Dunn RJ
The Troponins in ACS page has been updated with some additional information about single value hsTnI to rule out ACS. The bottom line is that hsTnT is probably more sensitive than hsTnI for clinically significantly outcomes, so is currently preferred. Carlton, E, Greenslade, J, Cullen, L, et al. Evaluation of High-Sensitivity Cardiac Troponin I Levels … Read more
The Risk stratification in suspected ACS page has been updated, including information about the use of a hsTnI 1 hour rapid ACS diagnostic pathway. The proposed pathway appears to be not as useful as similar hsTnT pathways. Neumann, JT, Sörensen, NA, Schwemer, T, et al. Diagnosis of Myocardial Infarction Using a High-Sensitivity Troponin I 1-Hour … Read more
The Triage page has been updated with information about the different average waiting times according to hospital type in Australia.
The Time limited ED care targets page has been revised and additional information about the association between improved NEAT admission performance and hospital mortality has been added. Sullivan, C, Staib, A, Khanna, S, et al. The National Emergency Access Target (NEAT) and the 4-hour rule: time to review the target. Med J Aust 2016;204(9):354.
The acronyms relating to ED occupancy have been added to the Emergency Department overcrowding page. Sullivan, C, Staib, A, Eley, R, et al. National Emergency Access Targets metrics of the emergency department–inpatient interface: measures of patient flow and mortality for emergency admissions to hospital. Australian Health Review 2015;39(5):533-38.
The Drugs in pregnancy and lactation page has been updated with information about the possible teratogenic effects of pregabalin.
A large segment on the classification and management of peri-prosthetic fractures has been added to the Assessment of fractures and dislocations page.
The Central venous catheter insertion technique page has been updated with additional information about the risk of US guided IJV catheter insertion in expert hands. Hourmozdi, JJ, Markin, A, Johnson, B, et al. Routine Chest Radiography Is Not Necessary After Ultrasound-Guided Right Internal Jugular Vein Catheterization. Critical Care Medicine 9000;Publish Ahead of Print.
The segement on Video laryngoscopy on the Intubation equipment page has been revised to better outline the advantages and disadvantages of video laryngoscopy.
Lack of empathy has been added as a risk factor for litigation on the Medicolegal issues page. Smith, DD, Kellar, J, Walters, EL, et al. Does emergency physician empathy reduce thoughts of litigation? A randomised trial. Emerg Med J 2016 .
The Management of DVT page has been updated with information about the use of oestrogens in anticoagulated patients with VTE.
The early outpatient management of PE segment on the Management of PE page has been revised and updated.
The Obesity page has been updated with information about the BMI associated with the lowest risk of all cause mortality.
The Sudden infant death syndrome page has been updated with information about BRUE (Brief resolved unexplained event), the new American Academy of Pediatrics definition replacing ALTE. Tieder JS et al. Brief resolved unexplained events (formerly apparent life-threatening events) and evaluation of lower-risk infants. Pediatrics 2016 May; 137:e20160590.
The Acute asthma management page has been updated with some additional information about the potential advantages of dexamethasone in acute asthma.
The Pulmonary injuries page has been updated with additional information about the management of severe pulmonary contusions.
The Adjuncts to transfusion therapy page has been updated with additional information about a variety of haemostatic foams, sprays and dressings.
The Management of pelvic trauma page has been updated with the term pelvic sling/binder being replaced with the term trochanteric sling, representing the correct position of the sling for the management of pelvic fractures.
The Assessment of abdominal trauma page has been updated with additional information about the limitations of CT of the abdomen.
The segment on Ketamine on the Induction agents page has been revised and some additional information about the effect of ketamine on depression has been added.