Syncope and PE
The Syncope page has had a few minor changes, including a statement that PE is an uncommon cause of syncope in ED patients.
Updates
Aminocaproic acid removal
Aminocaproic acid has been removed from a variety of parts of the book as it is no longer available in Australia or New Zealand. Thanks to Stephanie for the suggestion.
Pneumothorax size measurement
The Assessment of pneumothorax page has been updated to indicate that the BTS guidelines recommend measurement of the separation of the lung from the chest wall at the level of the hilum on CXR.
Estimated total body iron deficit table
The Microcytic anaemia page has been updated, including the addition of an estimated total body iron deficit table.
Put the amputated part in a jar
The Digital amputations page has been updated with the recommendation to put amputated parts into a jar, rather than a plastic bag, before putting them in cold water or ice.
Nail bed laceration repair
The Nail injuries page has been updated, including clarification of the lack of need to remove an intact nail to determine if nail bed injury is present.
Adrenaline in digital blocks
The Regional anaesthesia page has been updated to reflect that lignocaine with adrenaline is safe for digital nerve blocks.
MRI of the shoulder
The Soft tissue injuries of the shoulder region has been updated to suggest that MRI is the investigation of choice for evaluation of suspected acute soft tissue injuries around the shoulder.
Atypical cover for CAP
The Management of CAP page has been updated with some additional information about atypical antibiotic cover in CAP.
D dimer
The Deep venous thrombosis page has been updated with some minor changes to the segment on D dimer.
Organophosphate poisoning
The Organophosphates page has had a number of minor updates.
Methanol toxicity
The Methanol page has been updated with some minor modifications.
Na valproate toxicity
The Anticonvulsant toxicity page has been updated with some additional information about the potential toxic dose of Na valproate.
micro RNA mir 122 in paracetamol poisoning
The Paracetamol page has been updated with some additional information about micro RNA mir 122.
Antihistamines in anaphylaxis
The Anaphylaxis page has been updated with information about the limited role of antihistamines in the treatment of anaphylaxis.
Constipation
The Causes of abdominal pain page has been updated with some additional information about the treatment of constipation.
Disposition in pericarditis
The Pericarditis page has been updated, including with a segment on disposition. Thanks to Farzad for the suggestion.
IV catheter failure and amount in vein
The Difficult IV access page has been updated with information about the amount of catheter in the vein and failure rate, following US guided access.
HOCM
The Cardiomyopathy page has been updated with a few additions to the segment on HOCM.
Differential BP in aortic dissection
The Thoracic aortic dissection page has been modified, including some additional information about differential BP and pulse deficits.