Dunn RJ
The Intravenous contrast page has been updated with more evidence that IV contrast for CT in ED patients with a creatinine clearance of > 30mL/min is not associated with an increase in the rate of renal dysfunction compared to matched controls.
The Other oncological emergencies page has been updated with a short mention of the cognitive effects of chemotherapy.
A small segment on drug induced amnesia has been added to the Cerebral lobe function page.
A segment on Coronary artery dissection has been added to the Coronary artery disease page.
The potential risk of lignocaine with adrenaline has been downplayed on the Local anaesthesia page.
The Wound management page has been updated with a segment on pain minimisation techniques for local anaesthesia injection.
The Procedural sedation page has been revised with additional information about intranasal/inhalational procedural sedation in the ED
The Procedural sedation page has been revised with additional information downplaying the importance of fasting status prior to procedural sedation in the ED.
Additional detail regarding IUCDs and their complications has been added to the Contraception page.
The Miscarriage page has been updated with additional information about the role of US in the diagnosis.
The Myasthenia gravis page has been extensively revised and updated.
The Lumbar puncture page has been updated with some additional information about the role of US in performing LP in infants.
The Medical literature page has been updated with information about the relationship between financial competing interests of study authors and trial outcome. I think you can probably guess what the relationship is.
The Other anti-coagulants page has been reorganised to prioritise content relevant to the most common DOACs – as well as making a few edits along the way.
Information about the PR interval and the risk of subsequently developing atrial fibrillation has been added to the Assessment of atrial fibrillation or flutter page.
The Other anti-microbials page has been updated with additional information about nitrofurantoin doses and pharmacology.
The Violence page has been updated with a revision of Chemical restraint, emphasising the use of IV medications (when safe to do so) and highlighting the different concentrations of droperidol ampoules.
The Induction agents page has been updated highlighting the 2 different concentrations of midazolam ampoules – a potential source of drug administration error.
The Coma and altered mental state page has been updated with additional information about the assessment and management of patients with functional coma.
The Assessment of atrial fibrillation or flutter page has been updated with a number of minor improvements.