NIV and ventilation in special circumstances
A variety of small revisions have been made to the Non invasive ventilation and Ventilation in special circumstances pages.
Bob Dunn
Airway pressure release ventilation
A short segment about airway pressure release ventilation has been added to the Ventilation page.
Anaesthetic risk in pregnancy
A short segment on the increased anaesthetic risk in pregnancy has been added to the Anaesthetic risk page.
Process vs outcome measures
A short segment comparing the relative strengths and weaknesses of process and outcome measures has been added to the Clinical indicators page.
Patiromer
A short segment on patiromer, the K-Ca exchange resin newly approved in the USA has been added to the Hyperkalaemia page.
Hyperkalaemia
The Hyperkalaemia page has been updated with some additional causes following the recent BMJ article: McDonald, TJ, Oram, RA, Vaidya, B. Investigating hyperkalaemia in adults. BMJ 2015;351 http://www.bmj.com/bmj/351/bmj.h4762.full.pdf.
Achilles tendon rupture
The segment on Achilles tendon rupture on the Soft tissue injuries of the ankle and foot page has been updated following the recent BMJ article: Singh, D. Acute Achilles tendon rupture. BMJ 2015;351 http://www.bmj.com/bmj/351/bmj.h4722.full.pdf.
Investigate intermediate risk for PE as low risk
The Pulmonary embolism page has been updated so the investigation of patients with intermediate risk PE is now the same as those with low risk for PE.
Cervical epidural haematoma images
3 CT and MRI images of a cervical epidural haematoma have been added to the Spinal cord injury page.
Bakri balloon for PPH
The Post partum haemorrhage page has been updated with information about the Bakri balloon.
ECG findings in PE
The section on the ECG findings in PE on the Investigations in PE – non imaging page has been revised considering the information from the following article: Shopp, JD, Stewart, LK, Emmett, TW, et al. Findings From 12-lead Electrocardiography That Predict Circulatory Shock From Pulmonary Embolism: Systematic Review and Meta-analysis. Acad Emerg Med 2015;22(10):1127-37. http://www.ncbi.nlm.nih.gov/pubmed/26394330.
QT nomogram
A small segment on the QT nomogram (and an image) has been added to the Electrocardiography page.
Infantile haemangiomas
The Neonatal skin disorders page has been updated with information about Infantile haemangiomas.
Dextromethorphan/quinidine for agitated dementia
The Altered mental state page has been updated with information about the use of dextromethorphan/quinidine for behavioural control. Cummings, JL, Lyketsos, CG, Peskind, ER, et al. Effect of Dextromethorphan-Quinidine on Agitation in Patients With Alzheimer Disease Dementia: A Randomized Clinical Trial. JAMA 2015;314(12):1242-54. http://www.ncbi.nlm.nih.gov/pubmed/26393847.
2015 ILCOR guidelines
The Basic life support and Advanced cardiac life support pages have been updated to incorporate the 2015 ILCOR guidelines. Neumar, RW, Shuster, M, Callaway, CW, et al. Part 1: Executive Summary: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015;132(18 suppl 2):S315-S67. http://circ.ahajournals.org/content/132/18_suppl_2/S315.short.
Shoulder dystocia – HELPERR
The section on shoulder dystocia on the Abnormal presentations page has been updated with the HELPERR abbreviation.
30 new images added to Featured image gallery
30 new images have just been added to the Featured image gallery that appears on the front page of the website.
Xray of necrotising fasciitis
An Xray of necrotising fasciitis has been added to the Gas gangrene and necrotising fasciitis page.
Marjolin’s ulcer
Some additional detail about malignant transformation of an ulcer (Marjolin’s ulcer) has been added to the Leg ulcers page.