NBOMes
A short segment on NBMOes has been added to the Other drugs of abuse page.
Updates
Peripheral temperature measurement
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.
Identification of the inferior epigastric artery
A short segment on the identification of the inferior epigastric artery using US has been added to the Ascites page.
Ureteric jets
The segment on the identification of ureteric jets by US on the Loin pain page has been expanded and updated.
US in suspected pregnancy
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
Adnexanet
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.
Respectful behaviour
A short segment describing respectful behaviour has been added to the Staff protection and safety page.
Clinical assessment of suspected ACS
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.
Medical emergency teams
Some additional information about the activation and outcomes of MET teams has been added to the Resuscitation teams page.
Thyroid nodules
The Thyroid page has been updated with some information about the diagnosis and management of thyroid nodules.
Reducing costs
A short segment on reducing costs has been added to the Financial issues page.
Financial issues
The Financial issues page has been extensively revised and updated.
Financial reporting
A new segment on financial reporting has been added to the Financial issues page
Media interactions
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!
Reporting of non accidental injury
A short segment outlining the legal responsibility of reporting non accidental injury has been added to the Non accidental injury page.
Even more ECMO
Some additional information about patient selection for ECMO has been added to the Mechanical cardiovascular support page.
More ECMO
Some additional information about patient selection for ECMO has been added to the Mechanical cardiovascular support page.
Making a referral
A significant segment on how to make a referral has been added to the Clinical skills page.
Locating the cricothyroid membrane
A small segment about preparation for criothyroidotomy and locating the cricothyroid membrane has been added to the Surgical airway techniques page.
Fire extinguishers
Some additional information about fire extinguishers (and a few other bits and pieces) has been added to the Emergency Department response to disasters page.