Hypoglycaemia page has been updated with particular emphasis on how to differentiate the causes and insulinoma.
Sclerotherapy for venous ulcers
The Leg ulcers page has been updated with some information about the role of venous sclerotherapy in the treatment of venous ulcers.