Hartmann’s solution preferred
Multiple pages in the Circulatory resuscitation section have been updated to indicate that Hartmann’s solution is usually the preferred initial IV resuscitation fluid.
Bob Dunn
Adrenomedullin
The Hyperadrenalism page has been updated, including details about adrenomedullin and how it contributes to hypocalcaemia and haemodynamic instability in phaechromocytoma.
Normal saline or ‘balanced’ solutions?
The Intravenous fluids page has been updated to include some additional information about the adverse effects of Normal saline. A small table comparing the 2 fluids has been added.
Medication incompatibility with Hartmann’s solution
The Intravenous fluids page has been updated to include additional information about incompatibility of various medications with Hartmann’s solution.
Update quiz April 2018
The April 2018 update quiz has just been released.
Fluoroquinones and aortic aneurysm rupture
The Sulphonamides and fluoroquinones page has been updated to include the association of their use with AAA rupture.
Reduced fetal movements
The Pregnancy page has been updated with some additional information about fetal movements.
Ventricular pause ECG
An ECG demonstrating some ventricular pauses has been added to the Bradycardias page.
Bichamber pacing ECG
An ECG of bichamber paced rhythm has been added to the Pacemakers page to replace a similar image of lower quality.
Atrial paced rhythm ECG
An ECG of atrial paced rhythm has been added to the Pacemakers page. This replaces an ECG that was labelled as showing mostly atrial pacing then some bi-chamber pacing, however only actually showed bichamber pacing.
Video quality improvement completed
We have just completed the upgrading of the quality of nearly all the videos used on the website. The new files are larger than the old ones, so will take longer to load for the first time. The best way of viewing them is usually with the player set to loop the video continuously.
Capture beat – correction
The Ventricular arrhythmias page has been updated with a correction of the explanation of a capture beat. The statement ‘occurs when an SVT conducts in a normal fashion’ has been replaced with ‘occurs when a sinus or atrial impulse conducts through the AV node in a normal fashion between wide QRS complexes because the ventricle … Read more
Incomplete RBBB ECG
The Disorders of cardiac conduction page has been updated with the addition of an ECG of incomplete RBBB.
CHB with ventricular standstill ECG
An ECG of CHB with ventricular standstill has been added to the Bradycardias page.
Tillaux – Chaput fracture
The Ankle injuries page has been updated with additional information about Tillaux-Chaput fractures.
Image of the day update
30 new images have been added to the Image of the day gallery.
CXR gallery additions
Four new images have been added to the CXR gallery.
Orthopaedic image gallery updates
8 new images have been added to the Orthopaedic image gallery.
ECGs added to the ECG gallery
Seven new ECGs have been added to the ECG gallery.
Video quality improvements
A variety of videos on the site have had their image quality (and in some cases, duration) improved. More work on this is continuing.