Dunn RJ
The Airway management in obesity page has been updated with additional information about drugs that should be dosed based on ideal body weight or total body weight. Links to this information have been added to the Obesity and Paediatric cardiac arrest pages.
The Complications of head trauma page has been updated with additional information about base of skull fractures and the low incidence of complications if no other injury is found on cranial CT.
A segment on the Broselow tape system has been added to the Paediatric cardiac arrest page.
The segment on paediatric weight calculation on the Paediatric cardiac arrest page has had a major revision with multiple additional methods of weight estimation added.
The Prevention of secondary brain injury page has been updated with information about the outcomes from decompressive craniectomy following head trauma. Hutchinson, PJ, Kolias, AG, Timofeev, IS, et al. Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension. N Engl J Med 2016.
The Stroke page has been updated with a revision of the segment on stroke mimics.
The Spontaneous intracerebral haemorrhage page has been updated with a segment on seizures following ICH. The page name has also been changed to Spontaneous intracerebral haemorrhage from its previous title of Intracerebral haemorrhage to differentiate it from traumatic ICH. Please be aware that links to this page from our quizzes may be broken as a … Read more
The Assessment of hypovolaemia page has been updated with a variety of changes indicating the likelihood of fluid responsiveness following the publication of the following article: Bentzer, P, Griesdale, DE, Boyd, J, et al. Will This Hemodynamically Unstable Patient Respond to a Bolus of Intravenous Fluids? JAMA 2016;316(12):1298-309.
The Stroke management page has been updated following the new evidence suggesting that clot retrieval (in appropriately selected cases) may improve outcome if it can be commenced within 7 hours 18 minutes. Saver, JL, Goyal, M, van der Lugt, A, et al. Time to Treatment With Endovascular Thrombectomy and Outcomes From Ischemic Stroke: A Meta-analysis. JAMA … Read more
The Hyperemesis gravidarum page has been updated with some additional information about the incidence of nausea and vomiting in pregnancy and the association with reduced pregnancy loss. Hinkle, SN, Mumford, SL, Grantz, KL, et al. Association of Nausea and Vomiting During Pregnancy With Pregnancy Loss: A Secondary Analysis of a Randomized Clinical Trial. JAMA Intern … Read more
The Endocarditis page has been updated with a short segment on the limitations of echocardiography for the diagnosis of endocarditis.
The Febrile neutropenia page has been updated with a segment on the MASCC febrile neutropenia risk index.
The HIV infection page has been updated with a short segment on consent for HIV testing.
The Assessment of abdominal trauma page has been updated including additional information about the limitations of FAST and benefits of CT
The Shoulder and arm region injuries page has been updated with information about joint aspiration for pain relief in patients with #NOH.
Instructions on the use of topical antibiotic drops in the ear has been added to the Diseases of the external ear page.
The Magnetic resonance imaging page has been updated with additional information about the adverse effects of gadolinium.
A protocol for intraosseous imaging contrast administration has been added to the Intravenous contrast page.
A short segment on portal venous thrombosis has been added to the Ascites page.
Some additional information about the superiority of CTA over radiolabelled RBCs for the detection of the site of bleeding in lower GI haemorrhage has been added to the Lower intestinal haemorrhage page. Feuerstein, JD, Ketwaroo, G, Tewani, SK, et al. Localizing Acute Lower Gastrointestinal Hemorrhage: CT Angiography Versus Tagged RBC Scintigraphy. AJR Am J Roentgenol … Read more