Corticosteriods for prevention of migraine recurrence
The Migraine page has been updated with short segment on the role of corticosteroids in migraine prevention following discharge.
Updates
Subarachnoid mirage
The Investigation of suspected subarachnoid haemorrhage page has been updated with information about subarachnoid mirage.
Futile care
The Extent of medical treatment page has been updated with a section on futile care.
How to break the news of death
The Bereavement section has been updated, including a revised section on how to break the news of death.
How to ask for consent
A detailed guide on how to ask for consent has been added to the Consent page.
Xray of gas in elbow joint
The Penetrating trauma to the limbs page has been updated, including the addition of Xrays demonstrating gas in the elbow joint.
CTA of cardiac penetration
The Penetrating thoracic trauma page has been updated, including a CT image of biventricular penetration.
Penetrating eye injuries
The Ocular trauma page has been updated with additional information about penetrating eye injuries.
Syncope
The Syncope page has been updated, including additional information about assessment and the lack of utility of serum troponin in unselected cases.
US features of vitreous detachment
The Acute visual loss page has been updated, including additional information about the US features of vitreous detachment
US features of retinal detachment
The Acute visual loss page has been updated, including additional information about the US features of retinal detachment.
Keratitis
The Red eye page has been updated with additional information about the management of keratitis.
Ocular antibiotics
The Ophthalmic medications and treatments page had been updated with additional information about antibiotic use in eye emergencies.
Communication
The Communication page has been updated, including additional information about overcoming barriers to communication. If you only ever read one page of the manual, read this one.
ADEM
The Multiple sclerosis page has been updated with additional information about ADEM, a differential diagnosis for MS
Predictors of failure of oral antibiotics in cellulitis
The Cellulitis page has been updated, including risk factors for oral antibiotic failure in cellulitis.
Upright T wave in V1
The ECG in ACS page has been updated, including some minor additions to the segment on upright T wave in V1.
Early mobilisation of stable Weber B ankle fractures
The Ankle injuries page has been updated, including information about the benefits of early mobilisation of stable Weber B ankle injuries. This is part of an increasing body of evidence that supports shorter (or no) immobilisation times for simple fractures than previously thought.
Achilles tendon rupture surgery
The Soft tissue injuries of the ankle and foot page has been updated, including additional information about the minimal benefit from operative management over conservative management.
Primary hyperaldosteronism
The Hyperadrenalism page has been updated with additional information about primary hyperaldosteronism.