Salter Harris Type 1 management
Some additional information about the management of suspected Salter Harris Type 1 injuries has been added to the Assessment of fractures and dislocations page.
Updates
Risks for upper GI rebleeding
The Upper GI haemorrhage page has been updated with additional information about the risk of rebleeding.
Risk factors for negligence in doctors
The Negligence segment in the Medicolegal issues page has been revised and some additional information about the risk factors for negligence claims in doctors added.
Night shift effects
The Rosters page has been revised and information about the effects of night shift on driving performance added. Lee, ML, Howard, ME, Horrey, WJ, et al. High risk of near-crash driving events following night-shift work. Proceedings of the National Academy of Sciences 2016;113(1):176-81.
Compassion fatigue
A small segment on Compassion fatigue has been added to the Work stress page.
Apixaban/Rivaroxaban overdose
A small segment on the usually benign course of rivaroxaban or apixaban overdose as a single ingestion in otherwise healthy people has been added to the Reversal of anti-coagulation page.
Procedural sedation
The Procedural sedation page has been revised and estimated complication rates from ED sedation in adults have been added. Bellolio, MF, Gilani, WI, Barrionuevo, P, et al. Incidence of Adverse Events in Adults Undergoing Procedural Sedation in the Emergency Department: A Systematic Review and Meta-analysis. Academic Emergency Medicine 2016
Diagonal branch of LAD occlusion
A short segment outlining the ECG features of a first diagonal branch LAD occlusion has been added to the ECG in acute coronary syndromes page.
Spinal canal stenosis
A short segment on spinal canal stenosis has been added to the Lower back pain page.
TTP
The Thrombotic microangiopathies page has been updated. particularly in relation to the segment on TTP.
Tuberculosis definitions
The Tuberculosis page has been updated with some additional information about latent and active disease.
CTCA
The segment on CTCA on the Other diagnostic modalities in ACS page has been revised and updated.
Third international consensus sepsis definitions
The Assessment of sepsis page has been revised to include the Third international consensus sepsis definitions published this week in JAMA. Singer, M, Deutschman, CS, Seymour, C, et al. THe third international consensus definitions for sepsis and septic shock (sepsis-3). JAMA 2016;315(8):801-10.
Treatment of Type II DM
Some changes to the Other hypoglycaemic agents and Chronic care and complications of diabetes pages have been made to better reflect the usual order of agents used.
Slit lamp operation
Additional information about the operation of the slit lamp has been added to the Ocular examination page.
Lid eversion
Additional information about eyelid eversion and double eversion techniques has been added to the Ocular examination page
Deep brain stimulation
A short segment about deep brain stimulation and it’s potential adverse effects has been added to the Parkinson’s disease page.
US guided subclavian vein CVC insertion
A small segment on US guided subclavian vein CVC access has been added to the Central venous catheter insertion technique page.
Constipation
The Causes of abdominal pain has been updated with additional information about the causes and management of constipation.
Epipericardial fat necrosis
A small segment on epipericardial fat necrosis has been added to the Pericarditis page.