PGI and rocket launcher hip relocation technique
The Dislocations of the hip page has been updated, including the addition of information about the PGI and rocket launcher techniques.
Updates
Midgut volvulus
The segment on Intestinal malrotation has been updated in the Abdominal disease in children page.
US of large gallstone
An US image of a solitary, large gallstone has been added to the the Biliary ultrasound technique page.
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.
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.
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.
Tillaux – Chaput fracture
The Ankle injuries page has been updated with additional information about Tillaux-Chaput fractures.
Rabies
The Rabies page has had a number of additions and some reorganisation.
Angioedema
The Angioedema page has been updated, including more information about the treatment of idiopathic angioedema.
Recurrent crying and probiotics
The Crying baby and failure to thrive page has been updated, including some information about the role of probiotics in recurrent crying.
Post tonsillectomy haemorrhage
The Other oropharyngeal conditions page has been updated with additional information about post tonsillectomy haemorrhage.
Clinical decision rules or clinical judgement?
The Clinical practice guidelines page has been updated with additional information about how often clinical decision rules in Emergency Medicine are compared with non-standardised practice, and how they fare when they are compared – and the news is not encouraging for guideline writers. Schriger, DL, Elder, JW, Cooper, RJ. Structured Clinical Decision Aids Are Seldom … Read more
Emergency craniotomy
The Emergency craniotomy page has been updated including additional details of the use of trephines.
Light’s criteria for pleural effusion
The Pleural effusion page has been updated, including separation of Light’s criteria from other criteria used to classify pleural effusions into separate tables.
Dislocated hip relocation
The segment on the reduction of posterior dislocations of the hip on the Dislocated hip page has been revised and updated.
NAC and HCO3 and IV contrast
Another nail in the coffin of CIN and it’s prevention. The Intravenous contrast page has been revised with removal of NAC and HCO3 as therapies to be considered for the prevention of a probably non-existent entity! Weisbord, SD, Gallagher, M, Jneid, H, et al. Outcomes after Angiography with Sodium Bicarbonate and Acetylcysteine. New England Journal … Read more
Penicillin cross reactivity
The Penicillins and beta lactams page has been updated with some additional information about cross reactivity with penicillins.