Dunn RJ
The Investigation of blunt head trauma page has been updated with additional information regarding the predictive ability of clinical findings and decision rules following the publication of the following article Easter, JS, Haukoos, JS, Meehan, WP, et al. Will neuroimaging reveal a severe intracranial injury in this adult with minor head trauma?: The rational clinical … Read more
The ECG in coronary syndromes and ECG and abnormal cardiac chambers pages have been updated with additional information about the significance of an inverted T wave in aVL
A short segment describing the Modified Goldman score has been added to the Risk stratification in suspected ACS page.
A short segment describing the Vancouver chest pain score has been added to the Risk stratification in suspected ACS page.
The Medicolegal issues page has been updated with a segment on Fair information practice
A short segment on NBMOes has been added to the Other drugs of abuse page.
The Temperature measurement page has been updated with additional information about the accuracy of peripheral temperature measurement. Niven, DJ, Gaudet, JE, Laupland, KB, et al. Accuracy of Peripheral Thermometers for Estimating Temperature. A Systematic Review and Meta-analysis. Annals of Internal Medicine 2015;163(10):768-77. http://dx.doi.org/10.7326/M15-1150.
A short segment on the identification of the inferior epigastric artery using US has been added to the Ascites page.
The segment on the identification of ureteric jets by US on the Loin pain page has been expanded and updated.
A short segment on US in suspected pregnancy has been added to the Pregnancy page. Of particular note is the suggestion that using a high frequency linear probe may detect significantly more IUPs than a curvilinear transabdominal probe. Tabbut, M, Harper, D, Gramer, D, et al. High-frequency linear transducer improves detection of an intrauterine pregnancy … Read more
Some additional information about the dosing and efficacy of adnexanet in the reversal of anti-coagulation by NOACs has been added to the Reversal of anti-coagulation page.
A short segment describing respectful behaviour has been added to the Staff protection and safety page.
The Clinical assessment of ACS page has been updated with revised information regarding LRs for ACS from the following article. Fanaroff, AC, Rymer, JA, Goldstein, SA, et al. Does This Patient With Chest Pain Have Acute Coronary Syndrome?: The Rational Clinical Examination Systematic Review. JAMA 2015;314(18):1955-65. http://www.ncbi.nlm.nih.gov/pubmed/26547467.
Some additional information about the activation and outcomes of MET teams has been added to the Resuscitation teams page.
The Thyroid page has been updated with some information about the diagnosis and management of thyroid nodules.
A short segment on reducing costs has been added to the Financial issues page.
The Financial issues page has been extensively revised and updated.
A new segment on financial reporting has been added to the Financial issues page
The Media interactions page has been extensively revised and added to. As a result of un unpleasant personal experience with flies during a live TV interview, the recommendation to apply personal insect repellent in preparation has been made!
A short segment outlining the legal responsibility of reporting non accidental injury has been added to the Non accidental injury page.