Early repolarisation phenomenon ECG
Another ECG of ERP has been added to the ECGs in acute coronary syndromes page.
Bob Dunn
PEFR and asthma action plans
The Assessment of asthma page has been updated with some additional information about the use of PEFR measurement as part of an asthma management plan.
Update quiz June 2018
The June 2018 update quiz has just been released, taking the total number of MCQs available on the website past the 1900 mark.
Website issues resolved
The issues with the failure to display images and instability of the table of contents of the manual have been resolved by temporarily reverting to an earlier version of the files. This means that updates made in the past 3 weeks will not be able to be seen until a definitive solution to the problem … Read more
Table of contents problems – please use alternative Version 1
Please be aware that the table of contents has become unstable, and is linking to all sorts of weird places in the book. We have set up a temporary site for Version 1 of the manual which we suggest you use whilst we fix the problem. https://emergencymedicinemanual.com/Content/v6/alt/TEMM%206%20single%20volume-Responsive%20HTML5/ The temporary version is a few weeks old, … Read more
Image display problems
Please note there is a problem with the display of many images in both Version 1 and 2 of the manual at present. We are currently reverting back to earlier versions (i.e. 3 weeks ago) of these files until we rectify the problem – so some of the most recent updates may not be able … Read more
When NSaline is preferable
The Intravenous fluids page has been updated to include additional information about when NSaline is the preferred initial IV solution.
Reducing cognitive error
The Clinical decision making page has been updated with more information about the different methods that can be used to reduce cognitive error.
Paediatric constipation
A segment on Paediatric constipation has been added to the Causes of abdominal pain page, and a link to the Paediatric abdominal conditions page added.
Spinal epidural haematoma
The Spinal cord injuries page has been updated with a short segment on spinal epidural haematoma.
CXR in aortic dissection
The Thoracic aortic dissection page has been revised, including the addition of information about the use of measuring the left mediastinal width on a PA CXR.
Aortic dissection LRs
The Thoracic aortic dissection page has been revised, including the addition of some LRs for a variety of clinical features.
Anterior and posterior cerebral circulation
The components of the anterior and posterior cerebral circulation have been added to the Cerebrovascular diseases page.
Drug seeking behaviour
The Drug seeking behaviour page has been revised to emphasise the role of objective findings and functional pain assessment when considering management.
Large bowel obstruction AXR and CT
AXR and CT images demonstrating a large bowel obstruction have been added to the Bowel obstruction page.
Chronic pain and opioids
The Chronic pain page has been revised to better emphasise the lack of efficacy in the use of opioids to manage this condition.
Multi-detector CT and atrial thrombus
The Management of atrial fibrillation page has been updated to include information about the role of multi-detector CT in the diagnosis of left atrial thrombus.
TXA for epistaxis
The Epistaxis page has been updated with a segment on the role of topical TXA.
Colour Doppler US of carotid stenosis
A colour Doppler US of carotid stenosis has been added to the Investigation of stroke page.
Placenta accreta spectrum
A segment on Placenta accreta spectrum has been added to the Post partum haemorrhage page. Silver, RM, Branch, DW. Placenta Accreta Spectrum. N Engl J Med 2018;378(16):1529-36