Dunn RJ
The Low back pain has been updated with information about the lack of significant clinical benefit of opioid therapy for chronic back pain. Abdel Shaheed, C, Maher, CG, Williams, KA, et al. Efficacy, tolerability, and dose-dependent effects of opioid analgesics for low back pain: A systematic review and meta-analysis. JAMA Internal Medicine 2016.
The Femoral fractures page has been updated with information about the frequency and timing of PE following injury, with ~50% of PEs occurring within 24 hours. Kim, YJ, Choi, DH, Ahn, S, et al. Timing of pulmonary embolisms in femur fracture patients: Incidence and outcomes. J Trauma Acute Care Surg 2016;80(6):952-6.
The Disorders of clotting page has been updated and some additional information about acquired factor deficiencies has been added.
The Intravenous contrast page has been updated with information about the rare hypersensitivity reaction called iododerma.
The Non ACS causes of elevated troponins has been modified to include additional information about the almost universal finding of elevated hsTroponins following a 30km run in well trained individuals. Klinkenberg, LJ, Luyten, P, van der Linden, N, et al. Cardiac Troponin T and I Release After a 30-km Run. Am J Cardiol 2016 . … Read more
The Spinal immobilisation page has been updated with information about the rarity of unstable cervical spine injuries following civilian (terrorist) blast injuries. Klein, Y, Arieli, I, Sagiv, S, et al. Cervical spine injuries in civilian victims of explosions: Should cervical collars be used? J Trauma Acute Care Surg 2016;80(6):985-8.
The Subcutaneous foreign bodies page has been updated with information about how to remove embedded fish hooks.
The ECG in acute coronary syndromes page has been updated with information about the accuracy of computer assisted ECG diagnosis of STEMI.
The Ventricular arrhythmias page has been updated with additional information about drugs that may increase the QTc. QT interval and drug therapy. BMJ 2016;353
Details about direction fixed and direction changing nystagmus have been included on the Cerebellar function page.
The Vertigo page has been updated following the recent publication of the following article. Edlow, JA, Newman-Toker, D. Using the Physical Examination to Diagnose Patients with Acute Dizziness and Vertigo. Journal of Emergency Medicine. 2016;50(4):617-28.
The Cerebrovascular disease page has been updated with additional information about the primary prevention of stroke. Steiger, N, Cifu, AS. Primary prevention of stroke. JAMA 2016;316(6):658-59.
A new quiz on your usual laryngoscopy technique has just been published
The table of the relative usefulness of the the various echocardiographic views on the Echocardiography page has been updated.
The Echocardiography page has been updated with information about the suprasternal view.
The Urinary tract infection in children page has had a few minor modifications.
The Breast lumps page has been updated with additional information about breast abscesses. Bagenal, J, Bodhinayake, J, Williams, KE. Acute painful breast in a non-lactating woman. BMJ 2016;353:i2646.
The Upper GI haemorrhage page has been revised and updated. Laine, L. Upper Gastrointestinal Bleeding Due to a Peptic Ulcer. N Engl J Med 2016;374(24):2367-76.
The Lower intestinal haemorrhage page has been revised and updated. Strate, LL, Gralnek, IM. ACG Clinical Guideline: Management of Patients With Acute Lower Gastrointestinal Bleeding. Am J Gastroenterol 2016;111(4):459-74.
The Dislocations around the wrist page has been updated with an improved description of the reduction technique for a lunate dislocation.