Dunn RJ
The Advanced cardiac life support page has been revised to increase the emphasis on the utility of lignocaine or amiodarone in witnessed cardiac arrest. Kudenchuk, PJ, Brown, SP, Daya, M, et al. Amiodarone, Lidocaine, or Placebo in Out-of-Hospital Cardiac Arrest. N Engl J Med 2016 .
A new segment on Scurvy has been added to the Anaemia page. Even though scurvy also has skin, bone and CNS features the reason it has been put there is that anaemia is the most consistent finding in scurvy.
The ECG in acute coronary syndromes page has been updated with a short segment on non ACS causes of T wave inversion.
The Drug dosing & administration page has been updated with additional information about S4 restricted drugs.
The Reversal of anti-coagulation page has been updated with a segment on idarucizumab and its role in reversing dabigatran toxicity.
The Clinical skills page has been updated with a segment on how to avoid claims of impropriety during physical examination.
The Infectious hepatitis page has been updated with an extensive revision of the Hepatitis B segment.
The Chronic pain page has been updated following the publication of the CDC Guidelines for the use of opioids in chronic pain. Dowell, D, Haegerich, TM, Chou, R. CDC Guideline for Prescribing Opioids for Chronic Pain-United States, 2016. JAMA 2016 .
A segment on the principles of opioid therapy has been added to the Opioids page, including a table of morphine milligram equivalent doses.
The Echocardiography page has been updated with a reminder to interpret ‘normal’ echocardiographic measurements considering the body habitus and activity level of the patient. Many athletes have increased IVC, LV wall and aortic root diameter measurements.
The Mesenteric ischaemia page has been extensively revised following the publication of the following review article. Campion, EW, Clair, DG, Beach, JM. Mesenteric Ischemia. New England Journal of Medicine 2016;374(10):959-68.
The Acute sinusitis page has been revised including the addition of the NNT of 20 for antibiotics in maxillary sinusitis.
The Opioid antagonist and partial agonists page has been updated with information about the recent decision to make naloxone available without prescription in Australia.
The Status epilepticus page has been updated including new information about the relative efficacy of different anti-convulsant agents.
The Assessment of shock page has been updated with a table indicating the approximate mortality rates associated with various degrees of hypotension in the ED.
The Peritoneal dialysis page has been updated with the recommendation that antifungal therapy is provided to patients on peritoneal dialysis who receive antibiotics for any indication, to prevent the development of fungal peritonitis.
The Chronic kidney disease page has been updated with additional emphasis on the ED management and Hb targets for erythropoietin therapy.
The Assessment of intravascular volume page has been updated with additional information about pulse wave assessment and CVP measurement in the assessment of hypovolaemia.
The Treatment of hypovolaemia page has been updated with the addition of details about the Massive transfusion score (MTS) and revised MTS.
A statement about how approximately 0.5% of patients with ICH may have transient neurological deficits has been added to the Intracerebral haemorrhage page.