Dunn RJ
A series of improvements and additions have been made to the Atrial fibrillation/flutter arrhythmia management page. One recommendation of note is that metoprolol is considered as the first line rate control agent, if IV diltiazem is not available (as in Australia).
A segment about the role of observation in patients with rapid AF has been added to the Atrial fibrillation/flutter arrhythmia management page.
The Ear diseases page has been updated with a recommendation for 10 days of antibiotic therapy in children < 2 years of age. Hoberman, A, Paradise, JL, Rockette, HE, et al. Shortened Antimicrobial Treatment for Acute Otitis Media in Young Children. New England Journal of Medicine 2016;375(25):2446-56.
Some additional information about Taipan envenomation has been added to the Snakes page. Johnston, CI, Ryan, NM, O’Leary, MA, et al. Australian taipan (Oxyuranus spp.) envenoming: clinical effects and potential benefits of early antivenom therapy – Australian Snakebite Project (ASP-25). Clinical Toxicology 2016:1-8.
The Anaesthetic equipment and Endotracheal intubation pages have been updated with revised sections on pre-oxygenation.
A short segment on ECG predictors of subsequently developing atrial fibrillation has been added to the Assessment of atrial fibrillation or flutter page.
The Management of head trauma page has been updated adding extra emphasis on the importance of avoiding hypotension in patients with severe head trauma.
A few additions regarding how to use cultural awareness as a potential starting point and the role of family in some cultures have been added to the Culture page.
Some definitions have been added to the Quality improvement page.
The Paediatic head trauma page has been updated with a few additional bits of information about the differences between adults and children.
The Head injury prognosis page has been updated with details of the Rotterdam CT head score.
The Head injury prognosis page has been updated with details of some prognostic instruments.
A short segment on Transverse sinus thrombosis has been added to the Complications of head injuries page.
The Cerebrovascular trauma page has been extensively revised and updated.
A table summarising the treatment of DVT in various situations has been added to the Management of DVT page.
A table summarising the treatment of PE in different situations has been added to the Management of PE page.
The Prevention of secondary brain injury page has been updated with a significant revision of the segment on decompressive craniectomy.
The Penetrating head trauma page has been updated with additional information about the management of these injuries.
A section on concussion has been added to the Complications of head trauma page.
The Management of head trauma page has been updated with substantially more detail regarding the discharge of patients following head injury.