Dunn RJ
The Paediatric head injury page has been updated with additional information about paediatric head injury rules following the publication of the following article. Babl FE et al. Accuracy of PECARN, CATCH, and CHALICE head injury decision rules in children: A prospective cohort study. Lancet 2017 Apr 11; [e-pub].
Details about oxycodone and tramadol have been moved from the Opioid agonists page in the Toxicology section and amalgamated with the existing information on the Opioids page in the Resuscitation section.
The Opioids page has been updated with additional information about the use of codeine and tramadol in children.
The Zika virus page has been updated with additional information about the rash found in 90% of patients with the disease.
The Induction agents page has been updated including additional information about the increased risk of adverse effects from ketamine when given as an IV bolus.
A variety of minor changes have been made to the Procedural sedation page.
A short segment on risk management has been added to the Patient safety page.
A short segment about procedural sedation has been added to the Ventricular arrhythmias page.
The Investigation of suspected subarachnoid haemorrhage page has been updated with information about the WCC and neutrophil/lymphocyte ratio in SAH.
The Dental emergencies page has been updated with additional information about the management of a bleeding tooth socket following dental extraction.
The Suicide risk page has been updated with an increased emphasis on the importance of a global risk assessment by an experienced clinician, rather than the use of the multiple self harm prediction scores that exist.
A short segment on Acute fatty liver of pregnancy has been added to the Hypertension in pregnancy page
The Spinal cord injuries page has been updated with details about the sensory findings in central cord syndrome.
A new segment on Vertebral infections has been created in the Low back pain page. As a result, the segments on Transverse myelitis, Epidural abscess and Spinal tumours have moved from the Non traumatic spinal cord disorders page.
The information about discitis and epidural abscess on the Low back pain page has been extensively revised and updated.
The Cellulitis page has been updated with an expanded section on imaging and US findings.
The Cellulitis page has been updated with an expanded section on disposition options.
The segment on Supraventricular tachycardia page has been updated and the lack of utility of ‘routine’ ED investigations re-emphasised. Ashok, A, Cabalag, M, Taylor, DM. Usefulness of laboratory and radiological investigations in the management of supraventricular tachycardia. Emerg Med Australas 2017 .
The Appendicitis page has been updated with information about the high failure rate of antibiotic therapy alone in patients with a faecolith.
The Penetrating trauma to the limbs page has been updated with information about the use of pelvic binders with associated compression devices in the temporary control of junctional haemorrhage to the inguinal region.